Job Information

Providence Regional Claims Manager PSJH in Hobbs, New Mexico

Description:

Regional Claims Manager PSJH

The Regional Claims Manager is responsible for day-to-day management of professional and general liability claims in accordance with the System's claims program policies and procedures and within an assigned Region or scope of responsibility. The Regional Claims Manager position will have responsibility for investigating, evaluating and managing professional and other liability claims against the organization as assigned or directed by the Director of Risk & Claims; maintaining up-to-date and accurate claims files, including summaries, action plans, and claims status in the claims data management software; communicating directly with patients, claimants, witnesses and families; coordinating with facility leadership, risk managers, defense counsel, and others; monitoring and advising on disclosure and early resolution opportunities; ensuring compliance with relevant claims reporting procedures and required regulations; and providing feedback and recommendations to the Director of Risk & Claims on evaluations, litigation trends, department policies and procedures, system-wide claims and litigation processes, and appropriate System risk management issues.

Qualifications:

Required qualifications:

  • Bachelor's Degree in Business Administration, Finance, or a related discipline or equivalent combination of education and experience in the insurance industry; claims management; or legal handling of claims issues.

  • Seven (7) years relevant general and professional liability claims processing or management experience.

  • Five (5) years direct supervisory or management experience.

Preferred qualifications:

  • Certified Professional Healthcare Risk Management (CPHRM).

  • STARS or similar claims management software.

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 the department you will serve.

Providence Strategic and Management Services provides a variety of functional and system support services for all eight regions of Providence Health & Services from Alaska to California. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

We offer a full comprehensive range of benefits — see our website for details —http://www.providenceiscalling.jobs/rewards-benefits.

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

https://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate 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.

Schedule: Full-time

Shift: Day

Job Category: Non-Clinical Lead/Supervisor/Manager

Location: California-Burbank

Other Location(s): Washington-Renton, New Mexico-Hobbs, Alaska-Anchorage, Texas-Lubbock, Montana-Missoula, Oregon-Portland

Req ID: 356661