Senior Claims Manager

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

📋 Description

• Provide strategic leadership, operational oversight, and hands-on management for AMSURG’s comprehensive claims portfolio.

• Oversee the complete claims lifecycle within the Risk Management department.

• Evaluate and investigate reported incidents, allegations, and claims.

• Assess liability, determine compensability, verify coverages, and manage notifications to carriers.

• Collaborate with external insurance adjusters and defense counsel on defense strategies and claim outcomes.

• Execute releases or payments within the specified authority.

• Drive the strategic vision for the claims function while fostering continuous improvement, operational excellence, high performance, and compliance.

• Provide guidance to Corporate and Center staff on claims-related matters.

• Enhance Return-to-Work programs.

• Manage subpoenas and requests for medical records.

• Analyze complex claims data and third-party loss runs to identify risk trends.

• Convert data into actionable strategic insights and prepare ad-hoc reports for leadership.

• Work collaboratively with Finance, Legal, IT, Real Estate, and Operations to integrate best practices in risk management.

⛳️ Requirements

• Bachelor’s degree from an accredited college or university.

• At least eight (8) years of experience as a claims handler.

• Fundamental knowledge of claims processes for litigated and non-litigated matters.

• Understanding of reserve setting, claim finances, and loss run data analytics.

• Strong familiarity with state or federal regulations and/or statutes regarding insured claims is preferred.

• Experience in Professional Liability, Workers Compensation, and Property is highly preferred.

• Capability to independently assess liability, determine compensability, verify coverages, and manage notifications to carriers.

• Proficiency in managing a diverse claims portfolio that includes Workers’ Compensation, Property, General Liability, and Professional Liability.

• Ability to effectively perform each essential responsibility.

• Capability to collaborate with executive leadership, internal teams, external insurance adjusters, defense counsel, Finance, Legal, IT, Real Estate, and Operations.

🏝️ Benefits

• Paid Time Off.

• 9 observed holidays.

• Paid family leave.

• Medical insurance.

• Dental insurance.

• Vision insurance.

• Life insurance.

• Disability insurance.

• Healthcare FSA.

• Dependent Care FSA.

• Limited Healthcare FSA.

• Transportation and Parking FSAs.

• Health Savings Account (HSA).

• Matching 401(k) plan.

• Training and professional growth opportunities.

• Recognition and employee benefits.