Senior Insurance and Claims Manager - Remote

Surgery Partners, Inc•Brentwood, TN

1d•Remote

About The Position

This role oversees the processing of insurance claims, ensuring efficiency, accuracy, and compliance with laws and regulations. The manager will proactively manage claims from start to finish, identify potential issues, financial implications, and ensure timely resolution. This position also identifies areas for process improvement and risk mitigation. The role requires a detail-oriented, team-playing, self-starting individual with a strong understanding of claims management and financial implications of losses. The manager will act as an insurance liaison, advisor, and resource for department administrators and other personnel.

Requirements

7-10 years of experience in commercial property and casualty insurance (with either broker or insurance carrier), or self-insured public health care company
Bachelor's degree in business, finance and/or economics preferred or equivalent work experience
Insurance license preferred
Proficiency in insurance claims management software and systems
Familiarity with Microsoft Office Suite (Excel, Word, Outlook) and other productivity tools.
Detail Oriented - Capable of carrying out a given task with all details necessary to get the task done well
Team Player - Works well as a member of a group
Self-Starter - Inspired to perform without outside help
Goal Completion - Inspired to perform well by the completion of tasks
Basic understanding of claims management for all lines of coverage
Understanding of financial implications to a company for losses and claims
Partnering with carriers and third-party claims administrator for loss prevention and claims management

Responsibilities

Maintains accurate and current files and databases
Manages RMIS (RisKonnect) and is subject matter expert
Serves as liaison between OH BWC and SP
Maintains SharePoint site
Subject matter expert for patient compensation funds
Participates in reconciling audits performed by insurance carriers and is familiar with large retention insurance programs across multiple lines of coverage
Functions as an insurance liaison, advisor and resource person for department administrators, and other personnel.
Oversee the processing of insurance claims, ensuring that all claims are handled efficiently, accurately, and in compliance with applicable laws and regulations.
Proactively manages claims from start to finish, identifying any potential issues or delays, financial implications, and ensuring timely resolution
Identifies area for process improvement and risk mitigation