Manager Claims and Litigation HPL PPL GL

Ascension; St. Louis (MO); Remote; USD 110,000 - 150,000; Full time

Benefits offered by this job

Health coverage

403(b) match

PTO & holidays

Tuition reimbursement

Employee Assistance Program

Parental leave

Adoption assistance

Legal insurance

Job summary

Ascension is seeking a Senior Claims Manager to lead a remote team of 4–5 Claims Specialists across designated regions. You will set performance standards, coach staff, and ensure compliance with policy benchmarks.

The role emphasizes risk assessment, complex liability analysis, and collaboration with hospital leadership to steward high-severity files and preventative strategies.

Qualifications

• Minimum 5+ years in management of liability claims.
• Strong leadership and coaching skills.
• Experience with healthcare professional liability and general liability claims.

Responsibilities

• Supervise and mentor a team of 4–5 Claims Specialists across regions.
• Conduct performance evaluations, audits, and QA reviews.
• Act as gatekeeper for incoming claims and incident reports; triage workload.
• Provide technical guidance on coverage analysis and reserve valuations.
• Lead claims review sessions with hospital leadership and risk personnel.

Skills

Leadership

Mentorship

Claims leadership

Regulatory compliance

Education

Juris Doctor (JD)

Bachelor's degree

Tools

Riskonnect

STARS

CMS reporting

Job description

• Supervise, mentor, and professionalize a team of 4 - 5 Claims Specialists and Senior Claims Specialists across designated regional territories.
• Conduct regular performance evaluations, claim file audits, and quality assurance reviews to ensure operational excellence and adherence to departmental guidelines.
• Act as the primary gatekeeper for all incoming claims, notices, and incident reports within assigned regions, executing structured rotational workload distribution and preliminary claim triage.
• Provide expert technical guidance on coverage analysis, liability assessment, complex reserve evaluations, and defense strategies across HPL, PPL, and GL claims.
• Facilitate and participate in regular claims review sessions with hospital executive leadership, clinical leaders, and local risk personnel to discuss emerging exposures and high‑severity files.

Your future role at a glance

• Location: Remote
• Department: Risk Management
• Schedule: Full‑time
• Eligible for an annual bonus incentive

How you’ll make an impact in this role

• Supervise, mentor, and professionalize a team of 4 - 5 Claims Specialists and Senior Claims Specialists across designated regional territories.
• Conduct regular performance evaluations, claim file audits, and quality assurance reviews to ensure operational excellence and adherence to departmental guidelines.
• Act as the primary gatekeeper for all incoming claims, notices, and incident reports within assigned regions, executing structured rotational workload distribution and preliminary claim triage.
• Provide expert technical guidance on coverage analysis, liability assessment, complex reserve evaluations, and defense strategies across HPL, PPL, and GL claims.
• Facilitate and participate in regular claims review sessions with hospital executive leadership, clinical leaders, and local risk personnel to discuss emerging exposures and high‑severity files.

Licensure / Certification / Registration

• Required Credential(s):
  • None Required.

Education

• High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree with 1 year of experience OR 5 years of applicable cumulative job specific experience required. 2 years of leadership or management experience preferred.

Additional Preferences

• 5 to 10 years of progressive management and supervisory experience in complex liability claims handling; Juris Doctor (JD) degree or Bachelor's degree with equivalent extensive experience in Healthcare Professional Liability (HPL), Physician Professional Liability (PPL), and General Liability (GL).
• CPHRM, CPCU, or applicable state adjuster licenses preferred.
• Proficiency in modern claims platforms including Riskonnect, STARS, and CMS reporting environments.

Benefits that help you thrive

• Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
• Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
• Time to recharge: pro‑rated paid time off (PTO) and holidays
• Career growth: Ascension‑paid tuition (Vocare), reimbursement, ongoing professional development and online learning
• Emotional well‑being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
• Family support: parental leave, adoption assistance and family benefits
• Other benefits: optional legal and pet insurance, transportation savings and more

Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military‑Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.

Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

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