Program Manager, Claims

UHSKing of Prussia, PA
20dHybrid

About The Position

Join a dynamic organization driven by our passion for healthcare. UHS is seeking talented individuals who are eager to contribute their expertise and pursue rewarding careers. As a leader in acute care and behavioral health, UHS provides high-quality care to over 3 million patients annually, across our national network of facilities. The Corporate Insurance team at UHS is looking for motivated Medical Malpractice/Professional Liability Claims Program Manager to join our innovative team and contribute to the maintaining of a rolling diary of claims based at UHS' Headquarters in King of Prussia, PA or Brentwood, TN Regional office.

Requirements

  • Bachelor's degree required with a minimum of 5-8 years of experience in professional and general liability claims handling within the insurance industry.
  • Critical thinking skills and independent analysis of potential and actual exposures.
  • Comprehensive knowledge of insurance and legal issues.
  • Basic knowledge of medical issues and healthcare operations.
  • Ability to investigate potential liabilities.
  • Ability to effectively analyze exposure and reserves on an ongoing basis.
  • Ability to effectively manage an individual case load of claims and supervise and monitor one claims adjuster.
  • Skills in development of negotiation strategies.
  • Ability to direct and control defense counsel in the most cost-effective manner.
  • Minimal travel is required for attendance at mediations and trials.

Nice To Haves

  • 8- 10 years of experience preferred.

Responsibilities

  • Maintain a rolling diary of 150-175 claims at any given time.
  • Work with Risk and Defense counsel will be available to assist with ongoing investigation and litigation needs.
  • Must develop a successful rapport with facility Risk Managers and work to resolve all claims in a timely manner with them.
  • The daily diary maintains a record of claims, reserves coverage, insurance, medical and legal issues related to any pending claims.
  • Investigation and the management of these claims in the incident, patient complaint, litigation (which will require attorney retention and direction), negotiation and settlement stages.
  • Evaluation of the financial exposure for each high exposure professional and general liability claim ensuring cost control of the attorney expenses is an integral component as well.
  • Defense counsel preparation and direction for the handling of claims is required.

Benefits

  • This opportunity provides a rewarding career, challenging and rewarding work environment as well as growth and development opportunities within UHS and its subsidiaries, including competitive compensation, excellent Medical, Dental, Vision and Prescription Drug Plan, and 401k with company match.
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