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Manager, Liability Claim

Community Health Systems Inc

  • Franklin, TN
  • 1 day ago
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    Skills

    • ARM (Advanced RISC Machine)unmatched
    • Alliance/Partner Managementunmatched
    • Analysis Skillsunmatched
    • Best Practicesunmatched
    • Business Administrationunmatched
    • Claims Managementunmatched
    • Claims Processingunmatched
    • Communication Skillsunmatched
    • Corporate Policiesunmatched
    • Corrective Actionunmatched
    • Data Analysisunmatched
    • Documentationunmatched
    • Employee Orientationunmatched
    • Financial Liabilityunmatched
    • Insuranceunmatched
    • Insurance Regulationsunmatched
    • Insurance Underwritingunmatched
    • Leadershipunmatched
    • Legalunmatched
    • Legal Standardsunmatched
    • Litigationunmatched
    • Maintain Complianceunmatched
    • Microsoft Officeunmatched
    • Mortgage Lendingunmatched
    • Negotiation Skillsunmatched
    • People Managementunmatched
    • Problem Solving Skillsunmatched
    • Process Improvementunmatched
    • Public/Media/Press/Analyst Relationsunmatched
    • Regulationsunmatched
    • Relationship Managementunmatched
    • Risk Managementunmatched
    • Strategic Planningunmatched
    • Time Managementunmatched
    • Training/Teachingunmatched
    • Trend Analysisunmatched
    • Underwritingunmatched

    Description

    Job Summary

    The Manager, Liability Claims is responsible for overseeing professional and general liability claims, including assessing liability, managing case reserves, developing and approving defense strategies, and directing negotiation efforts as appropriate. This role provides leadership to outside claims adjusters, ensuring compliance with organizational policies and insurance reporting requirements. Additionally, the Manager identifies and addresses trends to mitigate risk and improve claims management processes.

    This is a HYBRID position in Franklin, TN.

    Essential Functions

    • Manages professional and general liability claims files, including assessment of liability, evaluation of case reserves, and approval of defense strategies.
    • Supervises and provides direction to outside adjusters and attorneys to ensure alignment with organizational protocols and legal standards.
    • Establishes and implements protocols for handling potentially compensable events, claims, and litigation in accordance with company policies.
    • Analyzes claims data to identify patterns and trends, recommending corrective actions to mitigate risks.
    • Collaborates with internal departments and external partners to monitor claims status and resolve complex liability issues.
    • Ensures compliance with insurance reporting requirements, preparing necessary documentation and reports for accurate and timely submissions.
    • Provides training and guidance to staff on claims management best practices, procedures, and regulatory updates.
    • Performs other duties as assigned.
    • Maintains regular and reliable attendance.
    • Complies with all policies and standards.

    Qualifications

    • Bachelor's Degree in Business Administration, Risk Management, Law, or a related field required
    • 3-5 years of experience in liability claims management, including professional and general liability claims required
    • 1-3 years of experience in direct supervision of professional liability claims and litigation required
    • Experience in managing relationships with external adjusters, attorneys, and insurance partners required

    Knowledge, Skills and Abilities

    • Strong knowledge of liability claims processes, risk management principles, and insurance regulations.
    • Demonstrated ability to assess liability and develop effective defense strategies.
    • Excellent analytical and problem-solving skills, with the ability to identify trends and recommend actions.
    • Strong leadership and supervisory skills for managing external partners and internal staff.
    • Effective communication and negotiation skills for complex claim resolution.
    • Proficiency in claims management software and Microsoft Office Suite.

    Licenses and Certifications

    • ARM - Certification In Risk Management preferred or
    • Chartered Property Casualty Underwriter (CPCU) preferred

    Numbers & Facts

    LocationFranklin, TN
    IndustryHealthcare Services
    Company Size10,000 employees or more
    Year Founded1985
    Websitehttp://www.chs.net/

    About Company

    Community Health Systems, Inc. is a non-profit 501 (c) (3) 330 HRSA Grantee with Federally Qualified Health Center (FQHC) status. Established from the roots of Inland Empire Community Health Center in Bloomington, CHSI has grown with community health centers in the counties of Riverside, San Bernardino, and San Diego. These centers have been developed in accordance with standards established for safety net providers by the U.S. Department of Health and Human Services (HHS), the Health Resources Services Administration (HRSA), the Public Health Service (PHS), and the Bureau of Primary Health Care (BPHC).

    As such, services are offered to the neediest in each community - the un-insured and under-insured, the working poor, those with limited ability to pay, the homeless, and the indigent. Services are provided at discounted (sliding fee scale) rates for those who qualify based on gross annual income and family size.

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