Boston Medical Center (BMC) · 12 hours ago
Claims Senior Manager
Boston, MA
Full-time
Onsite
Mid, Senior Level
$90K/yr - $132K/yr
7+ years expBoston Medical Center (BMC) is seeking a Claims Senior Manager to oversee the investigation, evaluation, negotiation, and disposition of all professional and general liability claims. This role involves managing complex claims, developing strategies to minimize exposure, and providing guidance to claims staff while ensuring operational integrity.
Health CareHospitalMedicalNon Profit
Responsibilities
Coordinate and perform investigations into all professional and general liability claims and suits against Boston Medical Center, its medical staff, and employees
Determine and regularly review loss reserves for each case to ensure adequacy
Investigate claims and lawsuits, including interviewing BMC physicians and employees
Select, manage, and direct defense counsel and review counsel bills to ensure alignment with Hospital objectives
Work with defense counsel to prepare and answer interrogatories and respond to requests for production of documents from plaintiff’s attorney(s)
Monitor trials of cases, and evaluate defense counsel performance
Develop and implement defense strategies with defense counsel, including identifying expert witnesses and evaluating their opinions on potential liability
Report all settlements as required to state and federal agencies as required
Evaluate and resolve claims and lawsuits, including direct negotiation with plaintiff counsel and reporting settlements to state and federal agencies as required by law
Prepare and maintain claims data and reports for reinsurers, insurance brokers, auditors, and the Hospital Claims Committee; ensure accuracy to prevent insurance denials
Provide education and guidance to hospital staff and physicians on claims and litigation processes, and mentor Claims Department team members to ensure operational effectiveness
Participate in hospital-wide risk management, patient safety initiatives, and policy development, collaborating with senior administration and department chiefs to reduce organizational exposure
Maintains knowledge of industry standards and practices
Performs other duties as required
Qualification
Required
Bachelor's Degree and a minimum of 7–10 years of professional experience in claims management, risk management, or the insurance industry, including experience handling complex or high-value professional and general liability claims; or equivalent combination of education and experience
Experience handling high-exposure, litigated claims
Preferred
Master's and/or Law Degree
An advanced degree in medicine or law is preferred
Benefits
Medical
Dental
Vision
Pharmacy
Discretionary annual bonuses
Merit increases
Flexible Spending Accounts
403(b) savings matches
Paid time off
Career advancement opportunities
Resources to support employee and family well-being
Company
Boston Medical Center (BMC)
Boston Medical Center (BMC) is a 511-bed, equity-led academic medical center and a proud member of the Boston Medical Center Health System.
5001-10000 employees
H1B Sponsorship
Boston Medical Center (BMC) 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 (53)
2024 (51)
2023 (51)
2022 (38)
2021 (26)
2020 (32)
Funding
Current Stage
Late StageTotal Funding
$342.49MKey Investors
AmeriCorps Public AlliesNational Institute on Drug Abuse (NIDA)The Boston Foundation
2024-07-09Grant· $0.06M
2023-02-23Debt Financing· $232M
2019-04-23Grant· $89M
Leadership Team
David Beck
Senior Vice President & Chief Legal Counsel
Recent News
2025-11-11
2025-11-10
Company data provided by crunchbase