Senior Claims Manager – Medical Negligence and Multi-Line - FullTime, Day

Providence • Renton, WA

18h

About The Position

The Senior 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 Senior 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. The Claims Manager will foster teamwork, operational excellence, and effective communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists. Providence caregivers are not simply valued – they’re invaluable. Join our team at Integrity Compliance Audit Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Requirements

• 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.
• 7 years of relevant general and professional liability claims processing or management experience.

Nice To Haves

• STARS or similar claims management software.
• Certified Professional Healthcare Risk Management (CPHRM)

Responsibilities

• day-to-day management of professional and general liability claims
• investigating, evaluating and managing professional and other liability claims
• maintaining up-to-date and accurate claims files
• 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
• providing feedback and recommendations to the Director of Risk & Claims
• foster teamwork, operational excellence, and effective communication within the claims team

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 501-1,000 employees