Claims Manager jobs in Alaska

Claims Manager manages the operations of an insurance claims department to meet operational, financial, and service requirements. Oversees the intake and processing of insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Being a Claims Manager manages appraisal and examination staff and processes. Assures timely and proper disposition of claims based on policy provisions. Additionally, Claims Manager recommends and implements best practices to ensure complete and thorough claim settlements, legal reviews, and investigations following company policies and insurance industry regulations. Determines the value of settlements for escalated claims. Manages negotiations of settlements and administration of claims in litigation. Typically requires a bachelor's degree. Typically reports to a director. The Claims Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Claims Manager typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Senior Claims Insurance Manager - Medical Professional Liability Claims *Remote
  • Providence Health
  • Alaska, AK FULL_TIME
  • Description

    Providence caregivers are not simply valued – they’re invaluable. Join our team 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.

    Providence is calling a Senior Claims Insurance Manager - Medical Professional Liability Claims Handler who will:

    • Be responsible for medical professional liability claims and complex general liability claims in accordance with the System's claims program policies and procedures and within an assigned Region or scope of responsibility
    • Analyze insurance policy documents to address coverage
    • Work with defense attorneys specializing in defense of medical negligence claims
    • Be responsible for writing insurance policy coverage letters
    • Be responsible for investigating, evaluating and managing professional and other liability claims against the organization
    • Maintain up-to-date and accurate claim files, including summaries, action plans, and claims status in the claims data management software
    • Communicate directly with patients, claimants, witnesses and families
    • Coordinate with facility leadership, risk managers, defense counsel, and others
    • Monitor and advise on disclosure and early resolution opportunities
    • Ensure compliance with relevant claims reporting procedures and required regulations
    • Provide feedback and recommendations, evaluations, litigation trends, department policies and procedures, system-wide claims and litigation processes, and appropriate System risk management issues
    • Have direct responsibility to foster teamwork, operational excellence, and effective communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists

    This role is considered to be a remote position and can be worked from the majority of States within the United States.

    Please note Providence cannot hire within the following States:

    • Colorado
    • Hawaii
    • Massachusetts
    • New York
    • Ohio
    • Pennsylvania

    Required qualifications for this position include:

    • Bachelor's Degree in Business Administration, Finance, or another related discipline -OR- a combination of equivalent education and experience
    • 7 years relevant general and professional liability claims processing or management experience
    • 5 years direct supervisory or management experience

    Preferred qualifications for this position include:

    • Experience handling Medical Negligence Professional Liability Claims
    • Experience handling Complex General Liability Claims
    • Experience Investigating, evaluating and negotiating medical negligence claims
    • Experience working with defense attorneys specializing in defense of medical negligence claims
    • Experience analyzing medical professional and general liability insurance policy documents and addressing coverage
    • Experience writing medical professional and general liability insurance policy coverage letters
    • STARS / Riskonnect or similar claims management software experience
    • Certified Professional Healthcare Risk Management (CPHRM)

    Salary Range by Location:

    WA: (Puget Sound, Vancouver), OR: (Portland), AK: (Anchorage):

    • Min: $51.16
    • Max: $82.36

    OR: (Salem, Hood River, Medford, Seaside):

    • Min: $47.70
    • Max: $76.78

    E-WA: (Richland, Spokane, Walla Walla):

    • Min: $45.53
    • Max: $73.29

    NorCal (Napa, Sonoma):

    • Min: $59.84
    • Max: $96.32

    SoCal, NorCal (Humboldt), AK: (Kodiak, Seward, Valdez), NV:

    • Min: $53.33
    • Max: $85.85

    MT:

    • Min: $41.19
    • Max: $66.31

    TX, NM:

    • Min: $39.02
    • Max: $62.82

    Why Join Providence?

    Our best-in-class benefits 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 of caring for everyone, especially the most vulnerable in our communities.

    About Providence

    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.

    The amounts listed 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.

    Check out our benefits page for more information about our Benefits and Rewards.

    About the Team

    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. 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 makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

    Requsition ID: 264545

    Company: Providence Jobs

    Job Category: Financial Transactions

    Job Function: Health Plans Services

    Job Schedule: Full time

    Job Shift:

    Career Track: Business Professional

    Department: 4008 SS RIS

    Address: WA Renton 2001 Lind Ave SW

    Work Location: Providence Southgate 2-Renton

    Pay Range: $53.33 - $85.85

    The amounts listed 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.

