Senior Claims Manager EPL - Remote at Providence Health Care, Inc

Orange, California, United States -

Full Time

Start Date

Immediate

Expiry Date

23 Sep, 26

Salary

96.35

Posted On

25 Jun, 26

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Coverage Analysis, Litigation Management, Claim Disposition, Strategic Negotiation, Problem Solving, Presentation Skills, Microsoft Outlook, Microsoft Excel, Microsoft PowerPoint, Risk Management, Employment Law, Investigation, Stakeholder Collaboration, Reinsurance Reporting

Industry

Hospitals and Health Care

Description

Senior Claims Manager - Employment Practice Liability - Fully Remote Providence is seeking a Senior Claims Manager - Employment Practice Liability (“EPL”) for this remote position. The purpose of this position is to provide direct handling of the organization’s Employment Practice Liability Claims. Responsibilities of this position include coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims. Candidate must possess strong communication and litigation management skills to collaborate with business partners and defense counsel to direct litigation activities and claim outcomes while considering the overall impact to the company and individual stakeholders. The individual in this position will also ensure claims are processed within company policies, procedures, and within individual's prescribed authority with exceptional standards of performance. This individual should possess strategic thought process skills to effectively and efficiently manage loss exposures. Job duties will include communication and collaboration with key stakeholders and providing thought leadership where requested. The position may require travel to mediations, arbitrations, settlement conferences, trials, training or other proceedings. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements. Responsibilities: • Effectively evaluate and resolve coverage issues for Employment Practices claims. • Investigate the claims through telephone, written correspondence, and/or personal contact with attorneys, business partners, witnesses and others having pertinent information. • Effectively and efficiently present claims and claim trends to Claim and Legal Leadership to include discussion of coverage, liability assessment and ultimate exposure to the organization. • Timely analyze information in order to evaluate assigned claims to determine ultimate exposure to the organization. • Effectively evaluate, negotiate and resolve claims in collaboration with defense counsel and within provided authority utilizing the appropriate denials or releases. • Provide required reports to leadership, claims, reinsurance, and legal on significant exposure cases. • Report on all cases going to trial on a timely basis and attend portions of trials when warranted or requested by management. • Ensure proper referrals and timely updates to appropriate Reinsurer(s). Essential for success: • Superior communication skills and strategic negotiation and claim disposition skills along with proven problem-solving skills. • Excellent presentation skills. • Moderate proficiency with standard business-related software (including Microsoft Outlook, Work Excel, and PowerPoint). • Sufficient keyboarding proficiency to enter data accurately and efficiently. • Must have valid state-issued driver’s license in good standing and be able to drive an automobile Providence caregivers are not simply valued – they’re invaluable. Join our team at Integrity Compliance Audit Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: * Bachelor's Degree Law, HR or related field or an equivalent combination of education and experience * 10 or more years Employment law, risk management or insurance related to employment practices. Preferred Qualifications: * Master's Degree * J.D. Salary Range by Location: * AK: Anchorage: Min: $52.19, Max: $82.39 * AK: Kodiak, Seward, Valdez: Min: $54.40, Max: $85.88 * California: Humboldt: Min: $54.40, Max: $85.88 * California: All Northern California - Except Humboldt: Min: $61.04, Max: $96.35 * California: All Southern California - Except Bakersfield: Min: $54.40, Max: $85.88 * California: Bakersfield: Min: $52.19, Max: $82.39 * Idaho: Min: $46.44, Max: $73.31 * Montana: Except Great Falls: Min: $42.02, Max: $66.33 * Montana: Great Falls: Min: $39.81, Max: $62.84 * New Mexico: Min: $42.02, Max: $66.33 * Nevada: Min: $54.40, Max: $85.88 * Oregon: Non-Portland Service Area: Min: $48.65, Max: $76.80 * Oregon: Portland Service Area: Min: $52.19, Max: $82.39 * Texas: Min: $39.81, Max: $62.84 * Washington: Western - Except Tukwila: Min: $54.40, Max: $85.88 * Washington: Southwest - Olympia, Centralia & Below: Min: $52.19, Max: $82.39 * Washington: Tukwila: Min: $54.40, Max: $85.88 * Washington: Eastern: Min: $46.44, Max: $73.31 * Washington: Southeastern: Min: $48.65, Max: $76.80 Why Join Providence? Our best-in-class benefits [https://nam11.safelinks.protection.outlook.com/?url=https://providence.jobs/benefits/&data=05|01|ethelleah.torres1@providence.org|6da11282629946c936bc08dbf64b1e78|2e3190869a2646a3865f615bed576786|0|0|638374574718197112|Unknown|TWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0=|3000|||&sdata=CHUc7JRL0t6AAExYx6UfCEVEH8gfmaw9cEOZ4wX0+ZU=&reserved=0] are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission [https://providence.jobs/mission/] of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits [https://providence.jobs/benefits/]. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act [https://s3-us-west-2.amazonaws.com/images.provhealth.org/HR-onboarding/LA_County_Fair_Chance_Ordinance_2024.pdf]. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise. Providence is proud to be an Equal Opportunity Employer [https://www.providenceiscalling.jobs/eeo/]. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity [https://providence.jobs/diversity/] makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Responsibilities

Directly handle Employment Practice Liability (EPL) claims, including coverage analysis, investigation, and resolution. Collaborate with defense counsel and business partners to manage litigation activities and mitigate loss exposures.