Premier Inc. · 9 hours ago
Senior Claims Consultant
United States
Full-time
Onsite
Mid, Senior Level
$113K/yr - $188K/yr
7+ years expPremier Inc. is a leading healthcare management consulting firm, and they are seeking a Senior Claims Consultant to manage catastrophic medical professional liability claims for designated clients. The role involves responsibilities such as overseeing claims processes, conducting audits, and providing strategic recommendations to clients and internal stakeholders.
Health CareHospitalMedical
Responsibilities
Establish and regularly maintain claims files as primary owner of individual claims for multiple insureds
Review and manage claims of varying severity to isolate high severity matters and develop supervisory plan for loss cost containment
Develop thorough understanding of critical issues in order to provide recommendations to internal and external stakeholders regarding resolution / outcome
Demonstrate proactive intellectual curiosity regarding claim trajectory to curate solution-oriented strategies for defense
Establish timely and appropriate loss and expense reserve recommendations based on careful analysis of liability, damages, and aggravating factors
Review and assess insured’s individual policies of insurance and provide coverage assessment to CLO
Partner with coverage counsel when necessary to prepare coverage opinions
Review and assess client and attorney work product to ensure adherence to AEIX Best Practices Playbook
Retain and partner with AEIX defense counsel in accordance with company’s litigation management guidelines
Coordinate the case-specific work of defense counsel, outside vendors, investigators, experts, structured settlement brokers and review billing submissions for accuracy
Obtain directional review from CLO and Senior Director, Claims when needed
Maintain caseload of high complexity and high severity claims; document claim files accurately and in timely fashion
Monitor trial calendars for all assigned clients and prepare timely trial reports
Manage workflow, including proofreading, to provide customers with superior service and work-product
Develop and implement specific action plans to present to clients for purpose of correcting deficiencies, “lessons learned”
In conjunction with Claims Support Specialist, collect, review, edit, and present to CLO all necessary documentation for payment of claims
Understand and assess aggregate erosion and when necessary, conduct aggregate audits, viewing all files in a policy year for potential to breach layer
When necessary, conduct claim audits on departed owners to assess risk in run-off
Manage the negotiation of claims settlement packages including setting reserves; authorizing payment
Travel to client for strategy meetings, settlement conferences, mediations and trials as necessary
Participate in, and travel to, insureds offices for claims overview meetings, AEIX governance meetings, and industry conferences as directed by CLO
Conduct approximately 5-10 annual audits virtually or on site at insured hospitals. Audits include claim reviews, which are provided to hospital leadership when complete. May conduct severity audit, meeting with local counsel and insured to discuss case strategies, management, and values
Qualification
Required
7 or more years of applicable experience
Bachelors degree
Medical Liability Claims Handling, 10+ years
Strong written and oral skills required, writing sample required
Dedicated home office space for privacy and confidentiality while working remotely
Preferred
Negotiation training; experience
Medical Liability Claims Management
Catastrophic Excess Claims Management
Experience giving group presentations
Juris Doctor from accredited Law School preferred
Benefits
Health, dental, vision, life and disability insurance
401k retirement program
Paid time off
Participation in Premier’s employee incentive plans
Tuition reimbursement and professional development opportunities
Perks and discounts
Access to on-site and online exercise classes
Company
Premier Inc.
Premier, Inc. is a leading technology-driven healthcare improvement company, providing solutions to two-thirds of all healthcare providers in the U.S.
1001-5000 employees
H1B Sponsorship
Premier Inc. has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (16)
2024 (10)
2023 (25)
2022 (9)
Funding
Current Stage
Public CompanyTotal Funding
unknown2025-09-22Acquired
2013-10-10IPO
Leadership Team
Gregory Montano
Vice President/Senior Vice President, Technology and Financial Operations
Bruce Radcliff
President, Supply Chain Services
Recent News
2025-11-25
Morningstar.com
2025-11-22
Company data provided by crunchbase