Claims Manager

University of Washington•Seattle, WA

19h•$108,000 - $153,000•Onsite

About The Position

The Claims Manager under the general direction of the Director of Claim Services, manages the University’s claims to achieve optimal outcomes for the University and its clients, balancing indemnity paid and expense incurred. The Claims Manager accomplishes his/her mission by regularly sharing pertinent claims information in a meaningful, constructive way to avoid, reduce, and mitigate risk. The Claim Manager will manage a variety of claims, including, but not limited to: medical professional liability, employment practices liability, auto liability, general liability, and property claims. Additionally, the Claims Manager may work in collaboration with the University's third party administrators and other consultants in the management of claims.

Requirements

Bachelor’s degree in business administration or related field, to include five years of experience with claims and litigation management, which may include: medical professional, general, auto, property, employment practices and/or other claims
Excellent written and oral communication skills, with the ability to communicate effectively with diverse audiences and make presentations to large groups
Ability to analyze, interpret, and apply complex rules and regulation toward effective problem solving and claim evaluations
Ability to develop and deliver presentations conveying claim trends and information
Ability to effectively and efficiently use computer systems and databases, including detailed data entry
Demonstrated customer service skills
Superior negotiation skills
Strong planning and organization skills and multi-tasking ability
Demonstrated commitment to continuing education and skill development

Nice To Haves

Public Sector claims experience
Third party claims administration experience
Associate in Claims and/or Chartered Property Casualty Underwriter designation(s)

Responsibilities

Managing claims and lawsuits (80%)
Perform investigations, including in-person and on-site meetings, interviews and site work
Determine appropriate coverage source for entities and individuals named in claims and lawsuits
Negotiate settlements within delegated authority; obtaining authority in excess of delegation
Work collaboratively on liability claims handled by the University’s third party claims administrator (10%)
Provide initial direction to third party administrator for each claim and collaborate on the direction of the claim as it progresses through optimal resolution
Work with third party administrator(s) on collaboration and meetings with UW stakeholders and indemnitees, investigation techniques, settlement evaluations, negotiations, and UW-specific matters
Review and authorize settlement of claims within delegated authority, as appropriate
Reporting and Communicating on Claims and Claim Trends (7%)
Communicate with the Attorney General’s Office, Human Resources, Special Assistant Attorneys General, University schools, colleges and divisions, and consulting professionals
Making presentations to audiences of various sizes on claim trends and risk management
Identify and recommend policy changes related to liability lessons and trends
Report claims to insurers as needed on claims and fulfilling their communication and timeliness requirements
Fulfills claims-related safety and regulatory responsibilities and special projects as assigned (3%)
Provide information to and support for individual indemnitees against whom a claim or lawsuit has been made/filed
Provide training and knowledge transfer to others in Claim Services and to other University audiences as appropriate
Prepare reports to appropriate regulatory agencies including but not limited to CMS for Medicare beneficiaries and the State Disciplinary Boards and the National Practitioner Data Bank as required for medical malpractice claims