Claims Manager

Claims Manager UnityPoint Health - 3.5 West Des Moines, IA Job Details Full-time 1 day ago Benefits Paid holidays Disability insurance Health insurance Dental insurance Tuition reimbursement Paid time off Adoption assistance Parental leave 401(k) matching Pet insurance Qualifications Liability determination Employment law Litigation discovery assistance Data reporting Mid-level Risk mitigation strategy implementation 3 years Bachelor's degree Data management Forecasting Insurance investigations Claims documentation management

Full Job Description Overview:

UnityPoint 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. Why UnityPoint Health?: At UnityPoint Health, you matter. We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members. Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you're in.

Here are just a few:

Expect paid time off, parental leave, 401K matching and an employee recognition program. Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members. Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family. With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together. And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. Find a fulfilling career and make a difference with UnityPoint Health.

Responsibilities:

Claims, 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 Qualifications:

Education:

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 #System123