Sr. Professional Liability Medical Claims Manager •Remote, Many States Eligible •

Description

Senior Professional Liability Medical Claims Manager This position works remotely. Many states eligible.

Providence caregivers are valued and essential. Join our team and thrive in a culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect.

Responsibilities

Providence is calling a Sr. Professional Liability Medical Claims Manager who will :

• Investigate, evaluate, and manage professional, general, and other liability claims under the PSJH Insurance Program.
• Communicate with patients, claimants, caregivers, providers, and leadership; review medical records, interview witnesses, assist with discovery, and coordinate with facility risk management regarding evaluation and investigation.
• Draft and send insurance policy coverage letters; analyze policy documents to determine coverage.
• Set appropriate indemnity and expense reserves; select appropriate medical experts for case review.
• Develop a plan of action for assigned claims and update the claims file as status changes; review and approve statements for services and pay vendors as appropriate.
• Inform Senior Manager Operations of large or complex claims and claims with potential media exposure; report claims with potential excess exposure to excess insurers.
• Ensure compliance with claims reporting procedures and required regulations; work with defense attorneys specializing in medical negligence claims.
• Foster teamwork and effective communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists.

Documentation

Maintain complete documentation for each matter :

Collaboration

Coordinate with facility leadership, risk managers, defense counsel and others :

Resolution and Risk Reduction

Qualifications

Required qualifications

Preferred qualifications

Salary Range by Location

Why Join Providence?

Our benefits support you and your family in staying well, growing professionally, and achieving financial security. We are mission-driven and committed to caring for the vulnerable in our communities.

Note : Accepting a new position at another Providence facility may change your benefits, including paid time off, for various reasons.

About Providence

Providence is committed to Our Promise : Know me, care for me, ease my way. We offer best-in-class benefits and foster an inclusive workplace where diversity is valued and everyone is essential, heard and respected. Our 120,000 caregivers serve in multiple states across hospitals, clinics, and health services.

The base pay range is listed; additional compensation may be available, such as shift differentials, on-call pay, overtime, premiums, and bonuses.

Providence offers a comprehensive benefits package including retirement 401(k) with employer matching, health care (medical, dental, vision), life and disability insurance, paid time off, voluntary benefits, well-being resources, and more. Learn more at providence.jobs / benefits.

Equal Opportunity

Providence is an Equal Opportunity Employer. We are committed to a workplace free from unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran status, religion, age, national origin, sexual orientation or other protected characteristics, in accordance with applicable law.

Requisition Details

Requisition ID : 388097

Company : Providence Jobs

Job Category : Financial Transactions

Job Function : Health Plans Services

Job Schedule : Full time

Job Shift : Multiple shifts available

Career Track : Business Professional

Department : 4008 SS RIS

Address : WA Renton 1801 Lind Ave SW

Work Location : Providence Valley Office Park-Renton

Workplace Type : Remote

Pay Range : See Posting

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