Strategic Claims Leader - Multi-State & WC

Fairview Health Services; Minneapolis (MN); On-site; USD 99,000 - 140,000; Full time

Benefits offered by this job

Medical benefits

Dental coverage

Vision plans

Life insurance

Disability insurance

Paid time off and sick time

Tuition reimbursement

Retirement plan

Earned wage access

Job summary

Fairview Health Services in Minneapolis seeks an Enterprise Claims Manager to lead claims strategy across the organization, including Property & Casualty, Professional Liability and Workers' Compensation programs. You will drive analytics, recoveries, budgeting, and policy development while partnering with Legal, Risk, and Insurance teams to improve outcomes.

The role oversees a team of claims professionals, ensures regulatory compliance, and delivers reports to senior management.

Qualifications

• B.S./B.A. in Business Administration, Risk Management, Finance, Insurance or related field or five or more years management responsibilities in the workers compensation insurance/claims management area.
• 5+ years of progressive experience in: Risk management, Claims administration, Insurance operations or Litigation Support

Responsibilities

• Work with the applicable state's Department of Labor and Industry and Department of Commerce to ensure compliance with standards and requirements.
• Responsible for compliance with regulated insurance industries.
• Develops claim reports for system board committee and senior management to monitor claim management performance.
• Manage subrogation and recoveries to minimize the severity of claims. Drive cost containment through strong claims oversight and proactive intervention.
• Develop and maintain policies and procedures for the organization in the area of claims management.
• Participate in teams, committees and task forces to assist the organization in developing, implementing and maintaining an injury prevention program.
• Responsible and accountable for all claim management activities, which includes workers' compensation.
• In conjunction with data analyst, responsible for developing, creating and managing analytical tools and reports to assist with risk identification and management.
• Prepare budget Self Insured Work Comp program. Coordinates the appropriate allocations for the system related to budget for Work Comp program.
• Identify local and national trends and benchmarks related to claims.
• Interact with internal and external counsel representing Fairview. Partners closely with the Insurance team.
• Lead a team of claims professionals
• Processes workers compensation claims and also oversees all other claims
• Assists attorneys with management of claims

Skills

Leadership

Risk management

Claims administration

Insurance operations

Litigation support

Education

B.S./B.A. in Business Administration

Job description

Fairview Health Services in Minneapolis seeks an Enterprise Claims Manager to lead claims strategy across the organization, including Property & Casualty, Professional Liability and Workers' Compensation programs. You will drive analytics, recoveries, budgeting, and policy development while partnering with Legal, Risk, and Insurance teams to improve outcomes.

The role oversees a team of claims professionals, ensures regulatory compliance, and delivers reports to senior management.