Claims Representative

2 weeks ago


New York, New York, United States NewYork-Presbyterian Hospital Full time
Job Title: Claims Representative

We are seeking a highly skilled Claims Representative to join our team at NewYork-Presbyterian Hospital. As a Claims Representative, you will be responsible for the overall management of healthcare-related professional liability and associated general liability claims.

Key Responsibilities:
  • Review and analyze information related to claims, lawsuits, and events by reviewing medical records, conducting interviews with hospital staff, and collecting evidence.
  • Determine exposure and report findings to Associate General Counsel/Director of Claims and Litigation Management.
  • Evaluate, set, and maintain reserves within assigned authority levels.
  • Facilitate effective communication with hospital administration, professional and ancillary staff, and outside legal counsel to assist in the defense of cases.
  • Administer the professional and general liability insurance program, review correspondence, and direct outside defense counsel to ensure compliance with the hospital's claims management program.
  • Engage in settlement negotiations with plaintiffs' attorneys within assigned authority levels and direct further action regarding defense strategy, settlements, or appeals.
Requirements:
  • Bachelor's degree in a relevant field.
  • Three to five years of clinical experience or insurance industry claims management experience.
What We Offer:

NewYork-Presbyterian Hospital is an equal opportunity employer. We offer a competitive salary range of $114,000-$157,500 per year, comprehensive benefits, and opportunities for personal and professional growth in a dynamic environment that values diversity and inclusion.


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