Professional Liability Claims Manager | AdventHealth Corporate
Location Address: 900 Hope Way, Altamonte Springs, Florida 32714
Top Reasons to Work at AdventHealth Corporate
Immediate Health Insurance Coverage
Career growth and advancement potential
Full-Time, Monday â“ Friday
You Will Be Responsible For:
Manages complex professional and general liability claims in multiple jurisdictions which could require travel to healthcare facilities, depositions, mediations and trials.
Manages the day-to-day claim development by directing and coordinating investigations, determining legal liability and assessing damages.
Must be able to create and maintain an effective diary management system to ensure all claims are given the appropriate attention.
Sets, maintains and justifies appropriate reserves taking in consideration the projection of claim payments and verdicts in the jurisdiction.
Navigates the claims process by determining liability, causation and damages and negotiating resolution or positioning matters for trial.
Controls and directs counselâ™s litigation activities which includes case strategy, settlement negotiations and/or trial preparation.
Have knowledge of coverage limits and carriers for applicable line of business
Timely reports cases to carriers whether Trust, Excess or Re-insurer as documented in RiskMaster.
Directs and coordinates investigation to determine legal liability at facility level and documents findings.
Effectively involves local risk managers in the investigation process and ensures CEO (or designee) is informed throughout the development of the case.
Documents in the claim file investigation information, coverage determination, liability exposure, case value and management strategy relating to decisions of defense and resolution.
What You Will Need:
Bachelorâ™s degree with additional study and or professional designation preferred. Nursing, Business Administration, insurance claims management, sociology, psychology, or human behavior studies background beneficial.
3-5 years of experience
RiskMaster, MS Word, MS Excel
Florida all-lines adjusters license
This position is responsible for the management of assigned potential compensable claims, asserted claims and suits. Management encompasses investigation, evaluation, negotiation and settlement activities, attorney supervision and trial support. This position is responsible for handling professional and general liability claims and knowing the relevant case law in multiple jurisdictions as assigned.
AdventHealth Greater Orlando (formerly Florida Hospital) is one of the largest faith-based health care providers in the United States. For 150 years, we have carried on a tradition of providing whole-person care that not only addresses patients' physical ailments, but also supports their emotional and spiritual well-being. We demonstrate the same level of compassion and care for our employees as well, doing all that we can to help them realize their full potential – both personally and professionally.