[Hiring] Claims Manager @Aya Healthcare Inc.

Role Description

The Claims Manager will analyze and manage professional liability/medical malpractice claims, under the direction and supervision of Senior Corporate Counsel.

• Manage active and litigated Professional Liability claims – track, review, analyze, and update Corporate Counsel on all open matters.
• Assist with claim investigations, monitor compensability determinations and review with outside counsel when necessary.
• Evaluate claim action plans and overall file quality to help achieve optimal claim outcomes.
• Work regularly with outside counsel and insurance representatives to obtain up to date claim information and to analyze and approve investigation and reserve requests.
• Ensure compliance with state regulatory rules and requirements.
• Collaborate with specialty resources (medical and legal) to proactively pursue claim resolutions, and analyze settlement authority requests.
• Attend mediations and trials.
• Regularly meet with Corporate Counsel to review claims and discuss claim strategy.

Qualifications

• 3+ years prior experience in Professional Liability claims adjusting
• JD preferred
• Ability to work in fast-paced environment with large volume of matters
• Strong knowledge of claim handling policies and procedures
• Knowledge of medical terminology
• Familiarity with claims in multiple jurisdictions
• Experience working with a TPA
• Experienced in litigation and settlement negotiations
• Intermediate knowledge of PL products and ability to apply available resources and technology to resolve claims and streamline the claim process

Benefits

• Free premium medical, dental, life and vision insurance
• Generous 401(k) match
• Aya also offers other benefits to those that are eligible and where required by applicable law, including reimbursements and discretionary bonuses
• Aya provides paid sick leave in accordance with all applicable state, federal, and local laws. Aya’s general sick leave policy is that employees accrue one hour of paid sick leave for every 30 hours worked.
• Celebrations! We hit our goals and reward ourselves.
• Company-sponsored virtual events, happy hours and team-building activities are always on the horizon — plus, you get a special treat on your birthday!
• Unlimited DTO — we believe in time off!
• Virtual yoga, meditation or boot camp classes offered daily

Compensation

Aya reasonably anticipates the pay scale for this position to be an annual salary of $100,000 to $125,000. The pay scale for this position may vary if applicant possesses experience outside of what Aya reasonably anticipates for this position. Bonuses are subject to the role and your manager’s discretion.