General Liability Claims Manager, Healthcare Professional

Providence Health & Service is seeking a highly skilled General Liability Claims Manager, Healthcare to join our team. As a key member of our risk management team, you will be responsible for overseeing the day-to-day management of general and professional liability claims.

• Investigate, evaluate, and manage professional and other liability claims against the organization.
• 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 to ensure compliance with relevant claims reporting procedures and required regulations.
• Provide feedback and recommendations to management on evaluations, litigation trends, department policies and procedures, system-wide claims and litigation processes, and appropriate system risk management issues.
• Foster teamwork, operational excellence, and effective communication within the claims team.

• Review and analyze medical records, interview witnesses, assist with the discovery process, and communicate with facility risk managers regarding evaluation and investigation.
• In collaboration with facility risk management, set appropriate indemnity and expense reserves, including documentation of jury verdict research or similar analysis of exposure.
• Select appropriate medical experts for case review.
• Develop a plan of action for assigned claims and update the claims file following all material changes in status.
• Review and approve statements for services and take proper steps to pay vendors.
• Inform management of large or complex claims and claims with potential for media exposure.
• Report claims with potential excess exposure to excess insurers.

• Develop and document for each claim or lawsuit a plan of action for resolution by settlement, trial, or other means.
• Maintain the electronic file, including all material communication, correspondence, analysis, expert opinions, interview summaries, and all other material documents in accordance with the Claims Policies and Procedures Manual.
• Maintain up-to-date claims status and action plans on all potential claims, claims, and litigated matters in the claims data management software.

• Negotiate settlements.
• Monitor trials.
• Close files in accordance with internal policies and procedures and facilitate appropriate reporting to NPDB and state agencies.
• Participate in department and claims team projects as assigned to develop and improve procedures, policies, to improve efficiency of department work, and to assist the Group Vice President and Director of Risk & Claims as needed.

• Provide feedback and recommendations to management regarding claims trends and appropriate risk management responses.
• Provide input for quality and patient safety projects, through the Risk & Integrity Services division and Risk, Claims, & Insurance department.

Providence Health & Service welcomes 100% remote work for applicants who reside in one of the following states: Alaska, Washington, Oregon, Montana, Idaho, California, New Mexico, Nevada, Texas.

Required qualifications for this position include a Bachelor's Degree in Business Administration, Finance, or a related discipline, or a combination of equivalent education and experience. 5+ years of experience in any of the following areas of focus/specialty: General Liability Claims Processing, General Liability Claims Management, General Liability Legal Experience, Healthcare Risk Management, General Risk Management, Insurance General Liability Claims Handling.

Preferred qualifications for this position include experience with a mix of general liability claims, including at least 10 claims with significant bodily injury and experience with STARS software, healthcare experience, and Certified Professional Healthcare Risk Management (CPHRM).

Salary Range by Location:

• AK: Anchorage: Min: $44.24, Max: $70.03
• AK: Kodiak, Seward, Valdez: Min: $46.11, Max: $73.00
• California: Humboldt: Min: $46.11, Max: $73.00
• California: All Northern California - Except Humboldt: Min: $51.74, Max: $81.90
• California: All Southern California - Except Bakersfield: Min: $46.11, Max: $73.00
• California: Bakersfield: Min: $44.24, Max: $70.03
• Montana: Except Great Falls: Min: $35.62, Max: $56.38
• Montana: Great Falls: Min: $33.74, Max: $53.42
• Idaho: Min: $39.36, Max: $62.32
• New Mexico: Min: $35.62, Max: $56.38
• Nevada: Min: $46.11, Max: $73.00
• Oregon: Non-Portland Service Area: Min: $41.24, Max: $65.29
• Oregon: Portland Service Area: $44.24, Max: $70.03
• Texas: Min: $33.74, Max: $53.42
• Washington: Western - Except Tukwila: Min: $46.11, Max: $73.00
• Washington: Southwest - Olympia, Centralia & Below: $44.24, Max: $70.03
• Washington: Tukwila: Min: $46.11, Max: $73.00
• Washington: Eastern: Min: $39.36, Max: $62.32
• Washington: South Eastern: Min: $41.24, Max: $65.29

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 Us At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard, and respected. Together, our 120,000 caregivers (all employees) 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. As a comprehensive healthcare organization, we are serving more people, advancing best practices, and continuing our more than 100-year tradition of serving the poor and vulnerable.

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

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources, and much more. Learn more at About the Team 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. 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 that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.