BayCare Health System

Claims Manager - Medical Malpractice and Professional Liability

BayCare Health System

Clearwater, FL, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Are you a highly organized and detail-oriented individual with a passion for ensuring fair and accurate claims management? Do you have experience in medical malpractice and professional liability? If so, we have an exciting opportunity for you to join our team as a Claims Manager at BayCare Health System. As a leading healthcare organization, we are dedicated to providing exceptional care to our patients and protecting the rights of our staff. In this role, you will play a crucial role in managing and resolving complex claims related to medical malpractice and professional liability. We are seeking a driven and compassionate individual with excellent communication skills and a strong understanding of legal and insurance processes. If you are ready to make a valuable impact in the healthcare industry, we encourage you to apply for this position.

  1. Manage and oversee all aspects of medical malpractice and professional liability claims for BayCare Health System.
  2. Ensure timely and accurate processing of claims in accordance with company policies and procedures.
  3. Conduct thorough investigations of claims, including gathering relevant medical records and documentation.
  4. Collaborate with legal counsel and insurance companies to develop effective strategies for resolving claims.
  5. Keep detailed and organized records of all claims and related documents.
  6. Develop and maintain relationships with key stakeholders, including healthcare providers, insurance companies, and legal teams.
  7. Provide guidance and support to team members handling claims, including coaching and training.
  8. Stay up-to-date on industry trends and changes in laws and regulations related to medical malpractice and professional liability.
  9. Analyze claims data to identify trends and areas for improvement in claims management processes.
  10. Communicate regularly with patients, staff, and other parties involved in claims to ensure transparency and understanding of the process.
  11. Collaborate with risk management and quality improvement teams to identify and implement strategies for preventing future claims.
  12. Act as a liaison between BayCare Health System and external parties involved in claims, including insurance adjusters and legal counsel.
  13. Ensure compliance with all state and federal laws and regulations related to claims management.
  14. Represent BayCare Health System in legal proceedings related to claims, when necessary.
  15. Continuously evaluate and improve claims management processes to increase efficiency and accuracy.
Where is this job?
This job is located at Clearwater, FL, USA
Job Qualifications
  • Bachelor's Degree In Healthcare Administration, Nursing, Or A Related Field.

  • Minimum Of 5 Years Of Experience Working In Medical Malpractice And Professional Liability Claims Management.

  • In-Depth Knowledge Of State And Federal Laws And Regulations Related To Medical Malpractice And Professional Liability Claims.

  • Strong Analytical And Problem-Solving Skills, With The Ability To Make Sound Decisions And Recommendations.

  • Excellent Communication And Interpersonal Skills, With The Ability To Work Collaboratively With Healthcare Providers, Legal Teams, And Insurance Companies.

Required Skills
  • Data Analysis

  • Negotiation

  • Conflict Resolution

  • Claims Processing

  • Litigation management

  • Medical Terminology

  • Case management

  • Risk assessment

  • Legal Knowledge

  • Insurance Regulations

  • Claims Investigation

Soft Skills
  • Communication

  • Conflict Resolution

  • Leadership

  • Time management

  • Organizational skills

  • Attention to detail

  • Teamwork

  • Adaptability

  • Problem-Solving

  • Empathy

Compensation

According to JobzMall, the average salary range for a Claims Manager - Medical Malpractice and Professional Liability in Clearwater, FL, USA is $90,000 - $130,000 per year. However, this can vary depending on factors such as experience, education level, and the specific industry or company. Some employers may also offer additional benefits such as bonuses, healthcare coverage, and retirement plans.

Additional Information
BayCare Health System is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedSeptember 10th, 2024
Apply BeforeAugust 19th, 2025
This job posting is from a verified source. 
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About BayCare Health System

BayCare is a leading not-for-profit health care system founded since 1997 that connects individuals and families to a wide range of services at 15 hospitals and hundreds of other convenient locations throughout the Tampa Bay and central Florida regions.

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