Providence Health & Service
Claims Manager *Remote. Most States Eligible*
Providence Health & Service, New York, New York, United States
Overview
Claims Manager
Remote. Candidates residing in AK, WA, MT, OR, CA or TX are encouraged to apply. The Claims Manager is responsible for day-to-day oversight of general and professional liability claims in accordance with the System's claims program policies and procedures and within an assigned Region or scope of responsibility. The Claims Manager will investigate, evaluate and manage professional and other liability claims against the organization as directed by the Director of Risk & Claims; maintain up-to-date and accurate claims files, including summaries, action plans, and claims status in the claims data management software; coordinate with facility leadership, risk managers, defense counsel, and others; ensure compliance with relevant claims reporting procedures and required regulations; and provide feedback and recommendations to the Director of Risk & Claims on evaluations, litigation trends, department policies and procedures, system-wide claims and litigation processes, and risk management issues. The Claims Manager will foster teamwork, operational excellence and effective communication within the claims team and with other Claims Managers, Claims Technicians and Claims Specialists. The Claims Manager can be distinguished from the senior manager by handling claims with smaller loss potential and less complexity. Providence caregivers are not simply valued - they're invaluable. Join our team at Integrity Compliance Audit Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications
Bachelor's Degree in Business Administration, Finance, or a related discipline, or an equivalent combination of education and experience in the insurance industry; claims management; or legal handling of claims issues. 5 years of relevant general claims processing or management experience, or an equivalent combination of direct legal work (e.g., as a litigator or paralegal), healthcare or general risk management, and insurance claims handling. Preferred Qualifications
Upon hire: Certified Professional Healthcare Risk Management (CPHRM). Experience with a mix of general liability claims, including at least 10 claims with significant bodily injury and experience with STARS software. Healthcare experience. Salary Range by Location
AK: Anchorage Min: $45.14, Max: $70.07; AK: Kodiak, Seward, Valdez Min: $47.05, Max: $73.04; California: Humboldt Min: $47.05, Max: $73.04; California: All Northern California - Except Humboldt Min: $52.79, Max: $81.94; California: All Southern California - Except Bakersfield Min: $47.05, Max: $73.04; California: Bakersfield Min: $45.14, Max: $70.07; Montana: Except Great Falls Min: $36.34, Max: $56.41; Montana: Great Falls Min: $34.43, Max: $53.44; Oregon: Non-Portland Service Area Min: $42.08, Max: $65.32; Oregon: Portland Service Area Min: $45.14, Max: $70.07; Texas Min: $34.43, Max: $53.44; Washington: Western - Except Tukwila Min: $47.05, Max: $73.04; Washington: Southwest - Olympia, Centralia & Below Min: $45.14, Max: $70.07; Washington: Tukwila Min: $47.05, Max: $73.04; Washington: Eastern Min: $40.16, Max: $62.35; Washington: South Eastern Min: $42.08, Max: $65.32 Why Join Providence?
