Providence Health Plan Group
Claims Manager *Remote. Most States Eligible*
Providence Health Plan Group, California, Missouri, United States, 65018
Overview
Description 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 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.
Responsibilities
Oversee day-to-day general and professional liability claims within assigned region or scope per policies and procedures. Investigate, evaluate, and manage claims; maintain accurate claims files with summaries, action plans, and status updates. Coordinate with facility leadership, risk managers, defense counsel, and other stakeholders. Ensure compliance with claims reporting procedures and applicable regulations. Provide feedback and recommendations on evaluations, litigation trends, and risk management practices to the Director of Risk & Claims. Foster teamwork and effective communication within the claims team and across related roles. Differentiate the role from senior management by handling claims with lower loss potential and less complexity.
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’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Our network includes over 120,000 caregivers (all employees) serving in over 50 hospitals, 1,000+ clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are a comprehensive health care organization with a long tradition of serving the poor and vulnerable. The base pay range listed is for informational purposes; 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 retirement 401(k) with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits, voluntary benefits, well-being resources and more. Learn more at Providence jobs benefits without linking.
About the Team
Providence Shared Services provides functional and system support services across our regions to support our Mission, delivering a robust foundation of services and expertise. Providence is an Equal Opportunity Employer. We are committed to an inclusive workforce with 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: 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.
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Description 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 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.
Responsibilities
Oversee day-to-day general and professional liability claims within assigned region or scope per policies and procedures. Investigate, evaluate, and manage claims; maintain accurate claims files with summaries, action plans, and status updates. Coordinate with facility leadership, risk managers, defense counsel, and other stakeholders. Ensure compliance with claims reporting procedures and applicable regulations. Provide feedback and recommendations on evaluations, litigation trends, and risk management practices to the Director of Risk & Claims. Foster teamwork and effective communication within the claims team and across related roles. Differentiate the role from senior management by handling claims with lower loss potential and less complexity.
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’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Our network includes over 120,000 caregivers (all employees) serving in over 50 hospitals, 1,000+ clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are a comprehensive health care organization with a long tradition of serving the poor and vulnerable. The base pay range listed is for informational purposes; 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 retirement 401(k) with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits, voluntary benefits, well-being resources and more. Learn more at Providence jobs benefits without linking.
About the Team
Providence Shared Services provides functional and system support services across our regions to support our Mission, delivering a robust foundation of services and expertise. Providence is an Equal Opportunity Employer. We are committed to an inclusive workforce with 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: 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.
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