Senior Medical Claims Manager

Konsus, Inc. (Superside); United States; Remote; USD 85,000 - 120,000; Full time

Job summary

Konsus, Inc. is seeking a Senior Professional Liability Medical Claims Manager to manage and evaluate medical claims in a remote setting. The ideal candidate will have extensive experience in liability claims and lead efforts in timely negotiations and documentation for various claims. This role requires a strong educational background along with years of relevant industry experience.

Qualifications

• Bachelor's degree or equivalent experience required.
• 7 years of relevant claims processing/management experience needed.

Responsibilities

• Investigate, evaluate, and manage professional and general liability claims.
• Negotiate settlements and ensure compliance with claims reporting procedures.

Skills

Claim Investigation

Negotiate Settlements

Documentation Management

Compliance Monitoring

Education

Bachelor's Degree in Business Administration

Degree in Finance or Related Field

Job description

A company is looking for a Sr. Professional Liability Medical Claims Manager who will manage and evaluate medical claims remotely.

Key Responsibilities

• Investigate, evaluate, and manage professional and general liability claims
• Maintain complete documentation for each matter and coordinate with facility leadership and defense counsel
• Negotiate settlements and ensure compliance with claims reporting procedures and regulations

Required Qualifications

• Bachelor's Degree in Business Administration, Finance, or a related field, or equivalent experience
• 7 years of relevant general and professional liability claims processing or management experience