Montana Licensed Medical Claims Manager

Job Summary

A company is looking for a Sr. Professional Liability Medical Claims Manager who will manage professional liability claims and ensure compliance with relevant regulations.

Key Responsibilities

• Investigate, evaluate, and manage liability claims, including communication with stakeholders and analysis of medical records
• Maintain complete documentation for each claim and coordinate with facility leadership and defense counsel
• Negotiate settlements and provide input to reduce risk through evaluations and recommendations

Required Qualifications

• Bachelor's Degree in Business Administration, Finance, or a related field, or equivalent experience in insurance or claims management
• 7 years of relevant general and professional liability claims processing or management experience