Senior Professional Liability Claims Manager

Aya Healthcare, Inc.; United States; On-site; USD 100,000 - 125,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

401(k) match

Discretionary bonuses

Paid sick leave

Team events & birthday treat

Unlimited PTO

Daily virtual wellness classes

Job summary

Aya Healthcare, Inc. is seeking a Professional Liability claims professional in the United States. The role involves managing active and litigated claims, coordinating with outside counsel and insurers, and ensuring regulatory compliance.

JD is preferred, with 3+ years of PL claims adjusting experience and strong knowledge of settlements. We offer comprehensive benefits and a competitive salary range. The position supports a fast-paced environment with the opportunity to impact claim outcomes

Qualifications

• 3+ years of Professional Liability claims adjusting experience.
• JD preferred.
• Ability to work in a fast-paced environment with a large volume of matters.
• Knowledge of claim handling policies and procedures.
• Knowledge of medical terminology.
• Familiarity with claims in multiple jurisdictions.
• Experience working with a TPA.
• Experience in litigation and settlement negotiations.
• Intermediate knowledge of PL products and ability to apply resources and technology to resolve claims.

Responsibilities

• Manage active and litigated Professional Liability claims - track, review, analyze, and update Corporate Counsel on all open matters.
• Assist with claim investigations, monitor compensability determinations and review with outside counsel when necessary.
• Evaluate claim action plans and overall file quality to help achieve optimal claim outcomes.
• Work with outside counsel and insurance representatives to obtain up-to-date claim information and analyze/approve investigation and reserve requests.
• Ensure compliance with state regulatory rules and requirements.
• Collaborate with specialty resources to pursue claim resolutions and analyze settlement authority requests.
• Attend mediations and trials.
• Regularly meet with Corporate Counsel to review claims and discuss strategy.

Skills

Fast-paced environment

Policy knowledge

Medical terminology

Multi-jurisdiction claims

TPA experience

Litigation & settlements

PL products knowledge

Education

JD preferred

Job description

Aya Healthcare, Inc. is seeking a Professional Liability claims professional in the United States. The role involves managing active and litigated claims, coordinating with outside counsel and insurers, and ensuring regulatory compliance.

JD is preferred, with 3+ years of PL claims adjusting experience and strong knowledge of settlements. We offer comprehensive benefits and a competitive salary range. The position supports a fast-paced environment with the opportunity to impact claim outcomes