TeamHealth · 4 hours ago

Manager Claims - Remote

Knoxville, TN

Full-time

Remote

Mid Level

3+ years exp

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Health CareMedical

Hiring Manager

Rhonda Sherry

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Responsibilities

Directly manages assigned claim inventory to achieve operational goals and optimal outcome on assigned cases

Manages and monitors medical professional liability claims in multiple jurisdictions

Recommends and sets timely and adequate indemnity and expense reserves

Responsible for communication with attorneys, physicians, client hospitals, insurance carriers, and division leadership concerning the status of claims

Assumes the lead role in coordinating litigation management along with defense counsel and Western Litigation

Attends and participates in settlement conferences, arbitrations, mediations, depositions, hearings, trials, and claims review meetings as required by policy or as directed

Prepares in depth case analysis and makes settlement recommendations to the Sr. Director of Claims, the Vice President of Claims and Risk Management and Claims Review Committee

Monitors assigned claim files for the timely submission of status reports from defense counsel and Western Litigation

Utilizes a diary system to assist in the monitoring of claims

Responsible for entering claims data in Origami Risk on assigned claims

Maintains up to date knowledge on liability laws and practices in assigned states, makes recommendations when needed and participates in professional organizations

Responsible for special projects as needed or directed

Qualification

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Medical Professional LiabilityClaim ManagementInsurance Coverage KnowledgeRisk ManagementMicrosoft Office Proficiency