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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing comprehensive claims portfolios, including Professional Liability, Workers Compensation, and Property claims. Proven ability to analyze claims data, assess liability, and ensure compliance with state and federal regulations.
Highest-signal resume keywords
Claims Lifecycle ManagementClaims Evaluation and InvestigationRisk Management Best PracticesData Analytics for ClaimsRegulatory Compliance Knowledge
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 HandlingLiability AssessmentCompensability VerificationCoverage VerificationReserve SettingLoss Run Data AnalyticsClaims Processes KnowledgeIncident EvaluationStrategic Vision DevelopmentOperational Excellence
Soft Skills
Strategic LeadershipCollaborationAdvisory SkillsContinuous Improvement MindsetCommunication
Certifications & Qualifications
Bachelor’s Degree
Industry Keywords
Professional LiabilityWorkers CompensationProperty ClaimsGeneral LiabilityInsurance AdjustersDefense CounselReturn-to-Work ProgramsSubpoenas ManagementClaims Portfolio ManagementRisk Trends Analysis
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
- Develop the strategic vision for the claims function and foster continuous improvement, operational excellence, high performance, and compliance
- Advise Corporate and Center staff on claims-related issues
- Optimize Return-to-Work programs and manage subpoenas and medical record requests
- Analyze complex claims data and third-party loss runs to identify risk trends
- Prepare actionable strategic insights and ad-hoc reporting for leadership
- 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 manage Workers’ Compensation, Property, General Liability, and Professional Liability claims portfolios
- Knowledge of claims evaluation, investigation, liability assessment, compensability, coverage verification, and carrier notifications
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