System Claim Specialist
Location: Billings Montana
Description: Sisters of Charity of Leavenworth Health System is currently interviewing System Claim Specialist right now, this position will be placed in Montana. More details about this position opportunity kindly see the descriptions. This individual will be responsible to investigate, evaluate, and resolve all Property and Casualty claims and Potentially Compensable Events (PCE) involving the System and Care Site organizations in accordance with industry Best Practices. Individual will have a detailed knowledge of Hospital Professional Liability, Physician Professional Liability, Commercial General Liability, Executive Directors and Officers Liability, Employment Practices Liability, and other collateral lines insurance policy coverage provisions and exclus! ions to evaluate the availability of coverage for an event or ! occurrence. Individual will manage and direct the litigation process with external counsel to achieve an optimal outcome for the individual case. Individual will manage the financial resources of SCLHS by efficiently coordinating the activity on litigated claims and provide superior claim services to claimants, the System Office, Care Sites, and excess insurance/reinsurance carriers.
Qualifications
Education and Experience:
Describe the education (degrees and majors) and prior work experience required:
 College Degree or equivalent experience in business discipline, legal discipline, or clinical care area.
 Five (5) years experience in claim operations environment, or equivalent experience, handling complex Property and Casualty Claims with focus on: Medical Professional, General Liability, Legal Professional, Directors and Officers Liability, and Employment Practices Liability.
Knowledge, Skills, and Competen! cies:
Describe the most important knowledge, skills and competencies required by the position:
 Technical knowledge of Healthcare Medical Professional, General Liability, Legal Professional, Directors and Officers Liability, and Employment Practices Liability claim investigation, evaluation, and resolution techniques.
 Knowledge of human anatomy and medical procedures.
 Excellent oral and written communication skills.
 Customer focus.
 Ability or understand and apply System policies and procedures as required.
 Ability to analyze large qualities of information/data.
 Ability to prioritize and organize work.
 Ability to work in remote or virtual setting with minimal direct supervision.
 Ability to establish and maintain effective relationships with coworkers, customers, attorneys, and claimants.
 Ability to establish credibility and trust with cowor! kers, customers, attorneys, and claimants.
 Ability to make! independent decisions on assigned case and achieve operational goals based upon personal experience and judgment.
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If you were eligible to this position, please email us your resume, with salary requirements and a resume to Sisters of Charity of Leavenworth Health System.
If you interested on this position just click on the Apply button, you will be redirected to the official website
This position starts available on: Wed, 12 Feb 2014 18:04:04 GMT