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Claims Analyst or Claims & Patient Safety Specialist
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Job Description
- Req#: 3761906
Employer Industry: Medical Professional Liability Insurance
Why consider this job opportunity:
- Salary up to $149,484 based on role, experience, and location
- Comprehensive benefits package including 401(K) + Pension Plan, Health Insurance, and Vision and Dental Insurance
- Generous Paid Time Off Plans
- Opportunity for career advancement and growth within the organization
- Remote work opportunity with a preference for candidates in Southern California
- Collaborative and mission-driven culture focused on patient safety and claims management
What to Expect (Job Responsibilities):
- Respond to first notice of potential claims from policyholders and provide appropriate advice for action
- Collaborate with the Claims team to identify coverage issues and develop negotiation strategies
- Prepare documentation, reports, and correspondence with policyholders, claimants, and attorneys
- Manage and close incident, claim, and suit files in a timely manner
- Participate in seminars, trainings, and meetings as requested
What is Required (Qualifications):
- Bachelor’s degree (BA/BS) required
- Minimum of seven (7) years of experience in medical professional liability claims or risk management for the Claims & Patient Safety Specialist role
- Minimum of five (5) years of experience handling medical professional liability claims for the Claims Analyst role
- Valid driver's license required
- Strong written, verbal, and interpersonal communication skills
How to Stand Out (Preferred Qualifications):
- Certified Professional in Healthcare Risk Management (CPHRM) designation preferred
- Understanding of clinical systems and hospital policies/procedures
- Knowledge of governmental healthcare regulations
- Ability to analyze medical records and quality issues
- Proficiency in medical terminology
#MedicalInsurance #ClaimsManagement #PatientSafety #RemoteWork #HealthcareRiskManagementAbout the company
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