Providence Health Plan Group
Claims Manager *Remote. Most States Eligible*
Providence Health Plan Group, Olympia, Washington, United States
Overview
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 assigned or 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 appropriate System risk management issues. The Claims Manager will foster teamwork, operational excellence and effective communication within the claims team, including 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 that are less complex in nature. 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), health care 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 uniquely 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.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Our network includes over 120,000 caregivers across more than 50 hospitals and 1,000 clinics. We are a comprehensive health care organization serving the poor and vulnerable. 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. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. 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: Saint Patrick Hospital-Broadway Building-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.
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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 assigned or 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 appropriate System risk management issues. The Claims Manager will foster teamwork, operational excellence and effective communication within the claims team, including 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 that are less complex in nature. 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), health care 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 uniquely 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.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Our network includes over 120,000 caregivers across more than 50 hospitals and 1,000 clinics. We are a comprehensive health care organization serving the poor and vulnerable. 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. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. 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: Saint Patrick Hospital-Broadway Building-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.
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