Program Manager, Claims Adjuster (RIM Work Comp Dept) - HYBRID

Vanderbilt University Medical Center•Nashville, TN

9h•Hybrid

About The Position

Discover Vanderbilt University Medical Center : Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research. Organization: RIM Work Comp Job Summary: JOB SUMMARY The Program Manager will have a vital role in timely handling of assigned complex litigated automobile losses, property losses and general liability claims for the organization. The role will work with both internal and external partners including attorneys, to deliver quality customer service. . KEY RESPONSIBILITIES Responsible for accurate and timely management and investigation of all automobile losses, property losses and general liability claims with minimal supervision from set up to closure. This includes litigated claims Completes initial contacts with witnesses, department leaders, facilities to obtain facts of the loss and liability determination Coordinates in-person meetings for investigations with department leadership and insurance carriers Determine if subrogation is possible for recovery from another party and responsible for ensuring we receive payment Oversees workplace violence events-reports information out to leadership Attend meetings in person when necessary Assign claims to Defense Attorney when a Summons and Complaint is filed with the court system Review invoices, estimates, expenses and legal bills before approving payment Responsible for timely payments Prepares trend reports for report out to Risk Management leadership May assist workers compensation team when needed The responsibilities listed are a general overview of the position and additional duties may be assigned. Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more. At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose. Core Accountabilities: Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance. Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment. Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area. Team Interaction: Provides informal guidance and support to team members. Core Capabilities : Supporting Colleagues:- Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas.- Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.- Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences. Delivering Excellent Services:- Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.- Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.- Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.- Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. Managing Resources Effectively: - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.- Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.- Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. Fostering Innovation:- Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.- Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges.- Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements. Position Qualifications: Responsibilities: Certifications: Work Experience: Relevant Work Experience Experience Level: 3 years Education: Bachelor's Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.

Requirements

Relevant Work Experience
Experience Level: 3 years
Education: Bachelor's

Responsibilities

Responsible for accurate and timely management and investigation of all automobile losses, property losses and general liability claims with minimal supervision from set up to closure.
This includes litigated claims
Completes initial contacts with witnesses, department leaders, facilities to obtain facts of the loss and liability determination
Coordinates in-person meetings for investigations with department leadership and insurance carriers
Determine if subrogation is possible for recovery from another party and responsible for ensuring we receive payment
Oversees workplace violence events-reports information out to leadership
Attend meetings in person when necessary
Assign claims to Defense Attorney when a Summons and Complaint is filed with the court system
Review invoices, estimates, expenses and legal bills before approving payment
Responsible for timely payments
Prepares trend reports for report out to Risk Management leadership
May assist workers compensation team when needed