Manager, Claims and Litigation – HPL, PPL, GL

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee, mentor, and enhance the professionalism of a team comprising 4–5 Claims Specialists and Senior Claims Specialists across specified regional territories.

• Perform regular evaluations of performance, audits of claim files, and reviews for quality assurance.

• Ensure operational excellence and compliance with departmental guidelines.

• Serve as the primary gatekeeper for incoming claims, notices, and incident reports within the assigned regions.

• Implement a structured rotational workload distribution alongside preliminary claim triage.

• Offer technical guidance on coverage analysis, liability evaluations, complex reserve assessments, and defense strategies related to HPL, PPL, and GL claims.

• Facilitate and engage in claims review sessions with hospital executive leadership, clinical leaders, and local risk management personnel.

• Address emerging exposures and high-severity cases.

⛳️ Requirements

• High School diploma equivalency with 2 years of cumulative experience OR an Associate's degree/Bachelor's degree with 1 year of experience OR 5 years of relevant cumulative job-specific experience is required.

• A preference for 2 years of leadership or management experience.

• Preferred 5 to 10 years of progressive management and supervisory experience in handling complex liability claims.

• A Juris Doctor (JD) degree or a Bachelor's degree with equivalent extensive experience in Healthcare Professional Liability (HPL), Physician Professional Liability (PPL), and General Liability (GL) is preferred.

• CPHRM, CPCU, or relevant state adjuster licenses are preferred.

• Proficiency in modern claims platforms such as Riskonnect, STARS, and CMS reporting environments is expected.

🏝️ Benefits

• Eligibility for an annual bonus incentive.

• Comprehensive health benefits including medical, dental, vision, prescription coverage, as well as HSA/FSA options.

• Employer-matched 403(b) retirement plan.

• Access to planning and hardship resources.

• Disability and life insurance coverage.

• Pro-rated paid time off (PTO) along with holidays.

• Tuition provided by Ascension (Vocare).

• Tuition reimbursement opportunities.

• Continuous professional development and online learning resources.

• Employee Assistance Program available.

• Counseling and peer support services.

• Resources for spiritual care and stress management.

• Parental leave benefits.

• Adoption assistance and family benefits.

• Optional legal and pet insurance coverage.

• Transportation savings options.