Adventist Health · 2 months ago
Program Manager, Liability Claims (Onsite, Roseville)
ONE Adventist Health Way, Roseville, CA, 95661, US
Full-time
Onsite
Mid, Senior Level
$120K/yr - $180K/yr
7+ years expAdventist Health is a healthcare organization based in Roseville, California, committed to promoting well-being and inspiring excellence in its workforce. The Program Manager, Liability Claims, is responsible for analyzing and resolving complex medical malpractice and general liability claims while managing total claim costs and ensuring high levels of customer service.
Elder CareHealth CareHospitalMedicalNon ProfitWellness
Responsibilities
Analyzes nature and extent of investigation necessary to evaluate liability and damages. Determines the need for and retains experts to evaluate the standard of care/damages. Develops, updates and executes case specific investigation plan and negotiates settlement of the claim. Applies advanced technical knowledge to solve complex problems for a department
Coordinates legal defense by assigning counsel, coordinates support for investigation. Reviews attorney invoices and monitors counsel for compliance with organization policies and guidelines
Calculates and assigns timely and appropriate reserves for claims. Monitors reserve adequacy throughout the life of the claim
Recommends and implements settlement strategies. Involves structured settlement professionals as necessary to maximize settlement and identifies opportunities for subrogation, contribution, recovery and other case management opportunities to mitigate total claim costs
Ensures claim file documentation is timely and accurate. Creates initial notice to reinsurers and provides timely updates on case status
Performs other job-related duties as assigned
Qualification
Required
Bachelor's degree or equivalent combination of education/related experience
Analyzes complex and/or technically challenging medical malpractice/general liability claims
Resolves complex and/or severe injury claims
Coordinates case management within established standards and industry best practices
Manages total claim costs while providing high levels of customer service
Receives assignments in the form of objectives and determines tactical approach, resources, schedules and goals
Analyzes nature and extent of investigation necessary to evaluate liability and damages
Determines the need for and retains experts to evaluate the standard of care/damages
Develops, updates and executes case specific investigation plan and negotiates settlement of the claim
Applies advanced technical knowledge to solve complex problems for a department
Coordinates legal defense by assigning counsel, coordinates support for investigation
Reviews attorney invoices and monitors counsel for compliance with organization policies and guidelines
Calculates and assigns timely and appropriate reserves for claims
Monitors reserve adequacy throughout the life of the claim
Recommends and implements settlement strategies
Involves structured settlement professionals as necessary to maximize settlement
Identifies opportunities for subrogation, contribution, recovery and other case management opportunities to mitigate total claim costs
Ensures claim file documentation is timely and accurate
Creates initial notice to reinsurers and provides timely updates on case status
Performs other job-related duties as assigned
Adventist Health is committed to the safety and wellbeing of our associates and patients
Requires that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable
Preferred
Master's Degree or Juris Doctor
Seven years' liability claims management experience
One year's leadership experience
Experience with legal matters and complex litigation
Benefits
Comprehensive benefits program is available for qualifying positions
Company
Adventist Health
Adventist Health is a Adventist Health is a not-for-profit health care organization .
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Gwen Mathews
CEO Ukiah Valley Medical Center, SrVP Operations AH Northern Cal Network
Kerry L. Heinrich
President and CEO
Recent News
The Business Journal
2025-12-11
The Business Journal
2025-11-13
2025-11-04
Company data provided by crunchbase