Claims Program Manager

Posted Yesterday
Be an Early Applicant
Market, NY, USA
In-Office
47K-75K Hourly
Senior level
Healthtech
The Role
Manage complex medical malpractice and professional liability claims, act as organization representative at hearings/trials, oversee outside defense counsel and insurance coverage reviews, set reserves, identify potential claims early, coordinate with employed physicians, risk management, and insurance staff, and supervise claims team to meet objectives.
Summary Generated by Built In

Thank you for considering a career at Bon Secours Mercy Health!

Scheduled Weekly Hours:

40

Work Shift:

Days (United States of America)

Job Description

Summary of Primary Function/General Purpose of Position

Effectively and efficiently manages complex and large exposure medical malpractice claims, including hospital and employed physician claims and claims covered by the deductible polices.  Acts as the BSMH representative at pre-trial hearing, mediations, arbitrations and attends most trials. Manages and directs staff in accordance with organizational objectives and goals.

              

Essential Job Functions

  • Manages the analysis of defense counsel effectiveness on an annual basis

  • Implements and tracks claims related to the Early Liability Review Program

  • Timely setting of accurate reserves based on formula (where possible)

  • Identification of potential claims at the time of reporting and appropriate follow up such as expert evaluation prior to suit or notice of potential suit

  • Works extensively with outside defense counsel to manage the claims

  • Verifies accurate billing of outside defense counsel

  • Manages policy reviews to assure appropriate scope of coverage within commercial policies and assure congruence of coverage between commercial policies and the Captive.

  • While working with market and group senior leaders explain the risks and alternatives regarding various claim options.

  • Works closely with employed physicians when the physicians are named in a lawsuit

  • Works closely with the Risk management related to claim management

  • Manages closely with the insurance staff regarding coverage issues

  • Manages staff to meet organizational objectives. Provides direction and oversight of assigned duties and projects.

  • This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation.

Employment Qualifications

  • Required Minimum Education: Bachelors

  • Preferred Education: Insurance Courses CPCU/AIC/ARM/INS Institute

  • Minimum Qualifications: 7 years handling Professional Liability Claims

Range:
 

Minimum: $46.76
Maximum: $74.81

Bon Secours Mercy Health is an equal opportunity employer.

As a Bon Secours Mercy Health associate, you’re part of a Mission that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What we offer

  • Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)

  • Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts

  • Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders

  • Tuition assistance, professional development and continuing education support

Benefits may vary based on the market and employment status.

Department:

SS Risk & Insurance

It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health– Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email [email protected]. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at [email protected].

Skills Required

  • Bachelor's degree
  • 7 years handling professional liability claims
  • Insurance coursework or credentials (CPCU/AIC/ARM/INS Institute)

Mercy Health Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Mercy Health and has not been reviewed or approved by Mercy Health.

  • Parental & Family Support Eight weeks of paid parental leave and Bright Horizons back‑up care indicate robust support for growing families. Adoption assistance and additional family services further reinforce this pillar.
  • Healthcare Strength Multiple medical plan options (Plus, Flex, Save/HDHP) with resources like Spring Health and care navigation provide comprehensive health support. Administration via AmeriBen and standard dental/vision options create a mainstream, navigable package.
  • Retirement Support Employer contributions include a match (50% of the first 4% contributed) and, in many cases, a core contribution subject to eligibility. Immediate eligibility to contribute supports long‑term savings.

Mercy Health Insights

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The Company
HQ: Cincinnati, OH
35,000 Employees
Year Founded: 1985

What We Do

At Mercy Health, we understand that every family is a universe. A network of people who love, and support, and count on one other to be there. Everybody means the world to someone and we are committed to care for others so they can be there for the ones they love. With nearly 35,000 employees across regions of Ohio and Kentucky, we’re one of the largest health care systems in the country. At each of our more than 600 points of care, we deliver high-quality, compassionate care with one united purpose: to help our patients be well in mind, body and spirit.

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