Claims Manager

3 weeks ago


Morristown, United States Atlantic Health System Full time
Job Description

Job Summary and Essential Function

Claims Manager is responsible for the successful management of executive and employment liability claims / litigation matters for the System. This includes claims involving Atlantic Health System medical centers, subsidiaries, affiliates, employees, patients, board members and other related parties.

Job Responsibilities

•Overall responsibility and management for Directors & Officers and Employment Practices Liability Insurance (EPLI) claims against all applicable parties
•Review new claims and/or summons and complaint
•Prepare memorandum summarizing claim including recommendations for disposition and need to assign outside counsel
•Investigate incidents with relevant parties to the claim and internal departments (human resources, legal, compliance, etc.)
•Assign cases to outside counsel where appropriate
•Meet as required with outside counsel regarding case status and strategy, providing guidance and authority for settlement
•Manage relationships with outside counsel, ensuring their compliance with AHS Claims Handling Guidelines
•Secure all discovery for assigned defense counsel responsive to litigation requests.
•Attend pertinent defendant and witness depositions
•Attend arbitration and mediation and support defense counsel in case resolution
•Review defense counsel litigation reports and assist in strategic defense of the case
•Research and recommend settlement and verdict values
•Overall trial responsibility, including coordination of witness/defendant appearances
•Responsible for planning and preparation of claim summaries at internal committee meetings
•Manage claims exclusively via the electronic claims management system
•Communicate internally on issues identified through litigation and support development of corrective action plans

Qualifications

Experience/Education
  • Juris Doctor Degree from an accredited School of Law; and admission to New Jersey State Bar Required
  • 5 years minimum claims handling experience preferred
About Us

ABOUT US

At Atlantic Health System, our promise to our communities is; Anyone who enters one of our facilities, will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development and opportunities we give to our more than 20,000 team members. Headquartered in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation. Our facilities and sites of care include:
  • Morristown Medical Center, Morristown, NJ
  • Overlook Medical Center, Summit, NJ
  • Newton Medical Center, Newton, NJ
  • Chilton Medical Center, Pompton Plains, NJ
  • Hackettstown Medical Center, Hackettstown, NJ
  • Goryeb Children's Hospital, Morristown, NJ
  • CentraState Healthcare System, Freehold, NJ
  • Atlantic Home Care and Hospice
  • Atlantic Mobile Health
  • Atlantic Rehabilitation
We also have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group. Atlantic Accountable Care Organization is one of the largest ACOs in the nation, and we are a member of AllSpire Health Partners.

We have received awards and recognition for the services we have provided to our patients, team members and communities. Below are just a few of our accolades:
  • 100 Best Companies to Work For ® and FORTUNE® magazine for 15 years
  • Best Places to Work in Healthcare - Modern Healthcare
  • 150 Top Places to work in Healthcare - Becker's Healthcare
  • 100 Accountable Care Organizations to Know - Becker's Hospital Review
  • Best Employers for Workers over 50 - AARP
  • Gold-Level "Well Workplace": Wellness Council of America (WELCOA)
  • One of the 100 Best Workplaces for "Millennials" Great Place to Work® and FORTUNE® magazine
  • One of the 20 Best Workplaces in Health Care: Great Place to Work® and FORTUNE® magazine
  • Official Health Care Partner of the New York Jets
  • NJ Sustainable Business


EEO STATEMENT

Atlantic Health System, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.

About the Team

Atlantic Health System is at the forefront of medicine, setting standards for quality health care powered by a workforce of more than 18,000 team members and 4,800 affiliated physicians dedicated to building healthier communities, the system offers more than 400 sites of care, including eight award-winning medical centers. Specializing in cardiovascular care, cancer care, orthopedics, neuroscience, pediatrics, women's health and rehabilitation medicine. Atlantic Medical Group, comprised of 1,000 physicians and advanced practice providers, represents one of the largest multi-specialty practices in New Jersey and includes finance, legal, marketing, human resources, talent acquisition, ISS and more. Caring for our patients, our team members and the communities we serve is our central mission.

  • Morristown, United States Zelis Full time

    Position Overview: The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement Specialist will be responsible for handling provider telephone calls regarding the payment amount paid to a provider by a payor based on Zelis data points. During this call, the Claims Settlement Specialist must...

