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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing the end-to-end claims lifecycle, including assessing liability, determining compensability, and optimizing Return-to-Work programs. Proven ability to analyze complex claims data and collaborate with cross-functional teams to implement risk management best practices.
Highest-signal resume keywords
Claims ManagementData AnalysisRisk ManagementRegulatory KnowledgeProfessional Liability Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims Lifecycle ManagementLiability AssessmentCompensability DeterminationLoss Run Data AnalyticsReserve SettingClaims Process KnowledgeOperational ExcellenceContinuous ImprovementClaims Portfolio ManagementStrategic Leadership
Soft Skills
CollaborationCommunicationLeadershipProblem-SolvingAdvisory Skills
Certifications & Qualifications
Bachelor’s Degree
Industry Keywords
Workers CompensationProfessional LiabilityProperty ClaimsGeneral LiabilityInsurance AdjustersDefense CounselRisk TrendsComplianceClaims-Related IssuesSubpoenas Management
About the role
Key responsibilities & impact- Provide strategic leadership, operational oversight, and hands-on management for AMSURG’s comprehensive claims portfolio
- Manage the end-to-end claims lifecycle within the Risk Management department
- Evaluate and investigate reported incidents, allegations, and claims
- Assess liability, determine compensability, verify coverages, and manage carrier notifications
- Partner with external insurance adjusters and defense counsel on defense strategies and claim outcomes
- Execute releases or payments within designated authority
- Lead the strategic vision for the claims function and promote continuous improvement, operational excellence, high performance, and compliance
- Advise Corporate and Center staff on claims-related issues
- Optimize Return-to-Work programs
- Manage subpoenas and medical record requests
- Analyze complex claims data and third-party loss runs to identify risk trends
- Translate data into actionable strategic insights and prepare ad-hoc leadership reports
- Collaborate with Finance, Legal, IT, Real Estate, and Operations to integrate risk management best practices
Requirements
What you’ll need- Bachelor’s degree from an accredited college or university
- Minimum of eight (8) years’ experience as a claims handler
- Basic knowledge of claims processes for litigated and non-litigated matters
- Understanding of reserve setting, claim finances, and loss run data analytics
- Strong knowledge of state or federal regulations and/or statutes regarding insured claims preferred
- Professional Liability, Workers Compensation, and Property experience highly preferred
- Ability to independently assess liability, determine compensability, verify coverages, and manage carrier notifications
- Ability to manage a diverse claims portfolio consisting of Workers’ Compensation, Property, General Liability, and Professional Liability
- Ability to perform each essential responsibility satisfactorily
- Ability to collaborate with executive leadership, internal teams, external insurance adjusters, defense counsel, Finance, Legal, IT, Real Estate, and Operations
Benefits
Comp & perks- Paid Time Off
- 9 observed holidays
- Paid family leave
- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- Disability insurance
- Healthcare FSA
- Dependent Care FSA
- Limited Healthcare FSA
- Transportation and Parking FSAs
- Health Savings Account (HSA)
- Matching 401(k) plan
- Training and professional growth opportunities
- Recognition and employee benefits