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Sr. Claims Analyst - Medical Malpractice

Universal Health Services
401(k)
United States, Pennsylvania, King of Prussia
367 South Gulph Road (Show on map)
May 30, 2023
Responsibilities

(This role has a hybrid schedule with 3 days in office and 2 days flex-remote)

Join a dynamic organization driven by our passion for healthcare. UHS is seeking talented individuals who are eager to contribute their expertise and pursue rewarding careers. As a leader in acute care and behavioral health, UHS provides high-quality care to over 3 million patients annually, across our national network of facilities.

The UHS Corporate Insurance Department is hiring a Senior Claims Analyst to manage high severity professional and general liability claims by investigating, analyzing, evaluating exposures and bringing the cases to a timely and reasonable resolution by maintaining compliance with the UHS claims philosophy and guidelines.

Key Responsibilities include:

  • Gather, investigate and analyze information and documents from Risk Managers regarding general liability, and professional liability/medical malpractice claims
  • Maintain an average diary of 150-175 mid-range exposure claims. Monitor diary on 30, 60, 90 day schedule and document ongoing liability and damage evaluation in claims system
  • Evaluate primary and excess insurance coverage. Report exposures in excess carrier promptly and according to excess carrier requirements. Provide ongoing updates and communication regarding claims to excess carriers
  • Communicate regularly with defense counsel to plan and execute defense strategy along with ongoing communication regarding exposure analysis
  • Negotiate settlements directly with patients, plaintiff attorneys and or directs defense counsel until the case is settled. Find alternative ways to reach cost effective end results in which all parties benefit. Recommends solutions to claims
  • Monitor and controls defense expense. Approves defense invoices in billing system. Follows UHS cost control and billing guidelines
  • Attend mediations and trials. Provide prompt updates to supervisor and senior management
  • Prepare claim summary reports according to UHS Claims guidelines for claims reserved in excess of $1M, claims with scheduled mediations/trials, claims requiring settlement authority and claims that have been settled

Qualifications

Bachelor's degree with 5 - 8 years' experience.

  • Strong insurance knowledge, including ability to interpret policy and basic foundation of litigation

  • Superior computer skills and oral/written communication skills are necessary

  • Must be organized, able to work with all levels of people and have an understanding of the end result

  • 10% travel required

This opportunity provides a rewarding career, challenging and rewarding work environment as well as growth and development opportunities within UHS and its subsidiaries, including competitive compensation, excellent Medical, Dental, Vision and Prescription Drug Plan, and 401k with company match.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449

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