Claims Manager

Mercy Health

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

Posted 11/10/2026full-timeRemote • Ohio • 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 coordinating with defense counsel and medical experts. Proficient in conducting insurance coverage analysis and negotiating complex claims resolutions.

Highest-signal resume keywords

Professional Liability Claims ManagementClaims ProcessingAssociate In Claims (AIC) CertificationAssociate In Risk Management (ARM)Mediation Training

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims EvaluationRisk InvestigationLitigation ManagementInsurance Coverage AnalysisClaim ValuationNegotiationExpert Review CoordinationDefense Counsel ManagementBill Review SoftwareDiary System Maintenance

Soft Skills

AdaptabilityCommunicationNegotiation

Certifications & Qualifications

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

Industry Keywords

Liability ClaimsCyber LiabilityD&O/EPLRegulatory ClaimsProperty/ADPPre-Trial HearingsMediationsArbitrationsLitigated MattersRisk Management

About the role

Key responsibilities & impact

Manage liability claims, including hospital and employed physician claims and deductible-policy claims 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 according to 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, and negotiate or resolve claims
Determine when matters should be litigated through trial
Assign and work extensively with outside defense counsel
Select medical experts to review standard of care and causation
Review defense bills using bill review software and department guidelines
Conduct insurance coverage analysis and coordinate with insurance staff on coverage issues
Identify claims for the Early Liability Review Program and monitor timely expert evaluation and notification
Explain risk evaluations and resolution or litigation alternatives to market and group senior leaders
Explain claims and litigation processes to employed physicians named in lawsuits
Coordinate with Risk Management on investigations, discovery, claim valuation, litigation, and resolution
Maintain a diary system tracking claim progression
Obtain defense counsel reports and direct litigation efforts according to department guidelines

Requirements

What you’ll need

Bachelors 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
No language requirement specified

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 support
Continuing education support