Senior Claims Manager

Job Description:

• Provide strategic leadership, operational oversight, and hands-on management for AMSURG’s comprehensive claims portfolio
• Manage the end-to-end claims lifecycle within the Risk Management department
• Evaluate and investigate reported incidents, allegations, and claims
• Assess liability, determine compensability, verify coverages, and manage carrier notifications
• Partner with external insurance adjusters and defense counsel on defense strategies and claim outcomes
• Execute releases or payments within designated authority
• Lead the strategic vision for the claims function and promote continuous improvement, operational excellence, high performance, and compliance
• Advise Corporate and Center staff on claims-related issues
• Optimize Return-to-Work programs
• Manage subpoenas and medical record requests
• Analyze complex claims data and third-party loss runs to identify risk trends
• Translate data into actionable strategic insights and prepare ad-hoc leadership reports
• Collaborate with Finance, Legal, IT, Real Estate, and Operations to integrate risk management best practices

Requirements:

• Bachelor’s degree from an accredited college or university
• Minimum of eight (8) years’ experience as a claims handler
• Basic knowledge of claims processes for litigated and non-litigated matters
• Understanding of reserve setting, claim finances, and loss run data analytics
• Strong knowledge of state or federal regulations and/or statutes regarding insured claims preferred
• Professional Liability, Workers Compensation, and Property experience highly preferred
• Ability to independently assess liability, determine compensability, verify coverages, and manage carrier notifications
• Ability to manage a diverse claims portfolio consisting of Workers’ Compensation, Property, General Liability, and Professional Liability
• Ability to perform each essential responsibility satisfactorily
• Ability to collaborate with executive leadership, internal teams, external insurance adjusters, defense counsel, Finance, Legal, IT, Real Estate, and Operations

Benefits:

• Paid Time Off
• 9 observed holidays
• Paid family leave
• Medical insurance
• Dental insurance
• Vision insurance
• Life insurance
• Disability insurance
• Healthcare FSA
• Dependent Care FSA
• Limited Healthcare FSA
• Transportation and Parking FSAs
• Health Savings Account (HSA)
• Matching 401(k) plan
• Training and professional growth opportunities
• Recognition and employee benefits