Medical Malpractice/Professional Liability Claims Program Manager

at  Universal Health Services Inc Corporate Office

Responsibilities:
(This role has a hybrid schedule with 3 days in office and 2 days flex-remote)
Join a dynamic organization driven by our passion for healthcare. UHS is seeking talented individuals who are eager to contribute their expertise and pursue rewarding careers. As a leader in acute care and behavioral health, UHS provides high-quality care to over 3 million patients annually, across our national network of facilities.
The Corporate Insurance team at UHS is looking for motivated Medical Malpractice/Professional Liability Claims Program Manager to join our innovative team and contribute to the maintaining of a rolling diary of claims based at UHS’ Headquarters in King of Prussia, PA or Brentwood, TN Regional office.

Bachelor’s degree required with a minimum of 5-8 years of experience in professional and general liability claims handling within the insurance industry.

• 8- 10 years of experience preferred.
• Critical thinking skills and independent analysis of potential and actual exposures.
• Comprehensive knowledge of insurance and legal issues.
• Basic knowledge of medical issues and healthcare operations.
• Ability to investigate potential liabilities.
• Ability to effectively analyze exposure and reserves on an ongoing basis.
• Ability to effectively manage an individual case load of claims and supervise and monitor one claims adjuster.
• Skills in development of negotiation strategies.
• Ability to direct and control defense counsel in the most cost-effective manner.
• Minimal travel is required for attendance at mediations and trials

• Maintain a rolling diary of 150-175 claims at any given time.
• Work with Risk and Defense counsel will be available to assist with ongoing investigation and litigation needs.
• Must develop a successful rapport with facility Risk Managers and work to resolve all claims in a timely manner with them.
• The daily diary maintains a record of claims, reserves coverage, insurance, medical and legal issues related to any pending claims.
• Investigation and the management of these claims in the incident, patient complaint, litigation (which will require attorney retention and direction), negotiation and settlement stages.
• Evaluation of the financial exposure for each high exposure professional and general liability claim ensuring cost control of the attorney expenses is an integral component as well.
• Defense counsel preparation and direction for the handling of claims is required.
  Qualifications:

Bachelor’s degree required with a minimum of 5-8 years of experience in professional and general liability claims handling within the insurance industry.

• 8- 10 years of experience preferred.
• Critical thinking skills and independent analysis of potential and actual exposures.
• Comprehensive knowledge of insurance and legal issues.
• Basic knowledge of medical issues and healthcare operations.
• Ability to investigate potential liabilities.
• Ability to effectively analyze exposure and reserves on an ongoing basis.
• Ability to effectively manage an individual case load of claims and supervise and monitor one claims adjuster.
• Skills in development of negotiation strategies.
• Ability to direct and control defense counsel in the most cost-effective manner.
• Minimal travel is required for attendance at mediations and trials.