Health Insurance Case Managers - RN - Medical Professionals
- Employer
- ProAssurance Corporation
- Location
- Columbus, OH
- Salary
- Not Specified
- Posted
- Apr 14, 2017
- Closes
- Jun 15, 2017
- Ref
- 2838356540#GIJ--J2CBackfill.1
- Category
- Health and Medical
- Job Type
- Not Specified
- Career Level
- Not Specified
Health Insurance Case Manager - RN - Clinical Medical ProfessionalsCase ManagerProAssurance is hiring a Health Insurance Case Manager in Columbus, OH!Clinical Medical professionals, play an active role in helping ProAssurance achieve its Mission of Protecting Others by living the Core Values of Integrity, Leadership, Relationships and Enthusiasm in everything that we do.The primary responsibility of the Case Manager position is the direct management of assigned medical claims including claims investigation, coverage analysis, monitoring of defense counsel activities, control of legal expenses, reserving, and providing technical clinical expertise throughout the life of the claim file. Case Manager Essential Duties and Responsibilities Provide direction and guidance throughout the life of the claim Participate in review processes to evaluate liability, case value, and reserving functions Direct defense counsel with regard to settlement values, defense tactics and strategies per department guidelines Participate in negotiations when appropriate Attend trials, settlement conferences, mediations, and insured meetings Participate in selection of expert witnesses when appropriate Review and approval of reasonable legal expenses and fees associated with the claim file, and negotiate adjustment of charges when appropriate Maintain communication with supervisor and counsel Willingness and ability to be available beyond normal business hours Ensures proper file documentation of assigned files by complying with company and state requirements Responsible for preparing reports for management by collecting, analyzing, and summarizing claim information Keep apprised of changes in the law and court procedures affecting claims in jurisdictions supervised Extensive travel may be required Health Insurance Case ManagerQualifications Bachelor's degree required Advanced degree or certification in the medical, legal or insurance field preferred Minimum two years experience in the medical, nursing, or legal field Professional liability experience preferred Proven leadership, communication, and writing skills, strong interpersonal, and relationship management expertise Excellent organizational skills and the ability to handle multiple tasks effectively Willingness to travel Valid driver s license required Join us at ProAssurance today!Apply now!