You bring your body, mind, heart and spirit to your work as a Claims Manager / Claims Counsel.
You’re equally comfortable on the phone speaking with patients as you are utilizing various computer programs.
You’re great at what you do, but you want to be part of something even greater. Because you believe that while individuals can be strong, the right team is invincible.
System Service: is our Corporate Headquarters in Broomfield, Colorado and is located within the Oracle campus. SCL Health is a faith-based, nonprofit healthcare organization dedicated to improving the well-being of the people we serve.
Benefits are one of the ways we encourage health for you and your family. Our generous package includes medical, dental and vision coverage. But health is more than a well-working body: it encompasses body, mind and social well-being. To that end, we’ve launched a Healthy Living program to address your holistic health. Healthy Living includes financial incentives, digital tools, tobacco cessation, classes, counseling and paid time off. We also offer financial wellness tools and retirement planning.
With this position, you are eligible to participate in the At Risk Compensation (ARC) Plan. This plan enables SCL Health to provide leaders with an additional performance compensation opportunity. The ARC Award opportunities are calculated as a percentage of your base salary. Awards are paid out based on attainment of selected SCL Health Board-approved goals. To show our commitment to you and to assist with your transition into our organization, we may also offer a sign-on and relocation stipend and reimbursement when applicable.
Together we’ll align mission and careers, values and workplace. We’ll encourage joy and take pride in our integrity.
We’ll laugh at each other’s jokes (even the bad ones). We’ll hello and high five. We’ll celebrate milestones and acknowledge the value of spirituality in healing.
We’re proud of what we know, which includes how much there is to learn.
As the Claims Manager you need to know how to:
Manage and direct the claims litigation process with external counsel in order to achieve an optimal outcome for individual cases, including, but not limited to, proactively assisting in development of claims defense strategy, attending witness interviews, depositions, mediation and trial.
Promptly investigate, evaluate and resolve assigned claims.
Recognize and resolve cases with exposure through early dispute resolution or negotiation within settlement authority.
Negotiate the terms of and drafts settlement agreements.
Present claims to the Claims Review Committee for settlement authority and/or trial awareness.
Assist with opening claims and claims assignments.
Prepare notices of loss to insurers/reinsurers
Maintain a database of claims to ensure timely management of all assigned claims.
Coordinate with care site risk managers, HR and leadership to manage litigation expense and case exposure.
Provide state and federal reporting to ensure legal and regulatory compliance.
We hire people, not resumes. But we also expect excellence, which is why we require:
Juris Doctor or significant claims management experience in a hospital system, required
A minimum of three (3) years of experience managing professional and general liability claims for a hospital system, an insurance carrier, a self-insured environment or in a law firm setting or combination thereof, required
CPHRM, ARM or other related insurance certification or licensure, preferred
Your next move
Now that you know more about this role and our team we hope you’ll join us. At SCL Health you’ll reaffirm every day how much you love this work, and why you were called to it in the first place.
SCL Health is a faith-based, nonprofit healthcare organization that operates eight hospitals, four safety net clinics, one children’s mental health center and more than 190 ambulatory service centers in three states – Colorado, Kansas and Montana. The health system includes 15,000 full-time associates and more than 500 employed providers.