Job Title:
Manager, Global Medical and Healthcare Claims
Job Responsibilities:
The Manager, Global Medical and Healthcare Claims is responsible for managing a team of Senior Claims Examiners, Claims Examiners I, II, and Associate Claims Examiners. The role involves handling a wide range of low to moderately high exposure bodily injury, primary, and excess healthcare/medical malpractice claims. Key responsibilities include:
- Confirming coverage of claims by reviewing policies and supporting documents
- Directing and monitoring assignments of new loss activity for healthcare bodily injury claims
- Reviewing and approving correspondence and reports, including coverage position letters and Large Loss Reports
- Reviewing and approving reserves and settlements beyond the authority of the handling specialist
- Making recommendations concerning reserve changes to the Director or Senior Management
- Participating in the review and discussion of large loss activity in the HPL book with stakeholders
- Ensuring adherence to Fair Claims Practices regulations and internal performance objectives
- Assessing and evaluating individual specialist and team performance, providing feedback, and developing training needs
- Preparing and distributing reports by collecting and summarizing information
- Assisting in the preparation of budgets, evaluating expenses, and assessing resource needs
- Fostering and encouraging strong relationships with internal stakeholders
- Promoting and enhancing relationships with customers and channel partners
- Participating in special projects as requested
- Traveling to other claim offices, mediations, trials, and conferences as required
Education and Experience Information:
- A Bachelor’s degree or equivalent work experience is required
- A JD, RN, other advanced degree, or focused technical degree is a plus
- Must have or be eligible to receive a claims adjuster license
- Successful achievement of industry designations such as INS, IEA, AIC, ARM, SCLA, CPCU, or I-Lead or other Management Training is preferred
- A minimum of 10 years of claims handling experience or an equivalent combination of education and experience is required
- Successful completion of 5 years as a Senior Claims Specialist or Executive Claims Specialist is a plus
- Candidates should possess excellent written and oral communication skills, strong analytical and problem-solving skills, strong organization and time management skills, and the ability to deliver outstanding customer service
- Intermediate skills in Microsoft Office products (Excel, Outlook, PowerPoint, Word) are required
- The ability to work in a team environment and a strong desire for continuous improvement are essential
Salary Information:
The base salary for the position ranges from $90,500 to $150,900 with a 25% bonus potential. The salary offered to the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors.
Company Information:
The company is a Fortune 500 company with over 60 offices in more than 20 countries, providing insurance, reinsurance, specialist advisory, and investment operations globally. The company promotes a culture of collaboration, striving for improvement, and supporting employees in achieving their full potential both at work and at home.
Additional Information:
- The company offers hybrid working schedules of 3 days in the office and 2 days remote
- Full-time employees can select from multiple health, dental, and vision insurance plans and optional life, disability, and AD&D insurance
- A 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays, floating holidays, and parental leave are also offered
- The company is an equal opportunity employer and complies with all applicable laws regarding non-discrimination and accommodation for applicants with disabilities
- US Work Authorization is required, and the company does not provide visa sponsorship for this position
- Applicants should be cautious of employment-related scams and report any suspicious activity related to the company to the provided email address
