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NewYork-Presbyterian Hospital: Claims Representatives - Make It Possible
At NewYork-Presbyterian Hospital, we commit world-class resources to patient care with amazing results. As the healthcare industry rapidly evolves, we depend on our exceptional litigation management team to help us maintain the interity of our care. We’re saving lives and leading the field of medicine, and now you can help make it possible.
We are currently seeking a dynamic and highly knowledgeable Claims Representative to join our team. In this position, you will be responsible for the overall management of healthcare-related professional liability and associated general liability claims. Your knowledge of claims policies and guidelines will be crucial as you review coverage, direct claims investigations, monitor and control activities of outside defense counsel, determine liability and compensability, secure information, and negotiate and settle claims with plaintiff counsel.
This position also will also:
Review, evaluate and analyze information relating to claims, lawsuits and events by reviewing medical records, conducting interviews with hospital staff, and collecting evidence related to claims. You’ll determine exposure and report findings to Associate General Counsel/Director of Claims and Litigation Management; and evaluate, set and maintains reserves within assigned authority levels.
Facilitate effective communication with hospital administration, professional and ancillary staff and outside legal counsel in order to assist in the defense of cases, which includes the preparation of cases for trials.
Administer the professional and general liability insurance program, review correspondence, meeting with, guiding, and directing outside defense counsel to ensure compliance with the hospitals claims management program.
Engage in settlement negotiations with plaintiffs’ attorneys within assigned authority levels, direct further action regarding defense strategy, settlements or appeals. Manage approved investigation including use of surveillance, outside expert opinions and physical examinations.
Preferred Criteria
Required Criteria
Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, diversity, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today.
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NewYork-Presbyterian Hospital is an equal opportunity employer.
Salary Range:
$114,000-$157,500/AnnualIt all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works.
Full Time
Hospital
$65k-79k (estimate)
02/21/2023
04/30/2024
nyp.org
NEW YORK, NY
15,000 - 50,000
Private
MARK WELLER
$5B - $10B
Hospital
The job skills required for Claims Representative include Claims Management, Knowledge of Claims, Health Care, Insurance Industry, Integrity, etc. Having related job skills and expertise will give you an advantage when applying to be a Claims Representative. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Claims Representative. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Claims Representative positions, which can be used as a reference in future career path planning. As a Claims Representative, it can be promoted into senior positions as a Claims Clerk III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Claims Representative. You can explore the career advancement for a Claims Representative below and select your interested title to get hiring information.
If you are interested in becoming a Claims Representative, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Claims Representative for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Claims Representative job description and responsibilities
After careful review, the representative can approve, deny or escalate a claim.
02/12/2022: Buffalo, NY
As for eligible claims, they also calculate the benefit amount to pay out to policy holders.
01/22/2022: Duluth, MN
Determines claims coverage by examining company records. Responsible for calculating claims amounts and submitting claims for payment.
02/19/2022: Alexandria, LA
In this position, you will process insurance claims made by our customers, determining the amount of coverage they are eligible to receive through their current policy and authorizing payments.
01/06/2022: Salisbury, NC
Network with insurance agencies in the area to find leads on claims representative positions.
03/26/2022: Columbia, SC
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Claims Representative jobs
Interpret customer policies and coverages
03/17/2022: Indianapolis, IN
Organizational skills and Computer proficiency are highly needed.
12/30/2021: Monterey, CA
Negotiate settlements
02/02/2022: Omaha, NE
Maintain customer records
03/18/2022: Idaho Falls, ID
Wait for the claim to be processed.
03/23/2022: Parkersburg, WV
Step 3: View the best colleges and universities for Claims Representative.