Summary of Primary Function/General Purpose of Position Effectively and efficiently manages complex and large exposure medical malpractice claims, including hospital and employed physician claims and claims covered by th…
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Other
bachelor degree, professional certificate
Competitive pay, Incentives, Referral bonuses, 403(b) with employer contributions, Medical insurance, Dental insurance
Posted 1d ago
~40 hrs/week
Remote in United States
Responsibilities
The Senior Claims Manager oversees complex medical malpractice claims, including managing defense counsel and representing the organization at legal proceedings. They also provide leadership to staff to ensure organizational objectives and risk management goals are met.
Requirements
Candidates must have a minimum of 7 years of experience handling professional liability claims and hold a bachelor's degree. Preferred qualifications include professional insurance certifications such as CPCU, AIC, ARM, or INS.
Full job description
Summary of Primary Function/General Purpose of Position
Effectively and efficiently manages complex and large exposure medical malpractice claims, including hospital and employed physician claims and claims covered by the deductible polices. Acts as the BSMH representative at pre-trial hearing, mediations, arbitrations and attends most trials. Manages and directs staff in accordance with organizational objectives and goals.
This is a remote/work from home position. Hire must be able to work eastern time zone hours.
Essential Job Functions
Manages the analysis of defense counsel effectiveness on an annual basis
Implements and tracks claims related to the Early Liability Review Program
Timely setting of accurate reserves based on formula (where possible)
Identification of potential claims at the time of reporting and appropriate follow up such as expert evaluation prior to suit or notice of potential suit
Works extensively with outside defense counsel to manage the claims
Verifies accurate billing of outside defense counsel
Manages policy reviews to assure appropriate scope of coverage within commercial policies and assure congruence of coverage between commercial policies and the Captive.
While working with market and group senior leaders explain the risks and alternatives regarding various claim options.
Works closely with employed physicians when the physicians are named in a lawsuit
Works closely with the Risk management related to claim management
Manages closely with the insurance staff regarding coverage issues
Manages staff to meet organizational objectives. Provides direction and oversight of assigned duties and projects.
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation.
Employment Qualifications
Required Minimum Education: Bachelors
Preferred Education: Insurance Courses CPCU/AIC/ARM/INS Institute
Minimum Qualifications: 7 years handling Professional Liability Claims
As a Mercy Health associate, you're part of a Mission that matters. We support your well-being—personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.
What we offer
Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
Tuition assistance, professional development and continuing education support
Benefits may vary based on the market and employment status.
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email [email protected]. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at [email protected]
Bon Secours Mercy Health (BSMH) is a global Catholic health ministry operating in the United States, Ireland and the Philippines. A $14 billion organization, BSMH delivers care and health services through 47 hospitals and a network of approximately 60,000 associates, including more than 3,000 providers, across 1,200+ sites of care. It is one of the largest health systems in the United States and the largest not-for-profit private healthcare provider in Ireland.
Bon Secours Mercy Health’s portfolio extends beyond hospitals to include ambulatory care, digital capabilities, population health and international operations, as well as a diverse set of companies providing advisory and technology-enabled solutions that strengthen clinical quality, operational performance, data capabilities and financial outcomes.
Rooted in the compassionate ministry of Jesus, BSMH is committed to improving health and well-being in the communities it serves, especially those most in need who are poor, dying and underserved. Across its ministry, Bon Secours Mercy Health provides more than $415 million in community benefit each year, supporting programs and initiatives that address social drivers of health and strengthen communities. Through Global Ministries, BSMH supports underserved communities in Haiti, Peru, South Sudan and the Philippines.
Bon Secours Mercy Health (BSMH) is a global Catholic health ministry operating in the United States, Ireland and the Philippines. A $14 billion organization, BSMH delivers care and health services through 47 hospitals and a network of approximately 60,000 associates, including more than 3,000 providers, across 1,200+ sites of care. It is one of the largest health systems in the United States and the largest not-for-profit private healthcare provider in Ireland.
Bon Secours Mercy Health’s portfolio extends beyond hospitals to include ambulatory care, digital capabilities, population health and international operations, as well as a diverse set of companies providing advisory and technology-enabled solutions that strengthen clinical quality, operational performance, data capabilities and financial outcomes.
Rooted in the compassionate ministry of Jesus, BSMH is committed to improving health and well-being in the communities it serves, especially those most in need who are poor, dying and underserved. Across its ministry, Bon Secours Mercy Health provides more than $415 million in community benefit each year, supporting programs and initiatives that address social drivers of health and strengthen communities. Through Global Ministries, BSMH supports underserved communities in Haiti, Peru, South Sudan and the Philippines.