Employer Industry: Healthcare Services

Why consider this job opportunity:
- Salary up to $81.94 depending on location
- Comprehensive benefits package including health care, retirement savings plan, and paid time off
- Opportunity for career advancement and growth within a leading non-profit healthcare system
- Supportive and inclusive work environment that values diversity and collaboration
- Chance to make a positive impact on compliance and quality assurance in healthcare claims management

What to Expect (Job Responsibilities):
- Ensure compliance with laws and regulations related to liability claims handling
- Develop and deliver training and technical support for caregivers on Medicare Secondary Payer reporting and insurance regulations
- Facilitate internal audits and analyze claims data to identify trends and propose improvements
- Provide quality assurance recommendations to claims leaders based on monthly data reports
- Assist in developing policies and procedures related to claims management

What is Required (Qualifications):
- Bachelor's Degree in Business Administration, Public Health Administration, Organizational Leadership, Finance, or a related discipline, or equivalent education and work experience
- 5 or more years of experience handling healthcare professional liability and/or civil tort claims
- 5 or more years of experience reporting third-party liability settlements to regulatory agencies
- Strong analytical skills with the ability to manage multiple priorities in a fast-paced environment
- Excellent communication and interpersonal skills

How to Stand Out (Preferred Qualifications):
- Coursework or training in liability claims within the insurance industry
- Experience in claims data analytics and project management
- Experience creating and facilitating claims management training
- Familiarity with quality assurance processes and procedures
- Ability to develop and implement policies and procedures

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