OverviewUnityPoint Health is seeking a
Claims Manager to join our team! This is a great opportunity to work with the Vice President of Risk and Litigation on a daily basis. In collaboration with legal and risk, the Claims Manager will coordinate and manage investigations of potential claims and evaluate liability exposure associated with professional, general and employment liability occurrences. This position coordinates discovery and evaluation activities with respect to litigated claims and is responsible for the development, update and maintenance of various claims management reports, submission and monitoring of claims to carriers. The Claims Manager mitigates the organization's exposure to risk by formulating, developing and coordinating claim related activities. Applicants can expect to work within UnityPoint's program for efficient handling of claims, gathering data for claims, loss forecasting and estimating the financial value of claims.
Hours: Monday-Friday, 8am-5pm
Location: Remote, hybrid, and onsite opportunities available. Applicants preferably reside in Des Moines, Iowa and work onsite or hybrid at our West Lakes location. Remote applicants must reside within the UPH footprint of Iowa, Illinois, or Wisconsin.
ResponsibilitiesClaims, Insurance Reporting, & Loss Runs:- Receive, analyze and disseminate as appropriate loss runs and monthly reports
- Communicate with excess carriers including quarterly loss runs
- Work with UPH finance regarding loss runs and sharing pool allocation
- Monitor NPDB reporting Maintain current knowledge of MMSEA Section 111 requirements and submit reportable claims accordingly
Litigation Support:- Work in close collaboration and support in-house counsel over professional liability, general liability, employment and cyber claims
- Track information including defense counsel assignment, monthly trial list, preparation for monthly trials and defense assignments
- Participate and support the Claims Committee with the Assistant General Counsel and Senior Vice Presidents
- Review and monitor general liability claims and employment claims including, without limitation: monitor RL, communicate monthly financial information and communication with excess carriers
Claims Data Management:- Maintain complete and accurate records of all submitted reported incidents and claims
- Monitor and support Sedgwick in understanding of claims data and processes, reporting and manage agent-claims partnership
- Manage RL Claims data for general liability and employment
- Monitor Meriter loss runs for accuracy and communication with excess carriers
Discovery Support:- Respond to discovery requests in litigated claims and assist outside counsel in coordinating interviews or depositions of UnityPoint Health employees, as necessary
- Evaluate claims to ensure general conformity with policy or system self-insurance plan coverage(s) prior to submission to Insurers
Insurance Renewal Process:- Coordinate, gather information and draft annual HPL, D&O and Employed lawyers insurance renewal applications
- Prepare claim summary reports for use by various UnityPoint Health committees including Boards and Market Presidents
QualificationsEducation:- Bachelor's Degree or an equivalent combination of education and job-related work experience
Experience:- Minimum of three years related experience in Insurance/Claims management
- Experience in healthcare claim administration preferred
Knowledge, Skills, & Abilities:- Utilizes management tools, resources and business routines established to foster claims standardization and consistency
- Knowledge of state and federal law with respect to professional, general and employment law claims
- Possesses excellent written and verbal communications
- Ability to work as a team member, creating and maintaining effective working relationships
- Ability to understand and apply guidelines, policies and procedures
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