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Risk Claims Manager

Company: Rotech Healthcare Inc.
Location: Orlando
Posted on: April 3, 2024

Job Description:

About Rotech

Rotech Healthcare Inc. is a national leader in providing ventilators, oxygen, sleep apnea treatment, wound care solutions, diabetic solutions and home medical equipment. We help patients lead a more comfortable and productive life by keeping them engaged in their care and empowering them to manage their health and treatment at home. Rotech provides high quality medical products, services and outstanding customer care through hundreds of locations across 45 states. For additional information, visit our company homepage
Overview and Responsibilities

SummaryWe are seeking a dedicated Risk Claims Manager to join our corporate team. In this position, you are responsible for administration of claims management programs and processes, communications with insurance third party administrators and adjusters, communication of programs to business units, and departmental accounting. Essential Duties and Responsibilities

  • Assist in development and management of "Return to Work" programs, Automobile Liability Programs
  • Assist with Corporate Insurance procurement and with management of Corporate Insurance Program
  • Attend trials, hearings or claims mediations, as warranted
  • Audit outside claims administrators (TPAs) for effectiveness and cost containment
  • Coordinate and attend business unit claims reviews
  • Coordinate responses to litigation discovery
  • Develop and maintain a Claims Manual for distribution to corporate and business units management and supervisory personnel
  • Develop and maintain claim Reserve Reports
  • Develop and provide management reports for current and historical claims activities and large losses
  • Develop procedures for business unit claims reporting and handling
  • Manage property liability and other insurance claims reporting, investigation and dispositions
  • Manage workers compensation, general liability, and auto liability claims reporting, investigation and disposition
  • Recommend amounts for reserves and settlement of casualty losses
  • Review and provide claims data to management and business units, identifying trends and appropriate techniques to contain costs
  • Serve as a resource to business units and management with a focus on identifying risks and loss potential and containing costs
  • Serve as a resource to the Legal Department staff, outside defense attorneys and Rotech field employees in litigation process
  • Support Rotech safety programs and initiatives and aid in compliance with all OSHA regulations, state worker's compensation laws, and other governmental safety laws and regulations
  • Work with Rotech's insurance consultants and third party administrators and manages adjusters assigned to particular claims
  • Performs other duties as assigned
    Qualifications

    Employment is contingent on
    • Background investigation (company-wide)
    • Valid driver's license in state of residence with a clean driving record (when applicable for the position)Education and/or Experience
      • College degree, preferably with area of study in Business, Finance or Risk Management
      • CPCU, ARM, or ACM designation
      • Minimum ten years in claims management, requiredSkills, Knowledge and Abilities
        • Accurately perform simple mathematical calculations
        • Effectively communicate in English; both oral and written
        • Interpret a variety of communications (verbal, non-verbal, written, listening and visual)
        • Knowledge of medical equipment, preferred
        • Knowledge of medical billing practices and of billing reimbursement, preferred
        • Maintain confidentiality, discretion and caution when handling sensitive information
        • Medical terminology, preferred
        • Multi-task along with attention to detail
        • Self-motivation, organized, time-management and deductive problem solving skills
        • Work independently and as part of a team
        • Excellent oral and written communication skills
        • Strong interpersonal skills
        • Excellent administrative and organizational skills
        • Computer skills in Windows environment, working knowledge of Word, Excel, Access, Outlook, on-line claims database systems (especially Risk Advantage)
        • Strong Leadership Qualities
        • Willingness to serve as an active member of the Corporate Team
        • Hands on administrative and management skillsPhysical Demands
          • Lift and carry office equipment at times around the office
          • Requires sitting, walking, standing, talking or listening
          • Requires close vision to small print on computer / tablet and or paperworkMachines, Equipment and Technical Abilities
            • Email transmission and communication
            • Internet navigation and research
            • Microsoft applications; Word and Excel
            • Office equipment; fax machine, copier, printer, phone and computer / tablet
              Rotech Information

              Benefits
              • 401k
              • Medical, Dental and Vision
              • Life Insurance and Disability
              • Generous Paid Time Off and Paid Holidays
              • Employee Discount Program
              • Employee Recognition Program
              • Bonus and Incentive Opportunities
              • Mileage reimbursement (when applicable for the position)
              • Telephone reimbursement (when applicable for the position)Make the Right Move and Submit your Resume Today! The hiring manager reviews resumes and contacts applicants that have related experience to the applied position. To view the status of a position that you submitted your profile to, . All positions are posted for a min of 5 days and positions are opened until filled with a qualified applicant, generally no greater than 200 days. We appreciate your interest in Rotech Healthcare Inc. Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individuals with Disabilities. Rotech Healthcare Inc. recruits, employs, trains, promotes, transfers, separates from employment and compensates employees without regard to membership in, association with, or perception of race, color, age, gender, gender identity, religion, creed, national origin, ancestry, citizenship, marital status, veteran status, sexual orientation, physical or mental disability, pregnancy or any other personal characteristic protected by applicable federal, state and local laws governing nondiscrimination in employment in each locality where Rotech has employees.

Keywords: Rotech Healthcare Inc., Orlando , Risk Claims Manager, Executive , Orlando, Florida

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