Providence Service
Overview
Remote position. The Claims Manager oversees general and professional liability claims in accordance with the System's claims program policies and procedures within an assigned region or scope of responsibility. The role involves investigating, evaluating and managing professional and other liability claims, maintaining up-to-date claim files, coordinating with facility leadership, risk managers, defense counsel, and others, and ensuring compliance with reporting procedures and regulations. The Claims Manager will foster teamwork, operational excellence and effective communication within the claims team. Responsibilities Oversee day-to-day general and professional liability claims within the assigned region or scope of responsibility. Investigate, evaluate, and manage claims; maintain accurate claims files including summaries, action plans, and claims status in claims data management software. Coordinate with facility leadership, risk managers, defense counsel, and other stakeholders. Ensure compliance with relevant claims reporting procedures and applicable regulations. Provide feedback and recommendations to the Director of Risk & Claims on evaluations, litigation trends, department policies and procedures, and system-wide risk management issues. Foster teamwork and effective communication within the claims team, including other Claims Managers, Claims Technicians, and Claims Specialists.
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 (Great Falls) Min: $34.43, Max: $53.44 Montana (Except Great Falls) Min: $36.34, Max: $56.41 Oregon (Portland Service Area) Min: $45.14, Max: $70.07 Oregon (Non-Portland Service Area) Min: $42.08, Max: $65.32 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
About Providence
Providence is an equal opportunity employer. We value diversity and are committed to creating an inclusive workplace. Our caregivers are valued and empowered to deliver patient-focused, whole-person care. Details about our values and benefits are provided at providence.jobs/benefits. About the Team
Providence Shared Services supports our family of organizations across multiple states by delivering a robust foundation of services and sharing specialized expertise in alignment with our Mission. The base pay range is listed above; additional compensation such as shift differentials, standby/on-call, overtime, premiums, bonus opportunities, or other incentives may be available. #J-18808-Ljbffr
Remote position. The Claims Manager oversees general and professional liability claims in accordance with the System's claims program policies and procedures within an assigned region or scope of responsibility. The role involves investigating, evaluating and managing professional and other liability claims, maintaining up-to-date claim files, coordinating with facility leadership, risk managers, defense counsel, and others, and ensuring compliance with reporting procedures and regulations. The Claims Manager will foster teamwork, operational excellence and effective communication within the claims team. Responsibilities Oversee day-to-day general and professional liability claims within the assigned region or scope of responsibility. Investigate, evaluate, and manage claims; maintain accurate claims files including summaries, action plans, and claims status in claims data management software. Coordinate with facility leadership, risk managers, defense counsel, and other stakeholders. Ensure compliance with relevant claims reporting procedures and applicable regulations. Provide feedback and recommendations to the Director of Risk & Claims on evaluations, litigation trends, department policies and procedures, and system-wide risk management issues. Foster teamwork and effective communication within the claims team, including other Claims Managers, Claims Technicians, and Claims Specialists.
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 (Great Falls) Min: $34.43, Max: $53.44 Montana (Except Great Falls) Min: $36.34, Max: $56.41 Oregon (Portland Service Area) Min: $45.14, Max: $70.07 Oregon (Non-Portland Service Area) Min: $42.08, Max: $65.32 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
About Providence
Providence is an equal opportunity employer. We value diversity and are committed to creating an inclusive workplace. Our caregivers are valued and empowered to deliver patient-focused, whole-person care. Details about our values and benefits are provided at providence.jobs/benefits. About the Team
Providence Shared Services supports our family of organizations across multiple states by delivering a robust foundation of services and sharing specialized expertise in alignment with our Mission. The base pay range is listed above; additional compensation such as shift differentials, standby/on-call, overtime, premiums, bonus opportunities, or other incentives may be available. #J-18808-Ljbffr