Sr. Medical Malpractice Claims Manager - Professional Liability •Remote •

Providence; Nevada; Remote; USD 80,000 - 110,000; Full time

Job summary

Providence is seeking a Sr. Medical Malpractice Claims Manager to lead the management of healthcare liability claims. This fully remote position requires extensive experience in claims processing, risk management, and effective communication. The successful candidate will handle complex claims, coordinate with stakeholders, and provide insights to reduce risks in patient care. Join a company dedicated to delivering compassionate care and benefit from a supportive work culture.

Benefits

Comprehensive benefits package

Support for professional growth

Work-life balance initiatives

Qualifications

• 7+ years of relevant claims processing or management experience.
• 5+ years of supervisory or management experience.
• Experience with complex liability claims.

Responsibilities

• Investigate and manage professional liability claims.
• Communicate with patients, claimants, and providers.
• Negotiate settlements and monitor trials.

Skills

Claims Management

Risk Management

Negotiation

Communication

Education

Bachelor's Degree in Business Administration

Tools

Claims Management Software

Job description

Providence caregivers are not simply valued – they’re invaluable. Join our team 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.

Providence is calling a Sr. Medical Malpractice Claims Manager - Professional Liability who will :

• Investigate, evaluate, and manage professional, general, and other liability claims under the PSJH Insurance Program.
• Communicate with patients, claimants, caregivers, providers, leadership.
• Review and analyze medical records, interview witnesses, assist with discovery, and communicate with facility risk managers regarding evaluation and investigation.
• Write insurance policy coverage letters and analyze policy documents to address coverage.
• Set appropriate indemnity and expense reserves.
• Select medical experts for case review.
• Develop and update a plan of action for assigned claims.
• Review and approve statements for services and coordinate payments.
• Inform senior management of large or complex claims and those with media exposure.
• Report claims with potential excess exposure to excess insurers.
• Ensure compliance with claims reporting procedures and regulations.
• Work with defense attorneys specializing in medical negligence defense.
• Foster teamwork and effective communication within the claims team.

Maintain complete documentation for each matter :

• Develop and document plans for resolution of each claim.
• Maintain electronic files with all relevant communication and documentation.

Coordinate with facility leadership, risk managers, and defense counsel :

• Select defense counsel from approved lists.
• Coordinate disclosures with patients and families.
• Obtain authority for settlements or trials.
• Participate in case reviews and conferences.

Resolve claims in accordance with policies and regulations :

• Negotiate settlements.
• Monitor trials and advise on disclosures and early resolutions.
• Report to regulatory agencies as required.
• Close files per policies and report to NPDB and state agencies.

Provide input to reduce risk :

• Offer feedback on litigation trends, policies, and risk management issues.
• Contribute to quality and patient safety projects.

Providence offers 100% remote work for residents in most states, excluding Hawaii, Massachusetts, New York, Ohio, and Pennsylvania.

Required qualifications :

• Bachelor's Degree in Business Administration, Finance, or related field.
• 7+ years of relevant claims processing or management experience.
• 5+ years of supervisory or management experience.

Preferred qualifications :

• Certified Professional Healthcare Risk Management (CPHRM).
• 10+ years of medical malpractice experience.
• Experience with complex liability claims and defense attorneys.
• Experience analyzing and writing insurance policy documents.
• Claims management software experience (e.g., STARS, Riskonnect).

Salary ranges vary by location, with specific figures provided for different regions.

Why Join Providence?

Our benefits are designed to support your well-being, professional growth, and financial security. We take care of you, so you can focus on delivering compassionate care to our communities.