Claims Manager

Bon Secours

. Manage liability claims, including hospital and employed physician claims and claims covered by deductible policies such as Cyber Liability, D&O/EPL, Regulatory, and Property/ADP .

Posted 11/10/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing liability claims, including Professional Liability Claims, while effectively collaborating with defense counsel and risk management teams. Proficient in conducting insurance coverage analysis and negotiating resolutions to protect organizational assets.

Highest-signal resume keywords

Professional Liability Claims ManagementClaims ProcessingInsurance Coverage AnalysisMediation TrainingAssociate In Claims (AIC) Certification

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims EvaluationClaims ResolutionRisk InvestigationsLitigation ManagementNegotiationClaim ValuationReserve SettingBill Review SoftwareDiary System MaintenanceExpert Review Analysis

Soft Skills

AdaptabilityCommunicationCollaborationLeadershipProblem-Solving

Certifications & Qualifications

Associate In Claims (AIC) CertificationAssociate In Risk Management (ARM)

Industry Keywords

Liability ClaimsCyber LiabilityD&O/EPLRegulatory ClaimsProperty/ADPDefense Counsel ManagementEarly Liability Review ProgramRisk ManagementMediationsArbitrations

About the role

Key responsibilities & impact

Manage liability claims, including hospital and employed physician claims and claims covered by deductible policies such as Cyber Liability, D&O/EPL, Regulatory, and Property/ADP
Resolve claims within available insurance coverage parameters to protect ministry assets
Represent BSMH at pre-trial hearings, mediations, arbitrations, and trials
Manage and direct defense counsel in accordance with organizational objectives and goals
Independently evaluate, reserve, and resolve claims and litigated matters within designated authority
Use risk investigations and expert reviews to evaluate liability and causation, set reserves, assess claim values, negotiate resolutions, or determine whether to litigate
Assign defense counsel based on venue, claim type, and potential claim value
Work with defense counsel to manage claims, select medical experts, and determine whether to proceed to trial
Review outside defense counsel bills using bill review software and department guidelines
Conduct insurance coverage analysis and collaborate with insurance staff on coverage issues
Coordinate with Loss Prevention on claims qualifying for the Early Liability Review Program
Explain risk evaluations and resolution or litigation alternatives to market and group senior leaders
Explain the claims and litigation process and expert-review analyses to employed physicians
Collaborate with Risk Management on investigations, discovery, claim valuation, litigation, and resolution
Maintain a diary system tracking claims from report through investigation, evaluation, discovery, and analysis
Obtain defense counsel reports promptly and direct litigation efforts according to department guidelines

Requirements

What you’ll need

Bachelor’s Degree in Finance, Accounting, Business, or similar field (required)
3 years handling Professional Liability Claims or equivalent experience (required)
5 years Claims Processing (preferred)
Associate in Claims (AIC) Certification or Associate in Risk Management (ARM) preferred
Ability to quickly learn and adapt to modern technologies as needed
Mediation training or demonstrable experience in negotiation of high value complex claims

Benefits

Comp & perks

Competitive pay
Incentives
Referral bonuses
403(b) with employer contributions (when eligible)
Medical, dental, vision, and prescription coverage
HSA/FSA options
Life insurance
Mental health resources and discounts
Paid time off
Parental and FMLA leave
Short- and long-term disability
Backup care for children and elders
Tuition assistance
Professional development and continuing education support