Senior Insurance and Claims Manager

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profile Job Location:

Nashville, IN - USA

profile Monthly Salary: Not Disclosed
Posted on: Yesterday
Vacancies: 1 Vacancy

Job Summary

RESPONSIBILITIES:

  • Maintains accurate and current files and databases
  • Manages RMIS (RisKonnect) and is subject matter expert
  • Serves as liaison between OH BWC and SP
  • Maintains SharePoint site
  • Subject matter expert for patient compensation funds
  • Participates in reconciling audits performed by insurance carriers and is familiar with large retention insurance programs across multiple lines of coverage
  • Functions as an insurance liaison advisor and resource person for department administrators and other personnel.
  • Oversee the processing of insurance claims ensuring that all claims are handled efficiently accurately and in compliance with applicable laws and regulations.
  • Proactively manages claims from start to finish identifying any potential issues or delays financial implications and ensuring timely resolution
  • Identifies area for process improvement and risk mitigation

KNOWLEDGE AND SKILLS:

  • Detail Oriented - Capable of carrying out a given task with all details necessary to get the task done well
  • Team Player - Works well as a member of a group
  • Self-Starter - Inspired to perform without outside help
  • Goal Completion - Inspired to perform well by the completion of tasks
  • Basic understanding of claims management for all lines of coverage
  • Understanding of financial implications to a company for losses and claims
  • Partnering with carriers and third-party claims administrator for loss prevention and claims management

EDUCATION/REQUIREMENTS:

  • 7-10 years of experience in commercial property and casualty insurance (with either broker or insurance carrier) or self-insured public health care company
  • Bachelors degree in business finance and/or economics preferred or equivalent work experience
  • Insurance license preferred
  • Proficiency in insurance claims management software and systems
  • Familiarity with Microsoft Office Suite (Excel Word Outlook) and other productivity tools.

Benefits:

  • Comprehensive health dental and vision insurance
  • Health Savings Account with an employer contribution
  • Life Insurance
  • PTO
  • 401(k) retirement plan with a company match
  • And more!

ENVIRONMENTAL/WORKING CONDITIONS: Normal busy office environment with much telephone work. Possible long hours as needed. The description is intended to provide only basic guidelines for meeting job requirements. Responsibilities knowledge skills abilities and working conditions may change as needs evolve.

*If you are viewing this role on a job board such as or LinkedIn please know that pay bands are auto assigned and may not reflect the true pay band within the organization.

*No Recruiters Please


Required Experience:

Manager

RESPONSIBILITIES:Maintains accurate and current files and databasesManages RMIS (RisKonnect) and is subject matter expertServes as liaison between OH BWC and SPMaintains SharePoint siteSubject matter expert for patient compensation fundsParticipates in reconciling audits performed by insurance carri...
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About Company

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Surgery Partners, a leading operator of surgical facilities and ancillary services, provides healthcare experiences between providers and patients.

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