US
0 suggestions are available, use up and down arrow to navigate them
PROCESSING APPLICATION
Hold tight! We’re comparing your resume to the job requirements…
ARE YOU SURE YOU WANT TO APPLY TO THIS JOB?
Based on your Resume, it doesn't look like you meet the requirements from the employer. You can still apply if you think you’re a fit.
Job Requirements of Sr. Claims Associate:
JOB QUALIFICATIONS:- BS/BA degree in Business, Healthcare, Risk Management or equivalent legal /insurance work experience.
- Intermediate proficiency with personal computers and Microsoft Office programs
- Excellent written and verbal communication skills
- Excellent organizational skills
- Excellent interpersonal skills
Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position.
All employees must be able to work with others beyond giving and receiving instructions.
This includes getting along with co-workers, peers and management without exhibiting behavior extremes.
Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor.
Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification.
It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.
Do you meet the requirements for this job?
Sr. Claims Associate
TeamHealth
Knoxville, TN (Remote)
Full-Time
Position Overview:
This individual will participate in a formal claim learning curriculum involving insurance industry coverage, liability claim legal principles, and industry claim management best practices. The curriculum will include the investigation, evaluation, and resolution of professional liability and general liability claims, Licensing Board Administration Compliant files, and Deposition Assistance files. Individual will manage the financial resources of TeamHealth by efficiently coordinating activity on assigned matters and provide superior claim services to TeamHealth operations, claimants, the Claim Third Party Administrator. This individual will report to the VP of Claims and Legal Risk Management.
ESSENTIAL FUNCTIONS:
- Successfully complete claim learning curriculum.
- Directly manages assigned claim inventory to achieve operational goals and optimal outcome on assigned cases.
- Manages and monitors professional liability and general liability claims, Licensing Board Administrative Complaint files, and Deposition Assistance files in, in multiple jurisdictions
- Recommends and sets timely and adequate indemnity and expense reserves
- Responsible for communication with attorneys, clinicians, client hospitals, insurance carriers, and division leadership concerning the status/evaluation of claims
- Attends and participates in settlement conferences, arbitrations, mediations, depositions, hearings, trials, and claims review meetings as required by policy or as directed
- Prepares in depth case analysis and makes settlement recommendations to Claim leadership.
- Monitors assigned claim files for the timely submission of status reports from defense counsel and Gallagher Bassett.
- Utilizes a diary system to assist in the monitoring of claims.
- Responsible for entering claims data in Origami Risk Information Management System on assigned claims
- Participates in a formal claim learning curriculum involving insurance industry coverage, liability claim legal principles, and industry claim management best practices.
- Maintains up to date knowledge on liability laws and practices in assigned states.
- Responsible for special projects as needed or directed
Job Requirements:
JOB QUALIFICATIONS:
Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position.
All employees must be able to work with others beyond giving and receiving instructions.
This includes getting along with co-workers, peers and management without exhibiting behavior extremes.
Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor.
Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification.
It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.
- BS/BA degree in Business, Healthcare, Risk Management or equivalent legal /insurance work experience.
- Intermediate proficiency with personal computers and Microsoft Office programs
- Excellent written and verbal communication skills
- Excellent organizational skills
- Excellent interpersonal skills
Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position.
All employees must be able to work with others beyond giving and receiving instructions.
This includes getting along with co-workers, peers and management without exhibiting behavior extremes.
Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor.
Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification.
It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.
Get job alerts by email.
Sign up now!
Join Our Talent Network!