Claims manager serp_jobs.h1.location_city

Senior Claims Consultant

This position will be responsible for managing all aspects of catastrophic medical professional liability claims for designated clients / insureds. Management of claims includes but is not limited to : identification of prospective losses, coverage assessments and formulation of coverage opinions, regular strategy meetings with insured's claims counterparts, identification and deployment of national resources, reporting to Chief Legal Officer on case status, creating reserve reports and making reserve recommendations, assessing and tracking aggregate erosion. This position will also be responsible for tracking developments in the industry and gathering and sharing relevant information within Premier Insurance Management Services and with American Excess Insurance clients. In person meetings will be required with clients and for governance purposes.

Key Responsibilities

Responsibility #1 75%

• Establish and regularly maintain claims files as primary owner of individual claims for multiple insureds
• Review and manage claims of varying severity to isolate high severity matters and develop supervisory plan for loss cost containment
• Develop thorough understanding of critical issues in order to provide recommendations to internal and external stakeholders regarding resolution / outcome
• Demonstrate proactive intellectual curiosity regarding claim trajectory to curate solution-oriented strategies for defense
• Establish timely and appropriate loss and expense reserve recommendations based on careful analysis of liability, damages, and aggravating factors
• Review and assess insured's individual policies of insurance and provide coverage assessment to CLO
• Partner with coverage counsel when necessary to prepare coverage opinions
• Review and assess client and attorney work product to ensure adherence to AEIX Best Practices Playbook
• Retain and partner with AEIX defense counsel in accordance with company's litigation management guidelines
• Coordinate the case-specific work of defense counsel, outside vendors, investigators, experts, structured settlement brokers and review billing submissions for accuracy
• Obtain directional review from CLO and Senior Director, Claims when needed
• Maintain caseload of high complexity and high severity claims; document claim files accurately and in timely fashion
• Monitor trial calendars for all assigned clients and prepare timely trial reports
• Manage workflow, including proofreading, to provide customers with superior service and work-product
• Develop and implement specific action plans to present to clients for purpose of correcting deficiencies, "lessons learned"
• In conjunction with Claims Support Specialist, collect, review, edit, and present to CLO all necessary documentation for payment of claims
• Understand and assess aggregate erosion and when necessary, conduct aggregate audits, viewing all files in a policy year for potential to breach layer
• When necessary, conduct claim audits on departed owners to assess risk in run-off

Responsibility #2 25%

Required Qualifications

Work Experience : Years of Applicable Experience - 7 or more years

Education : Bachelors (Required)

Required Certifications / Licensing :

Preferred Qualifications

Skills :

Experience :

Education :

Additional Job Requirements :

Working Conditions : Remote Travel Requirements : Travel 21-40% within the US Physical Demands : Light

Premier's compensation philosophy is to ensure that compensation is reasonable, equitable, and competitive in order to attract and retain talented and highly skilled employees. Premier's internal salary range for this role is $113,000 - $188,000. Final salary is dependent upon several market factors including, but not limited to, departmental budgets, internal equity, education, unique skills / experience, and geographic location. Premier utilizes a wide-range salary structure to allow base salary flexibility within our ranges.

Employees also receive access to the following benefits :

Employees receive : Perks and discounts Access to on-site and online exercise classes

Premier is looking for smart, agile individuals like you to help us transform the healthcare industry. Here you will find critical thinkers who have the freedom to make an impact. Colleagues who share your thirst to learn more and do things better. Teammates committed to improving the health of a nation. See why incredible challenges require incredible people.

Premier is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to unlawful discrimination because of their age, race, color, religion, national origin, ancestry, citizenship status, sex, sexual orientation, gender identity, gender expression, marital status, familial status, pregnancy status, genetic information, status as a victim of domestic violence, covered military or protected veteran status (e.g., status as a Vietnam Era veteran, disabled veteran, special disabled veteran, Armed Forces Serviced Medal veteran, recently separated veteran, or other protected veteran) disability, or any other applicable federal, state or local protected class, trait or status or that of persons with whom an applicant associates. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. In addition, as a federal contractor, Premier complies with government regulations, including affirmative action responsibilities, where they apply. EEO / AA / Disabled / Protected Veteran Employer.

Premier also provides reasonable accommodations to qualified individuals with a disability or those who have a sincerely held religious belief. If you need assistance in the application process, please reply to diversity_and_accommodations@premierinc.com or contact Premier Recruiting at 704.816.5200.