Providence Health & Services
Claims Manager *Remote. Most States Eligible*
Providence Health & Services, Renton, Washington, United States, 98056
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 investigates, evaluates and manages professional and other liability claims against the organization as assigned or directed by the Director of Risk & Claims; maintains up-to-date and accurate claims files, including summaries, action plans, and claims status in the claims data management software; coordinates with facility leadership, risk managers, defense counsel, and others; ensures compliance with relevant claims reporting procedures and required regulations; and provides feedback and recommendations to the Director of Risk & Claims on evaluations, litigation trends, department policies and procedures, system-wide claims and litigation processes, and appropriate System risk management issues. The Claims Manager fosters teamwork, operational excellence and effective communication within the claims team, including other Claims Managers, Claims Technicians and Claims Specialists. The Claims Manager handles claims with smaller loss potential and less complexity compared with senior managers. 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. Responsibilities
Provide day-to-day oversight of general and professional liability claims within an assigned region or scope of responsibility. Investigate, evaluate and manage claims, maintain up-to-date claims files with summaries, action plans and status in the claims data management software. Coordinate with facility leadership, risk managers, defense counsel, and other stakeholders; ensure compliance with reporting procedures and regulations. Offer feedback and recommendations to the Director of Risk & Claims on evaluations, litigation trends, department policies, and system-wide risk management issues. Promote teamwork, operational excellence and effective communication within the claims team. Differentiate the role from senior managers by handling claims with smaller loss potential and less complexity. Required Qualifications
Bachelor's Degree in Business Administration, Finance, or a related discipline, or equivalent combination of education and experience in the insurance industry; claims management; or legal handling of claims issues. At least 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), health care or general risk management, and insurance claims handling. Preferred Qualifications
Upon hire: Certified Professional Healthcare Risk Management (CPHRM). Experience with 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 provide best-in-class benefits and foster an inclusive workplace where diversity is valued and everyone is essential, heard and respected. Our organization serves in Alaska, California, Montana, New Mexico, Oregon, Texas and Washington with over 120,000 caregivers across hospitals, clinics and health and social services. 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. About the Team
Providence Shared Services provides functional and system support services across the Providence family of organizations. We are focused on supporting our Mission by delivering a robust foundation of services and sharing specialized expertise. Equal Opportunity
Providence is proud to be 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, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by law. We believe diversity makes us stronger and are dedicated to creating equal opportunities for advancement. Requsition ID:
388239
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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 investigates, evaluates and manages professional and other liability claims against the organization as assigned or directed by the Director of Risk & Claims; maintains up-to-date and accurate claims files, including summaries, action plans, and claims status in the claims data management software; coordinates with facility leadership, risk managers, defense counsel, and others; ensures compliance with relevant claims reporting procedures and required regulations; and provides feedback and recommendations to the Director of Risk & Claims on evaluations, litigation trends, department policies and procedures, system-wide claims and litigation processes, and appropriate System risk management issues. The Claims Manager fosters teamwork, operational excellence and effective communication within the claims team, including other Claims Managers, Claims Technicians and Claims Specialists. The Claims Manager handles claims with smaller loss potential and less complexity compared with senior managers. 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. Responsibilities
Provide day-to-day oversight of general and professional liability claims within an assigned region or scope of responsibility. Investigate, evaluate and manage claims, maintain up-to-date claims files with summaries, action plans and status in the claims data management software. Coordinate with facility leadership, risk managers, defense counsel, and other stakeholders; ensure compliance with reporting procedures and regulations. Offer feedback and recommendations to the Director of Risk & Claims on evaluations, litigation trends, department policies, and system-wide risk management issues. Promote teamwork, operational excellence and effective communication within the claims team. Differentiate the role from senior managers by handling claims with smaller loss potential and less complexity. Required Qualifications
Bachelor's Degree in Business Administration, Finance, or a related discipline, or equivalent combination of education and experience in the insurance industry; claims management; or legal handling of claims issues. At least 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), health care or general risk management, and insurance claims handling. Preferred Qualifications
Upon hire: Certified Professional Healthcare Risk Management (CPHRM). Experience with 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 provide best-in-class benefits and foster an inclusive workplace where diversity is valued and everyone is essential, heard and respected. Our organization serves in Alaska, California, Montana, New Mexico, Oregon, Texas and Washington with over 120,000 caregivers across hospitals, clinics and health and social services. 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. About the Team
Providence Shared Services provides functional and system support services across the Providence family of organizations. We are focused on supporting our Mission by delivering a robust foundation of services and sharing specialized expertise. Equal Opportunity
Providence is proud to be 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, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by law. We believe diversity makes us stronger and are dedicated to creating equal opportunities for advancement. Requsition ID:
388239
#J-18808-Ljbffr