Manager Claims

External Job Description And Responsibilities

TeamHealth is named among the Top 150 Places to Work in Healthcare by Becker's Hospital Review. Newsweek Magazine recognizes TeamHealth ‘as one of the greatest workplaces for diversity, 2024’ and TeamHealth is also ranked as ‘The World’s Most Admired Companies’ by Fortune Magazine. TeamHealth, an established healthcare organization is physician-led and patient focused. We continue to grow across the U.S. from our Clinicians to Corporate Employees. Join us.

Overview

The Manager Claims will be responsible to investigate, evaluate, and resolve assigned professional liability and general liability claims involving TeamHealth regional and specialty operations in accordance with TeamHealth policies & procedures and industry best practices. Individual will manage the financial resources of TeamHealth by efficiently coordinating activity on assigned claims/ litigation and provide superior claim services to TeamHealth operations, claimants, claim Third Party Administrator and participating excess insurance participants. The Manager will have a detailed knowledge of TeamHealth Operations and Physician Professional Liability/ Commercial General Liability insurance policy coverage. This individual will report to the TeamHealth Director of Claims.

Essential Functions

• Directly manages assigned claim inventory to achieve operational goals and optimal outcome on assigned cases
• Manages and monitors medical professional liability claims in multiple jurisdictions
• Recommends and sets timely and adequate indemnity and expense reserves
• Responsible for communication with attorneys, physicians, client hospitals, insurance carriers, and division leadership concerning the status of claims
• Assumes the lead role in coordinating litigation management along with defense counsel and Western Litigation
• Attends and participates in settlement conferences, arbitrations, mediations, depositions, hearings, trials, and claims review meetings as required by policy or as directed
• Prepares in depth case analysis and makes settlement recommendations to the Sr. Director of Claims, the Vice President of Claims and Risk Management and Claims Review Committee
• Monitors assigned claim files for the timely submission of status reports from defense counsel and Western Litigation
• Utilizes a diary system to assist in the monitoring of claims
• Responsible for entering claims data in Origami Risk on assigned claims
• Maintains up to date knowledge on liability laws and practices in assigned states, makes recommendations when needed and participates in professional organizations
• Responsible for special projects as needed or directed
  
  

Requirements

Qualfications & Education

• BS/BA degree in Business, Healthcare, Risk Management or equivalent legal/insurance work experience
• Three (3) years medical professional liability claim management or equivalent experience
• Intermediate negotiation skills
• Intermediate knowledge of insurance coverage, concepts and claim resolution procedures
• Proficiency with personal computers and Microsoft Office programs
• Excellent written and verbal communication skills
• Excellent organizational skills
• Excellent interpersonal skills
  
  

Location

Remote

Job Category

Healthcare

LinkedIn

Yes

Career Builder

Yes

ID

48922BR