Job Details

Overview

Description

Claims Manager Remote. Candidates residing in AK, WA, MT, OR, CA or TX are encouraged to apply.

The Claims Manager is responsible for day-to-day oversight of general and professional liability claims in accordance with the System's claims program policies and procedures and within an assigned Region or scope of responsibility. The Claims Manager will investigate, evaluate and manage professional and other liability claims against the organization as assigned or directed by the Director of Risk & Claims; maintain up-to-date and accurate claims files (including summaries, action plans, and claims status in the claims data management software); coordinate with facility leadership, risk managers, defense counsel, and others; ensure compliance with relevant claims reporting procedures and required regulations; and provide feedback and recommendations to the Director of Risk & Claims on evaluations, litigation trends, department policies and procedures, system-wide claims and litigation processes, and appropriate System risk management issues. The Claims Manager will foster teamwork, operational excellence and effective communication within the claims team, including other Claims Managers, Claims Technicians and Claims Specialists. The Claims Manager can be distinguished from the senior manager by handling claims with smaller loss potential and that are less complex in nature.

Why Providence / About the Team

Providence caregivers are not simply valued - they're invaluable. Join our team at Integrity Compliance Audit Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

Required Qualifications

• Bachelor's Degree in Business Administration, Finance, or a related discipline. Or an equivalent combination of education and experience in the insurance industry; claims management; or legal handling of claims issues.
• 5 years of relevant general claims processing or management experience or an equivalent combination of direct legal work (e.g., as a litigator or paralegal), health care or general risk management, and insurance claims handling.

Preferred Qualifications

• Upon hire: Certified Professional Healthcare Risk Management (CPHRM)
• Experience with a mix of general liability claims, including at least 10 claims with significant bodily injury and experience with STARS software.
• Healthcare experience.

Salary Range by Location

• AK: Anchorage Min: $45.14, Max: $70.07
• AK: Kodiak, Seward, Valdez Min: $47.05, Max: $73.04
• California: Humboldt Min: $47.05, Max: $73.04
• California: All Northern California - Except Humboldt Min: $52.79, Max: $81.94
• California: All Southern California - Except Bakersfield Min: $47.05, Max: $73.04
• California: Bakersfield Min: $45.14, Max: $70.07
• Montana: Except Great Falls Min: $36.34, Max: $56.41
• Montana: Great Falls Min: $34.43, Max: $53.44
• Oregon: Non-Portland Service Area Min: $42.08, Max: $65.32
• Oregon: Portland Service Area Min: $45.14, Max: $70.07
• Texas Min: $34.43, Max: $53.44
• Washington: Western - Except Tukwila Min: $47.05, Max: $73.04
• Washington: Southwest - Olympia, Centralia & Below Min: $45.14, Max: $70.07
• Washington: Tukwila Min: $47.05, Max: $73.04
• Washington: Eastern Min: $40.16, Max: $62.35
• Washington: South Eastern Min: $42.08, Max: $65.32

Benefits / Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." We provide best-in-class benefits and foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Our 120,000 caregivers serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.

Equal Opportunity / EEO

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran or military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by law. We believe diversity makes us stronger and are dedicated to creating equal opportunities for advancement.

Additional Information

Requisition ID: 388239

Company: Providence Jobs

Job Category: Financial Transactions

Job Function: Health Plans Services

Job Schedule: Full time

Job Shift: Day

Career Track: Business Professional

Department: 4008 SS RIS

Address: MT Missoula 500 W Broadway

Work Location: St Patrick Hospital-Broadway Bldg-Missoula MT

Workplace Type: Remote

Pay Range: See Posting

The base pay range listed; additional compensation may be available such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.