Regional Claims Manager manages the operations of an insurance claims department to meet operational, financial, and service requirements. Oversees the intake and processing of insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Being a Regional Claims Manager manages appraisal and examination staff and processes. Assures timely and proper disposition of claims based on policy provisions. Additionally, Regional Claims Manager recommends and implements best practices to ensure complete and thorough claim settlements, legal reviews, and investigations following company policies and insurance industry regulations. Determines the value of settlements for escalated claims. Manages negotiations of settlements and administration of claims in litigation. Typically requires a bachelor's degree. Typically reports to top management. The Regional Claims Manager typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Regional Claims Manager typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)
Position Summary:
Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex patient care. In partnership with the Nurse Director, assist in planning, coordinating, and implementing patient care in an assigned area/department to focus on consistent, quality care and improvement of care, safety, and satisfaction. Accountable for healthcare outcomes for a specific group of patients in an area/department through the application of research-based information to design, implement, and evaluate patient plans of care. Supervises the Registered Nurse, Licensed Practical Nurses, and Patient Care Assistants for their team. Maintains adequate staffing/supplies to provide quality patient care.
Years of Related Experience
Licensure/Certification/Education (Required):
Steward Health Care is an Equal Employment Opportunity (EEO) employer. Steward Health Care does not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic.
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