    Check out our benefits page for more information about our Benefits and Rewards.

  • 1 Month Ago

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Claims Supervisor Claims (Hybrid Anchorage, Alaska)
  • Gainwell Technologies LLC
  • Anchorage, AK FULL_TIME
  • Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at HMS, a Gainwell Co...
  • 5 Days Ago

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Claims Appeal Representative
  • Providence
  • Bartlesville, AK PART_TIME,FULL_TIME
  • Description Claims Appeal Representative - 100% Remote. Part Time- Day Shift.. We welcome residents in our footprint states, AK, CA, OR, WA, TX, NM, or MT. The Claims Appeal Representative position is...
  • 16 Days Ago

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Epic Applications Analyst - AP Claims
  • Providence Health
  • Alaska, AK FULL_TIME
  • Description *We are currently offering remote work from one of our footprint states which are inclusive of WA, OR, MT, CA, AK and or TX* Providence is seeking an Epic Applications Analyst – AP Claims,...
  • Just Posted

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Claims Assistant, Commercial Property and Casualty
  • CopperPoint Insurance Company
  • Anchorage, AK FULL_TIME
  • Are you looking for an exciting career opportunity with an expanding insurance company? Are you eager to prove yourself, be valued, be supported, and have the opportunity to grow? You might be the rig...
  • 16 Days Ago

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Independent Insurance Claims Adjuster in Ketchikan, Alaska
  • MileHigh Adjusters Houston Inc
  • Ketchikan, AK FULL_TIME
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjus...
  • Just Posted

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Claims Manager
  • Davis Search
  • Phoenix, AZ
  • Overview: Highly regarded NYSE Insurance company is seeking a Claims Manager (Director depending upon level of experienc...
  • 4/26/2024 12:00:00 AM

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Claims Manager
  • Everspan Group
  • Tampa, FL
  • Job Summary: This role functions as a liaison between the Everspan Claims Department and its business partners (underwri...
  • 4/26/2024 12:00:00 AM

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Claims Manager
  • The Jacobson Group
  • Hurst, TX
  • Our client a Third Party Administrator (TPA) is looking for a Claims Manager to join their Dallas-Fort Worth office. The...
  • 4/25/2024 12:00:00 AM

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Claims Manager
  • TEKsystems
  • Honolulu, HI
  • Description Manages diverse processes within IT across multiple functional areas or business organizations. Integrates I...
  • 4/24/2024 12:00:00 AM

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Claims Manager
  • Martin & Zerfoss, Inc.
  • Nashville, TN
  • About Us Martin & Zerfoss, Inc. is an independent insurance firm in Nashville, TN. We specialize in all areas of Persona...
  • 4/24/2024 12:00:00 AM

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Claims Manager
  • Apex Service Partners
  • Tampa, FL
  • Overview: Overview: Founded in 2019, Apex Service Partners, LLC is the industry and nationwide leader in residential hom...
  • 4/22/2024 12:00:00 AM

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Claims Manager
  • The Jacobson Group
  • Hurst, TX
  • Our client a Third Party Administrator (TPA) is looking for a Claims Manager to join their Dallas-Fort Worth office. The...
  • 4/22/2024 12:00:00 AM

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Claims Manager
  • Insight Global
  • Greenville, SC
  • Job Title: Claims Manager Location: Greenville, SC – Onsite 5x per week Annual Salary: $80k-$85k + 10% annual bonus Job ...
  • 4/22/2024 12:00:00 AM

Alaska is the northernmost and westernmost state in the United States and has the most easterly longitude in the United States because the Aleutian Islands extend into the Eastern Hemisphere. Alaska is the only non-contiguous U.S. state on continental North America; about 500 miles (800 km) of British Columbia (Canada) separates Alaska from Washington. It is technically part of the continental U.S., but is sometimes not included in colloquial use; Alaska is not part of the contiguous U.S., often called "the Lower 48". The capital city, Juneau, is situated on the mainland of the North American ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Manager jobs
$131,641 to $176,396

Claims Manager in Green Bay, WI
A claims manager runs the claims department, while performing many of the same duties as the processors.
January 17, 2020
Claims Manager in Port Arthur, TX
Manages and monitors the investigation, evaluation and resolution of Bus claims and litigated actions of assigned staff.
November 27, 2019
Claims Manager in Spokane, WA
Collaboration with internal partners to ensure timely and accurate claims processing and clinical outcomes related to formulary decisions.
December 06, 2019