Sr. Medical Malpractice Claims Manager - Professional Liability *Remote*

DescriptionProvidence caregivers are not simply valued - they're invaluable. Join our team 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.Providence is calling a Sr. Medical Malpractice Claims Manager - Professional Liability who will:Investigate, Evaluate, and Manage Professional, General and other Liability Claims under the PSJH Insurance Program:Communicate with patients, claimants, caregivers, providers, leadershipReview and analyze medical records, interview witnesses, assist with the discovery process and communicate with facility risk manager regarding evaluation and investigationBe responsible for writing insurance policy coverage lettersAnalyze insurance policy documents to address coverageSet appropriate indemnity and expense reservesSelect appropriate medical experts for case reviewDevelop a plan of action for assigned claims and update the claims file following all material changes in statusReview and approve statements for services and take proper steps to pay vendorsInform Senior Manager Operations of large or complex claims and claims with potential for media exposureReport claims with potential excess exposure to excess insurersEnsure compliance with relevant claims reporting procedures and required regulationsWork with defense attorneys specializing in defense of medical negligence claimsHave direct responsibility to foster teamwork, operational excellence, and effective communication within the claims team, including other Claims Managers, Claims Reps and Claims SpecialistsMaintain Complete Documentation for Each Matter:Develop and document for each claim or lawsuit a plan of action for resolution by settlement, trial or other meansMaintain the electronic file including all material communication, correspondence, analysis, expert opinions, interview summaries and all other material documents in accordance with the Claims Policies and Procedures ManualCoordinate with Facility Leadership, Risk Managers, Defense Counsel and others:Select defense counsel when appropriate from approved counsel listCoordinate and consult with risk management on disclosure conversations with patients and familiesObtain authority for settlement or trial in accordance with policies and procedures or facilitate claims roundtablesAssist in Regional CEO Conferences with Senior Manager OperationsFacilitate and participate in case reviews with Risk Managers upon requestResolve Claims In Accordance with Policies and Regulations:Negotiate settlementsMonitor trials and advise on disclosure and early resolution opportunitiesReport to relevant federal, state, and local regulatory agencies as requiredClose files in accordance with internal policies and procedures and facilitate appropriate reporting to NPDB and state agenciesParticipate in department and claims team projects as assigned to develop and improve procedures, policies; to improve efficiency of department work; and to assist the SVP Chief Risk Officer and Senior Manager Operations as neededProvide Input to Reduce Risk:Provide feedback and recommendations, evaluations, litigation trends, department policies and procedures, system-wide claims and litigation processes, and appropriate System risk management issuesProvide input for quality and patient safety projects, through the Risk & Integrity Services division and Risk, Claims, & Insurance departmentProvidence welcomes 100% Remote Work to residents anywhere in the United States with the exception of the following States:ColoradoHawaiiMassachusettsNew YorkOhioPennsylvaniaRequired qualifications for this position include:Bachelor's Degree in Business Administration, Finance, or another related field of study7+ years of relevant general and professional liability claims processing or management experience5+ years of direct supervisory or management experiencePreferred qualifications for this position include:Certified Professional Healthcare Risk Management (CPHRM)10+ years of medical malpractice experienceInsurance Carrier ExperienceThird Party Professional Negligence Claims ExperienceExperience handling Medical Negligence Professional Liability ClaimsExperience handling Complex General Liability ClaimsExperience Investigating, evaluating and negotiating medical negligence claimsExperience working with defense attorneys specializing in defense of medical negligence claimsExperience analyzing medical professional and general liability insurance policy documents and addressing coverageExperience writing medical professional and general liability insurance policy coverage lettersSTARS / Riskonnect or similar claims management software experienceSalary Range by Location:AK: Anchorage:Min: $51.16Max: $82.36AK: Kodiak, Seward, Valdez:Min: $53.33Max: $85.85Washington: Western:Min: $53.33Max: $85.85Washington: Southwest - Olympia, Centralia & Below:Min: $51.16Max: $82.36Washington: Tukwila:Min: $53.33Max: $85.85Washington: Eastern:Min: $45.53Max: $73.29Washington: South Eastern:Min: $47.70Max: $76.78Idaho:Min: $45.53Max: $73.29Oregon: Portland Metro Region:Min: $51.16Max: $82.36Oregon: All cities outside of Portland:Min: $47.70Max: $76.78California: Northern California:Min: $59.84Max: $96.32California: Humboldt:Min: $53.33Max: $85.85California: Southern California:Min: $53.33Max: $85.85California: Bakersfield:Min: $51.16Max: $82.36Montana: All cities outside of Great Falls:Min: $41.19Max: $66.31Montana: Great Falls:Min: $39.02Max: $62.82Nevada:Min: $53.33Max: $85.85New Mexico:Min: $41.19Max: $66.31Lubbock, Levelland, Plainview TX:Min: $39.02Max: $62.82TX: Austin, Dallas, Houston, San Antonio:Min: $51.16Max: $82.36Why 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 ProvidenceAt 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. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of 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.Check out our benefits page for more information about our Benefits and Rewards.About the TeamProvidence 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 that are 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:

284908Company:

Providence JobsJob Category:

Financial TransactionsJob Function:

Health Plans ServicesJob Schedule:

Full timeJob Shift:Career Track:

Business ProfessionalDepartment:

4008 SS RISAddress:

WA Renton 1801 Lind Ave SWWork Location:

Providence Valley Office Park-RentonPay Range:

$See Posting - $See PostingThe 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.Check out our benefits page for more information about our Benefits and Rewards.

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