Henry Ford Health · 1 day ago
Claims Consultant | Risk Finance and Insurance Services
Detroit, Michigan
Full-time
Onsite
New Grad, Entry, Mid Level
0+ years expHenry Ford Health is a leading healthcare organization, and they are seeking a Claims Consultant to support their Risk Finance and Insurance Services. The role involves managing various liability claims, conducting investigations, and providing support to staff regarding subpoenas while developing skills for independent decision-making.
BiotechnologyHealth CareHealth InsuranceMedical
Responsibilities
Conducts internal investigation, negotiation, and resolution of asserted professional and general liability, workers compensation and employer’s liability claims by patients, their attorneys or representatives
Oversees and coordinates external investigation and resolution of claims, notices of intent and lawsuits and acts as a system representative of HFHS in cases before the courts, pretrial/settlement conferences, workers compensation bureau and trials
Reviews and analyzes facts, medical records and medical opinions. Prepare statistical, financial and factual reports for audit and actuarial studies. Provide status reports to department chairmen on claims exposure
Tracks case files and claims information which may typify trends or causal relationships for risk management analysis and provides period in-service education presentations and prepare periodic file summaries for claim documentation and presentation to HFHS Claims Review and Adjudication Committee or similarly constituted internal review committees and communicates progress/activity with supervisor with emphasis of trends and quality improvement. Inputs case information and updates information in Risk Finance and Insurance Services database
Builds and maintains positive partnership with all office personnel
Develop liaison relationships with System Risk Managers, Department and Division Heads, Medical Directors, treaters and system employees and managers while assisting them in crisis management, risk reduction and/or mitigation and other general related risk issues
Manage & advise on issues & concerns regarding stolen property and accidents within our fleet vehicle program, which also includes valet and parking services
Determine our liability
Communicate with 3rd party insurance companies
Monitor our insurance carrier to assure accurate reporting and resolution
Control and manage vendor payments
Examine defense firm billings and submit for payment
Manage System wide insurance premiums, evaluate and pay
Complete and file all required forms with workers compensation bureau
Submit surety bond payments and renewals
Provides support to all HFHS staff regarding receipt of subpoenas
Liaison among witnesses, attorneys and law enforcement who issue subpoenas
Provide advice to physicians/other staff on process of being served
Qualification
Required
Bachelor's Degree in Business Administration, Healthcare or related field required
0 to 5 years of experience required
Preferred
preferably in a healthcare or medical setting
Company
Henry Ford Health
*Job seekers: please be aware of fraudulent job postings and phishing scams via LinkedIn.
10001+ employees
H1B Sponsorship
Henry Ford Health 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 (212)
2024 (156)
2023 (134)
2022 (159)
2021 (140)
2020 (153)
Funding
Current Stage
Late StageTotal Funding
$40.27MKey Investors
Mort Harris
2020-06-04Grant· $0.27M
2018-04-09Grant· $20M
2016-12-05Grant· $20M
Leadership Team
Robert Riney
President and CEO
Recent News
2025-11-07
Company data provided by crunchbase