Manager, Liability Claims

Community Health Systems is one of the nation’s leading healthcare providers. Developing and operating healthcare delivery systems in 39 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 70 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.

Summary:

Provides management of professional and general liability claims files, including assessment of liability, evaluation of case reserves, development/approval of defense strategy, and negotiations (if appropriate). Provides supervision of outside claims adjuster and attorneys. Completes documents necessary for compliance with insurance reporting requirements.

Responsibilities:

• Supervise professional and general liability claims files, including assessment of liability, case reserves, development/approval of defense strategy, direction of negotiation, etc.
• Supervise outside adjusters and attorneys
• Establish files and implement Community Health Systems’ protocol for potentially compensable events, claims and litigation
• Identify trends/patterns requiring corrective action

Qualifications:

• Education: Bachelor's degree (B. A.) from four-year college or university.
• Experience:
  • 3 to 5 years experience in direct supervision of professional liability claims/litigation.
  • Experience in healthcare field preferred.
  • General insurance knowledge preferred
• Reasoning Ability: Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.
• Computer Skills: To perform this job successfully, an individual should have knowledge of Word Processing software; Spreadsheet software and Database software.
• Supervisory Responsibilities: While this job has no in-house supervisory responsibilities, there is supervision of outside adjusters and attorneys.

Physical Demands:
In order to successfully perform this job, with or without a reasonable accommodation, the following are outlined below:

• The Employee is required to read, review, prepare and analyze written data and figures, using a PC or similar, and should possess visual acuity.
• The Employee may be require to occasionally climb, push, stand, walk, reach, grasp, kneel, stoop, and/or perform repetitive motions.
• The Employee is not substantially exposed to adverse environmental conditions and; therefore, job functions are typically performed under conditions such as those found within general office or administrative work.