Manager, Claims

Coverys • Boston, MA

5d

About The Position

The Manager, Claims is responsible for all claims and litigation management activities for the claims professional staff. They will monitor the file handling and reserve setting by assigned staff as well as oversee and evaluate the work of defense counsel utilized by assigned staff for timely and cost effective case disposition. The base salary range for this role is $132,300 - $178,900. Individual compensation packages are based on a variety of factors that are unique to each candidate including geographic location, skill set, experience, qualifications and education. If you're a caring and customer focused individual who enjoys working with passionate team members, Coverys is the right company for you! They say an organization is only as good as its people. Here at Coverys, we believe that our employees are our most valuable asset. Each of our positions is thoughtfully crafted to ensure alignment with our mission, and every opportunity to join our team is an opportunity to support and protect the healthcare community. Our open positions offer you the chance to join a team of compassionate, dedicated, and resilient employees who are committed to becoming the best in the business. We are an organization committed to growth and professional development, keeping up to date with changes in the healthcare industry to ensure we're providing our insureds with the best possible support. All the while, we are committed to our employees and listen to the needs of our internal talent. Coverys is a dynamic organization, with opportunities to join our team across the US, as well as internationally in the UK and Ireland. Coverys is an equal-opportunity employer. Coverys’ job openings are open to all without regard to race, color, national origin, gender, gender identity, religion, age, height, weight, disability, political beliefs, sexual orientation, marital status, family status, or veteran status.

Requirements

• Bachelor's degree (B. A.) from four-year college or university
• 8 years’ experience in handling medical malpractice claims or heavy bodily injury claims
• Experience working within an insurance carrier strongly preferred.
• A minimum of 3 years of supervisory/management experience
• Must have broad knowledge of medicine and familiarity with legal concepts and trends in litigation.
• Must be knowledgeable in insurance policy contracts, particularly medical malpractice and general liability.

Nice To Haves

• Formal nursing and/or legal education is also a plus, but not required.

Responsibilities

• Analyze and verify insurance coverage for claims brought against policyholders.
• Assure timeliness and adequacy of reserves on claim files, approve or recommend adjustments as necessary.
• Assign losses to claim staff for disposition of claims.
• Evaluate liability, damages and causation and approves settlements (if appropriate) up to approved limit of authority.
• Advise Claims leadership on claims status and attend Reserve & Settlement Committee Meetings as necessary.
• Ensure timely reporting to the Reserve and Settlement Committee.
• Determine work procedures, manage work schedules, and expedite work flow.
• Maintain existing and develop new claims policies and procedures to improve the overall function of the department.
• Interact with other departments as necessary to help facilitate and coordinate services to our insured and clients.
• Conduct quarterly audits of consultant case files and ensure that file management guide protocols are current and reflective of proper claim handling practices
• Monitor staff to identify and implement training needs and ensure compliance with the Company claims handling requirements.
• Track and monitor results, recommend improvements and participate in departmental strategic planning.
• Manage assigned staff to include performance evaluations, time off, time card review, recognition and disciplinary issues.
• May monitor trials as necessary.
• As directed, assist Claims leadership in the development of claims related marketing strategies and tools for client retention and new business cultivation.

Benefits

• Our benefits package is available day 1 of employment, so you never miss a beat.
• There is truly something for everyone in our benefits package, whether you are raising a family or a furry friend, or you're an avid traveler who uses PTO to chase down your next adventure.
• Throughout the year, we provide ample opportunities to get involved in our local communities.
• We get involved, we raise money, and we give back.
• Coverys offers directed donations, as well as company matchings, to support the organizations that you are personally involved with.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager