Senior Health Care Claims Risk Lead

University of Florida; Gainesville (FL); On-site; USD 70,000 - 95,000; Full time

Job summary

The University of Florida seeks a Senior Claims Examiner on the Gainesville or Jacksonville campus to manage incident reporting, analysis, and resolution for SIP participants. Responsibilities include full investigation of claims, coordinating with medical and administrative staff, and presenting findings to SIP committees.

Requires a Bachelor's degree and six years of related experience or equivalent. Travel to affiliated facilities may be required as part of risk management and loss prevention

Qualifications

• Bachelor's degree in an appropriate area and six years of relevant experience; or an equivalent combination of education and experience.
• Experience in intake, review, and analysis of incidents for patient care and health care delivery improvement.

Responsibilities

• Intake, process, and dispose of all incidents reported to the SIP.
• Identify, investigate, and evaluate medical, legal, and fiscal issues related to covered claims against SIP participants.
• Coordinate, manage, and resolve all covered claims, including negotiation with claimants and collaboration with Litigation staff.
• Attend conferences and committees as assigned and participate in root cause analyses.

Skills

Incident reporting

Data analysis

Interviews

Education

Bachelor's degree

Job description

The University of Florida seeks a Senior Claims Examiner on the Gainesville or Jacksonville campus to manage incident reporting, analysis, and resolution for SIP participants. Responsibilities include full investigation of claims, coordinating with medical and administrative staff, and presenting findings to SIP committees.

Requires a Bachelor's degree and six years of related experience or equivalent. Travel to affiliated facilities may be required as part of risk management and loss prevention