Plans examiner serp_jobs.h1.location_city

Job Summary :

Handles day-to-day oversight of general, professional, and other liability claims in accordance with Adventist Health’s claims program policies and procedures and within an assigned region or scope of responsibility. Maintains up-to-date and accurate claims files, including summaries, action plans, and claims status in the claims data management software, coordinating with market leadership, risk managers, defense counsel, and others. Receives assignments in the form of strategic objectives and is responsible for determining the appropriate tactical approach, resource allocation, scheduling, and goal setting to achieve desired outcomes. Collaborates with a high level of communication and customer service.

Job Requirements :

Education and Work Experience :

• Bachelor’s Degree in risk management, legal studies, nursing, or closely related field or equivalent combination of education / related experience : Required
• Master's Degree : Preferred
• Three years' related experience managing professional and general liability claims within a hospital system, insurance carrier, self-insured environment, law firm setting, or a combination of these : Preferred

Licenses / Certifications :

Essential Functions :

Organizational Requirements :

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https : / / / careers / everify / for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.