Salary: $80,000.00 – $100,000.00
Client is seeking a Risk/Claims Manager to join their team.
3-5 years risk management experience in a healthcare or large medical group practice or with medical malpractice claims and case management is required.
- LNC or prior medical malpractice claims adjusters will also be considered.
- CPHRM or Florida LHRM or ability to obtain designation is required.
- Strong verbal/written communication skills required, along with proficiency with computer software systems.
We are an Equal Opportunity Employer
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status
Receive and investigate adverse occurrences and potential compensatory events, medical malpractice claims, patient complaints and highly sensitive billing dispute and analyze for risk liability exposure.
Manage medical malpractice claims and collaborate with TPAs and defense attorneys on strategy recommendations.
Collaborate with our Clinical Services Division and Chief Medical Officers with tracking/trending of adverse outcomes and medical malpractice claims in order to improve quality of care and advance patient safety.
Prepare materials and participate in claims committee meeting, carrier meetings, and divisional meetings, as assigned.
Evaluate medical malpractice claims history of healthcare professionals through the New Hire, Re-credentialing or Due Diligence process.
Conduct Risk Management orientation training as needed. Develop and make recommendations for educational Risk Management programs based on needs assessment.
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