Senior Claims Manager EPL - Remote

Providence Health Plan Group; Town of Montana (WI); Hybrid; USD 90,000 - 140,000; Full time

Job summary

Providence is seeking a Senior Claims Manager - Employment Practice Liability (EPL) for a remote role. The person will directly manage EPL claims and collaborate with defense counsel to assess exposure and coverage.

Ideal candidates bring extensive EPL experience, strong negotiation and presentation skills, and the ability to drive reporting and trends to leadership. The position offers a remote work setup and requires dependable travel as needed.

Qualifications

• Bachelor's Degree in Law, HR or related field or an equivalent combination of education and experience.
• 10+ years Employment law, risk management or insurance related to employment practices.
• Background handling EPL claims as a claim professional and/or defending EPL claims as an attorney.

Responsibilities

• Evaluate and resolve coverage issues for Employment Practices claims.
• Investigate EPL claims through calls, written correspondence, and with attorneys and witnesses.
• Present claims and trends to leadership, covering coverage, liability, and exposure.
• Analyze information to determine ultimate exposure for assigned claims.
• Negotiate and resolve claims with defense counsel within authority, using denials or releases.
• Provide reports to leadership, claims, reinsurance and legal on significant cases.
• Report cases going to trial and attend trials when requested.
• Coordinate referrals to reinsurers and provide timely updates.

Skills

Communication

Negotiation

Presentation

Problem-solving

Attention to detail

Microsoft Outlook

Excel

PowerPoint

Education

Bachelor's Degree in Law, HR or related field

Tools

Microsoft Outlook

Excel

PowerPoint

Job description

Description

Providence is seeking a Senior Claims Manager - Employment Practice Liability ("EPL") for this remote position. The purpose of this position is to provide direct handling of the organization’s Employment Practice Liability Claims.

Responsibilities

• Effectively evaluate and resolve coverage issues for Employment Practices claims.
• Investigate the claims through telephone, written correspondence, and/or personal contact with attorneys, business partners, witnesses and others having pertinent information.
• Effectively and efficiently present claims and claim trends to Claim and Legal Leadership to include discussion of coverage, liability assessment and ultimate exposure to the organization.
• Timely analyze information in order to evaluate assigned claims to determine ultimate exposure to the organization.
• Effectively evaluate, negotiate and resolve claims in collaboration with defense counsel and within provided authority utilizing the appropriate denials or releases.
• Provide required reports to leadership, claims, reinsurance, and legal on significant exposure cases.
• Report on all cases going to trial on a timely basis and attend portions of trials when warranted or requested by management.
• Ensure proper referrals and timely updates to appropriate Reinsurer(s).

Essential for success

• Superior communication skills and strategic negotiation and claim disposition skills along with proven problem-solving skills.
• Excellent presentation skills.
• Moderate proficiency with standard business-related software (including Microsoft Outlook, Work Excel, and PowerPoint).
• Sufficient keyboarding proficiency to enter data accurately and efficiently.
• Must have valid state-issued driver’s license in good standing and be able to drive an automobile

Providence caregivers are not simply valued – they’re invaluable. Join our team at Integrity Compliance Audit Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Salary Range by Location:

• AK: Anchorage: Min: $52.19, Max: $82.39
• AK: Kodiak, Seward, Valdez: Min: $54.40, Max: $85.88
• California: Humboldt: Min: $54.40, Max: $85.88
• California: All Northern California - Except Humboldt: Min: $61.04, Max: $96.35
• California: All Southern California - Except Bakersfield: Min: $54.40, Max: $85.88
• California: Bakersfield: Min: $52.19, Max: $82.39
• Idaho: Min: $46.44, Max: $73.31
• Montana: Except Great Falls: Min: $42.02, Max: $66.33
• Montana: Great Falls: Min: $39.81, Max: $62.84
• New Mexico: Min: $42.02, Max: $66.33
• Nevada: Min: $54.40, Max: $85.88
• Oregon: Non-Portland Service Area: Min: $48.65, Max: $76.80
• Oregon: Portland Service Area: Min: $52.19, Max: $82.39
• Texas: Min: $39.81, Max: $62.84
• Washington: Western - Except Tukwila: Min: $54.40, Max: $85.88
• Washington: Southwest - Olympia, Centralia & Below: Min: $52.19, Max: $82.39
• Washington: Tukwila: Min: $54.40, Max: $85.88
• Washington: Eastern: Min: $46.44, Max: $73.31
• Washington: southeastern: Min: $48.65, Max: $76.80

Required Qualifications

• Bachelor's Degree Law, HR or related field or an equivalent combination of education and experience
• 10 or more years Employment law, risk management or insurance related to employment practices.
• Background handling EPL claims as a claim professional and/or defending EPL claims as an attorney.

Preferred Qualifications

• Master's Degree
• J.D.

About the Team

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at prov... Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requisition ID: 455795
Company: Providence Jobs
Job Category: Financial Transactions
Job Function: Health Plans Services
Job Schedule: Full time
Job Shift: Day
Career Track: Business Professional
Department: 4008 SS RIS
Address: CA Orange 1100 W Stewart Dr
Work Location: St Joseph Hospital-Orange
Workplace Type: Remote
Pay Range: $See Posting - $See Posting