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Job Details

Claims Manager *Remote. Most States Eligible*

  2025-09-17     Providence Health Plan Group     all cities,AK  
Description:

Overview

Description and responsibilities for the Claims Manager role. Remote position; candidates residing in AK, WA, MT, OR, CA or TX are encouraged to apply.

Responsibilities
  • Oversee day-to-day general and professional liability claims in accordance with the System's claims program policies and procedures within an assigned Region or scope of responsibility.
  • Investigate, evaluate, and manage professional and other liability claims against the organization as assigned or directed by the Director of Risk & Claims.
  • Maintain up-to-date and accurate claims files, including summaries, action plans, and claims status in the claims data management software.
  • Coordinate with facility leadership, risk managers, defense counsel, and others; ensure compliance with relevant claims reporting procedures and required regulations.
  • Provide feedback and recommendations to the Director of Risk & Claims on evaluations, litigation trends, department policies and procedures, system-wide claims and litigation processes, and risk management issues.
  • Foster teamwork, operational excellence, and effective communication within the claims team and with other Claims Managers, Claims Technicians, and Claims Specialists.
  • Demonstrate distinction from senior management by handling claims with smaller loss potential and less complex nature.
Required Qualifications
  • Bachelor's Degree in Business Administration, Finance, or a related discipline, or an equivalent combination of education and experience in the insurance industry; claims management; or legal handling of claims issues.
  • 5 years of relevant general claims processing or management experience, or an equivalent combination of direct legal work (e.g., as a litigator or paralegal), health care or general risk management, and insurance claims handling.
Preferred Qualifications
  • Upon hire: Certified Professional Healthcare Risk Management (CPHRM).
  • Experience with a mix of general liability claims, including at least 10 claims with significant bodily injury, and experience with STARS software.
  • Healthcare experience.
Salary Range by Location

AK: Anchorage: Min: 45.14, Max: 70.07; AK: Kodiak, Seward, Valdez: Min: 47.05, Max: 73.04; California: Humboldt: Min: 47.05, Max: 73.04; California: All Northern California - Except Humboldt: Min: 52.79, Max: 81.94; California: All Southern California - Except Bakersfield: Min: 47.05, Max: 73.04; California: Bakersfield: Min: 45.14, Max: 70.07; Montana: Except Great Falls: Min: 36.34, Max: 56.41; Montana: Great Falls: Min: 34.43, Max: 53.44; Oregon: Non-Portland Service Area: Min: 42.08, Max: 65.32; Oregon: Portland Service Area: Min: 45.14, Max: 70.07; Texas: Min: 34.43, Max: 53.44; Washington: Western - Except Tukwila: Min: 47.05, Max: 73.04; Washington: Southwest - Olympia, Centralia & Below: Min: 45.14, Max: 70.07; Washington: Tukwila: Min: 47.05, Max: 73.04; Washington: Eastern: Min: 40.16, Max: 62.35; Washington: South Eastern: Min: 42.08, Max: 65.32

Why Join Providence

Our best-in-class benefits are designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

Providence is committed to Know me, care for me, ease my way. We foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Our network serves in multiple states with a broad range of health and social services. We strive to continue a long tradition of serving the poor and vulnerable.

The base pay range is listed here; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including retirement savings, health care, life and disability insurance, paid time off, voluntary benefits, well-being resources, and more. The full benefits information is available on the job posting.

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