Claims Manager

Job Posting Closing Date: Open until Filled

Where do you belong?

Your career is more than just a job, it's part of your life. Whether you’re a clinician, or non-clinical professional,  at USACS you'll feel a sense of connection working with clinicians and office staff who share your interests and values. We want you to love coming to work each day because you believe in what you do and the people with whom you work. We care about your success.

USACS also understands that location is important. We offer  career opportunities for clinicians and non-clinical support staff from New York to Hawaii and numerous points in between. Our supportive culture,  outstanding benefits and competitive compensation package is best in class.

Job Description

The Claims Manager oversees the day-to-day administrative management of claims and is responsible for strategic oversight of medical malpractice liability claims on behalf of USACS. Works under the supervision of the Director of Claims.

ESSENTIAL JOB FUNCTIONS:

• Review and analyze incidents and claims forwarded to the Claims Department.
• Serve as initial point of contact and support for Physicians and APPs impacted by litigation, Medical Board Complaints, and Deposition Requests.
• Coordinate in-house New Claims Analysis for all incoming claims. 
• Collaborate with TPA or commercial adjuster for defense counsel retention, medical expert assignment. Oversee day to day claims management of RRG Claims provided by TPA.   
• Responsible for keeping timely and accurate claims records for USACS Risk Tracker and Legal Files document management system.
• Responsible for strategic claims oversight, including damage and risk exposure valuation; chance to prevail. 
• Make recommendations to Director of Claims and VP, Chief Risk Officer for case management through resolution or trial. Oversees execution of same.
• Work actively with Defense Counsel to strategize and prepare for and attend mediations and trials.
• Present and discuss strategic recommendations for assigned cases at regular meetings.
• Respond to discovery requests and responses on behalf of corporate entity defendants.
• Contribute as directed to company risk management efforts, including working with clinical leadership to identify high risk areas and recommend education or system improvements.
• Assist the Director of Claims and other department personnel as needed.
• Perform and assist with other duties as needed.

KNOWLEDGE, SKILLS AND ABILITIES:

• Must possess broad knowledge of legal principles and processes specific to professional liability litigation.
• Knowledge of claims management processes.
• Must possess excellent oral and written communication skills.
• Ability to work autonomously.
• Excellent organizational skills.
• Excellent problem-solving skills and detail oriented.
• Must possess computer skills and can learn Claims Management System.
• Strong team-player with initiative and ability to multi-task.
• Ability to manage daily workflow to ensure timely reporting and management of claims and incidents.
• Committed to USACS House Rules.

EDUCATION AND EXPERIENCE: 

• Bachelor’s degree required; JD preferred.
• Paralegal certification will also be considered.
• Master’s in nursing will also be considered.
• Minimum of three years of experience in a law firm or liability insurer.

PHYSICAL DEMANDS:

• While performing the duties of this job, the employee is regularly required to sit for prolonged periods and occasionally walk, stand, bend, stoop, and lift up to 15 pounds. 
• Required to have close visual acuity to perform the job. 

Salary $68,315.00 - $126,382.75

Salary Range:

$68,315.00 - $126,383.00