Program Manager, Claims

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 a 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.

Essential

Job Duties:

• Maintain a rolling diary of 150-175 claims at any given time.
• Work with Risk and Defense counsel who 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.
• Manage the daily diary that maintains a record of claims, reserves coverage, insurance, medical and legal issues related to any pending claims.
• Investigate and manage claims through incident, patient complaint, litigation (which will require attorney retention and direction), negotiation and settlement stages.
• Evaluate the financial exposure for each high exposure professional and general liability claim ensuring cost control of attorney expenses.
• Prepare and direct defense counsel handling of claims.

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 required for attendance at mediations and trials.

This opportunity provides a rewarding career, challenging and rewarding work environment as well as growth and development opportunities within UHS and its subsidiaries, including competitive compensation, excellent Medical, Dental, Vision and Prescription Drug Plan, and 401k with company match.

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.)

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