  • Claims Specialist

    4 days ago


    Morristown, United States Crum & Forster Full time

    Crum & Forster Company Overview: Crum & Forster (C&F) with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A" (Excellent) by AM Best and is proud of our superior customer service platform. Our claims and...


  • Morristown, United States The Travelers Companies, Inc. Full time

    Who Are We? - Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving...


  • Morristown, United States Konkordia Phoenix PLC, Inc. Full time

    Job DescriptionJob DescriptionSalary: $20/hr and $.50/milePosition: Field Claims Investigator Job Type: 1099 / Contracted Work Location 50% working from home. 50% working in the field Compensation: $20/hr and $.50/mile  COMPANY OVERVIEW Phoenix Loss Control (“Phoenix” or “PLC”) is a business services provider in the cable, telecom,...


  • Morristown, United States Konkordia Phoenix PLC, Inc. Full time

    Job DescriptionJob DescriptionSalary: $20/hr and $.50/milePosition: Field Claims Investigator Job Type: 1099 / Contracted Work Location 50% working from home. 50% working in the field Compensation: $20/hr and $.50/mile  COMPANY OVERVIEW Phoenix Loss Control (“Phoenix” or “PLC”) is a business services provider in the cable, telecom,...


  • Morristown, United States Travelers Full time

    Who Are We? Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine...


  • Morristown, United States Travelers Full time

    Who Are We? Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine...


  • Morristown, United States Travelers Full time

    Who Are We? Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine...


  • Morristown, United States Travelers Full time

    Who Are We? Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine...


  • Morristown, United States Blue Rock Consulting Full time

    Job DescriptionJob DescriptionData Quality Improvement ManagerLocation(s): Stamford, Hartford, Morristown, New York (hybrid work out of one of these offices)Important Skillset:1. Must have: Basic SQL coding skills for independent root cause analysis of Data Quality issues2. Must have Insurance experience to understand the systems we use3. They will interface...


  • Morristown, United States Blue Rock Consulting Full time

    Job DescriptionJob DescriptionData Quality Improvement ManagerLocation(s): Stamford, Hartford, Morristown, New York (hybrid work out of one of these offices)Important Skillset:1. Must have: Basic SQL coding skills for independent root cause analysis of Data Quality issues2. Must have Insurance experience to understand the systems we use3. They will interface...


  • Morristown, United States Blue Rock Consulting Full time

    Job DescriptionJob DescriptionData Quality Improvement ManagerLocation(s): Stamford, Hartford, Morristown, New York (hybrid work out of one of these offices)Important Skillset:1. Must have: Basic SQL coding skills for independent root cause analysis of Data Quality issues2. Must have Insurance experience to understand the systems we use3. They will interface...


  • Morristown, United States The Travelers Companies, Inc. Full time

    Who Are We? - Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving...


  • Morristown, United States The Travelers Companies, Inc. Full time

    Who Are We? - Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving...


  • Morristown, United States The Travelers Companies, Inc. Full time

    Who Are We? - Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving...


  • Morristown, United States The Jonus Group Full time

    Job Description Commercial Insurance Account Manager Location: Morristown, NJ Established agency seeking a detail-oriented person who demonstrates clear knowledge and understanding of commercial lines insurance coverage. Candidate will be familiar with all coverage lines with both admitted and non-admitted carriers. The ideal candidate...


  • Morristown, United States Travelers Full time

    Who Are We? Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine...


  • Morristown, United States Travelers Full time

    Who Are We? Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine...

  • Risk Manager

    7 days ago


    Morristown, United States Atlantic Health System Full time

    The Risk Manager is responsible for the review and evaluation of events, and to identify as potential claims, lawsuits, and reportability under the Patient Safety Act. Refers events to Peer Review, Quality & Outcomes Management and other committees to address as appropriate. Organizes and moderates Root Cause Analysis and assists with the development of...

  • Medical Billing

    2 weeks ago


    Morristown, United States Centers for Neurosurgery Spine & Orthopedics Full time

    Job DescriptionJob DescriptionMedical Biller/CollectorJob DescriptionCNSO is a vibrant, well-established, neurosurgery, spine surgery, orthopedic surgery, pain management and physical therapy practice, with multiple office locations throughout Northern New Jersey. Due to continued expansion, CNSO has an exciting opportunity to join its revenue cycle...