Claims Supervisor jobs in Tennessee

Description

Introduction

Do you want to join an organization that invests in you as a Senior Claims Supervisor? At HCA Healthcare, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the course of three years.

Benefits

HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Senior Claims Supervisor like you to be a part of our team.

Job Summary and Qualifications

This position is one of the professional staff positions in the HCI Claims Department and in the larger Risk & Insurance Department reporting to a Director of Claims. The Senior Claims Supervisor is responsible for directly managing a caseload of the Company’s professional liability. This includes retaining and supervising external and internal claims investigators, defense counsel and regularly interacting with various facility representatives and leaders. Ideally, this individual has experience managing physician practice and hospital claims and litigation management, is familiar with physician practice and hospital operations (including medical staff issues), state malpractice laws, possesses strong negotiation skills and has demonstrated ability to independently problem solve and proactively manage and resolve claims.

What you will do:

Quality

• Handle professional liability cases with a designated caseload. This includes strategic thinking towards resolution, as well as collaborating, directing and managing outside counsel.
• Engage in the department and company strategy and philosophy of proactive, efficient and effective claims management.
• Continuous and appropriate documentation within, and maintenance of, the electronic claims system for caseload.
• Maintain performance against department established metrics.
• Evaluate the efficiency of outside defense counsel based on audits and metrics provided by HCI and firms.

Service

• Manage a segment of the Company’s liability claims to achieve fair, efficient, timely exposure assessment, strategy development and ultimate resolution of matters.
• Maintain current licensure needed to perform duties as required in territory assigned.
• Oversight and administration of special projects as assigned by the Claims Director, HCI President and VP of Claims.
• Have strong experience in coverage evaluation process and coverage issues pertinent to medical professional liability claims.
• Have a strong understanding of risk transfer strategies, to include additional insured standing, contractual indemnity and collateral sources.
• Maintain current knowledge of relevant industry trends, changes in laws and rules affecting liability claims management decisions.

People

• Work collaboratively with entire HCI Claims team, as well as other HCI departments such as Finance, Business Intelligence and Insurance.
• Assist in evaluation and management of outside defense counsel and claim investigators within established guidelines.
• Develop and maintain effective, efficient and respectful working relationships with the organization’s Risk Managers, Patient Safety Directors, C-suite colleagues and Division leaders.
• Build and maintain strategic alliances and collaborative partnerships with the HCI Risk Management team, HCA Legal Department, Clinical and Physician’s Services Group and other corporate departments that will mutually benefit the Claims Department and the organization.
• Lead and/or participate in committees or task forces, as assigned.

Finance

• Adhere to meaningful metrics to measure individual performance of management of designated caseload.
• Ongoing monitoring of expenses and litigation fees.
• Identify appropriate cases and prepare those for presentation to the AVP, VP and Claims Committee for settlement authority and to excess and reinsurers as needed.
• Responsible for efficient, effective and accurate loss adjustment expenses and indemnity payments.

Education & Experience:

• Bachelor’s degree required
• 5 years of experience in claims’ management, preferably in healthcare and preferably in a multi-state environment; knowledge of hospital and healthcare operations required
• JD preferred
• Defense and trial experience preferred
• Certification in risk management or insurance, i.e. CPHRM, ARM, CPCU, etc. preferred
• Adjuster’s license in states in which HCI operates, especially Florida preferred
• Must be eligible to apply for and obtain adjuster’s license(s) in assigned jurisdictions required
• Proficient computer skills with word processing and database competency required
• Possess critical thinking, analytical and problem skills required

HCA Healthcare (Corporate), based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleled resources and opportunities to reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education and career advancement opportunities, every person has a solid foundation for success. Nashville is also home to our Executive Development Program, where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Senior Claims Supervisor opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

CORP-AFAP