Our best-in-class benefits are designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." We are committed to an inclusive workplace where diversity is valued and everyone is essential, heard and respected. Our network includes 120,000 caregivers across more than 50 hospitals and 1,000 clinics, serving Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We provide best-in-class benefits and a long-standing commitment to serving the poor and vulnerable. The base pay range is listed above; additional compensation may be available for this role (e.g., shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonuses). About the Team
Providence Shared Services provides functional and system support services across the organization and is focused on supporting our Mission through a robust foundation of services and shared expertise. Providence is an Equal Opportunity Employer, committed to a workplace free from unlawful discrimination and harassment. Requisition ID:
388239 Company:
Providence Jobs Job Category:
Financial Transactions Job Function:
Health Plans Services Job Schedule:
Full time Job Shift:
Day Career Track:
Business Professional Department:
4008 SS RIS Address:
MT Missoula 500 W Broadway Work Location:
St Patrick Hospital-Broadway Bldg-Missoula MT Workplace Type:
Remote Pay Range:
See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. #J-18808-Ljbffr
Claims Manager
Remote. Candidates residing in AK, WA, MT, OR, CA or TX are encouraged to apply. The Claims Manager is responsible for day-to-day oversight of general and professional liability claims in accordance with the System's claims program policies and procedures and within an assigned Region or scope of responsibility. The Claims Manager will investigate, evaluate and manage professional and other liability claims against the organization as directed by the Director of Risk & Claims; maintain up-to-date and accurate claims files, including summaries, action plans, and claims status in the claims data management software; coordinate with facility leadership, risk managers, defense counsel, and others; ensure compliance with relevant claims reporting procedures and required regulations; and provide feedback and recommendations to the Director of Risk & Claims on evaluations, litigation trends, department policies and procedures, system-wide claims and litigation processes, and risk management issues. The Claims Manager will foster teamwork, operational excellence and effective communication within the claims team and with other Claims Managers, Claims Technicians and Claims Specialists. The Claims Manager can be distinguished from the senior manager by handling claims with smaller loss potential and less complexity. Providence caregivers are not simply valued - they're invaluable. Join our team at Integrity Compliance Audit Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications
Bachelor's Degree in Business Administration, Finance, or a related discipline, or an equivalent combination of education and experience in the insurance industry; claims management; or legal handling of claims issues. 5 years of relevant general claims processing or management experience, or an equivalent combination of direct legal work (e.g., as a litigator or paralegal), healthcare or general risk management, and insurance claims handling. Preferred Qualifications
Upon hire: Certified Professional Healthcare Risk Management (CPHRM). Experience with a mix of general liability claims, including at least 10 claims with significant bodily injury and experience with STARS software. Healthcare experience. Salary Range by Location
AK: Anchorage Min: $45.14, Max: $70.07; AK: Kodiak, Seward, Valdez Min: $47.05, Max: $73.04; California: Humboldt Min: $47.05, Max: $73.04; California: All Northern California - Except Humboldt Min: $52.79, Max: $81.94; California: All Southern California - Except Bakersfield Min: $47.05, Max: $73.04; California: Bakersfield Min: $45.14, Max: $70.07; Montana: Except Great Falls Min: $36.34, Max: $56.41; Montana: Great Falls Min: $34.43, Max: $53.44; Oregon: Non-Portland Service Area Min: $42.08, Max: $65.32; Oregon: Portland Service Area Min: $45.14, Max: $70.07; Texas Min: $34.43, Max: $53.44; Washington: Western - Except Tukwila Min: $47.05, Max: $73.04; Washington: Southwest - Olympia, Centralia & Below Min: $45.14, Max: $70.07; Washington: Tukwila Min: $47.05, Max: $73.04; Washington: Eastern Min: $40.16, Max: $62.35; Washington: South Eastern Min: $42.08, Max: $65.32 Why Join Providence?
Our best-in-class benefits are designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." We are committed to an inclusive workplace where diversity is valued and everyone is essential, heard and respected. Our network includes 120,000 caregivers across more than 50 hospitals and 1,000 clinics, serving Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We provide best-in-class benefits and a long-standing commitment to serving the poor and vulnerable. The base pay range is listed above; additional compensation may be available for this role (e.g., shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonuses). About the Team
Providence Shared Services provides functional and system support services across the organization and is focused on supporting our Mission through a robust foundation of services and shared expertise. Providence is an Equal Opportunity Employer, committed to a workplace free from unlawful discrimination and harassment. Requisition ID:
388239 Company:
Providence Jobs Job Category:
Financial Transactions Job Function:
Health Plans Services Job Schedule:
Full time Job Shift:
Day Career Track:
Business Professional Department:
4008 SS RIS Address:
MT Missoula 500 W Broadway Work Location:
St Patrick Hospital-Broadway Bldg-Missoula MT Workplace Type:
Remote Pay Range:
See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. #J-18808-Ljbffr