Senior Claims Manager - Employment Practice Liability - Fully Remote
Providence is seeking a Senior Claims Manager - Employment Practice Liability (“EPL”) for this remote position. The purpose of this position is to provide direct handling of the organization’s Employment Practice Liability Claims.
Responsibilities of this position include coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims. Candidate must possess strong communication and litigation management skills to collaborate with business partners and defense counsel to direct litigation activities and claim outcomes while considering the overall impact to the company and individual stakeholders. The individual in this position will also ensure claims are processed within company policies, procedures, and within individual's prescribed authority with exceptional standards of performance. This individual should possess strategic thought process skills to effectively and efficiently manage loss exposures. Job duties will include communication and collaboration with key stakeholders and providing thought leadership where requested. The position may require travel to mediations, arbitrations, settlement conferences, trials, training or other proceedings. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.
Responsibilities:
• Effectively evaluate and resolve coverage issues for Employment Practices claims.
• Investigate the claims through telephone, written correspondence, and/or personal contact with attorneys, business partners, witnesses and others having pertinent information.
• Effectively and efficiently present claims and claim trends to Claim and Legal Leadership to include discussion of coverage, liability assessment and ultimate exposure to the organization.
• Timely analyze information in order to evaluate assigned claims to determine ultimate exposure to the organization.
• Effectively evaluate, negotiate and resolve claims in collaboration with defense counsel and within provided authority utilizing the appropriate denials or releases.
• Provide required reports to leadership, claims, reinsurance, and legal on significant exposure cases.
• Report on all cases going to trial on a timely basis and attend portions of trials when warranted or requested by management.
• Ensure proper referrals and timely updates to appropriate Reinsurer(s).
Essential for success:
• Superior communication skills and strategic negotiation and claim disposition skills along with proven problem-solving skills.
• Excellent presentation skills.
• Moderate proficiency with standard business-related software (including Microsoft Outlook, Work Excel, and PowerPoint).
• Sufficient keyboarding proficiency to enter data accurately and efficiently.
• Must have valid state-issued driver’s license in good standing and be able to drive an automobile
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.
Required Qualifications:
Preferred Qualifications:
Salary Range by Location:
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.
Every day, 119,000 compassionate caregivers serve patients and communities through Providence St. Joseph Health, a national, Catholic, not-for-profit health system, driven by a belief that health is a human right.
Rooted in the founding missions of the Sisters of Providence and the Sisters of St. Joseph of Orange, courageous women ahead of their time who brought health care and other social services to the American West when it was still a rugged, untamed frontier, we share a singular commitment to improve the health of all.
From our earliest days, we’ve met new challenges by pioneering new solutions. Today, with 51 hospitals, 829 clinics and a comprehensive range of services, we strive to meet the needs of communities across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington through a diverse family of Catholic, other faith-based and mission-driven secular organizations.
Now, as we face a new frontier—a changing health care landscape—we draw upon their pioneering and compassionate spirit to plan for the next century of health for a better world, especially for the poor and vulnerable.
If you need treatment, please visit www.providence.org to locate a health care provider.
