Claims Manager (Remote)

Remote, US

Join Aya Healthcare, named the #1 top workplace in the large company category by the San Diego Union-Tribune.

The Claims Manager, operating within Aya's legal department, will analyze and manage professional liability/medical malpractice as well as workers compensation claims. This position requires exceptional detail orientation in a fast-paced environment.  

This role will work PST or MST hours. 

WHO WE ARE:  

We’re a $10+ billion, rapidly growing workforce solutions provider in the healthcare industry. We deliver tech-enabled services that help healthcare organizations meet and manage their contingent labor needs. We build and manage tech-enabled marketplaces for national and local healthcare talent and deliver contingent labor management solutions through our proprietary software platform.  

At Aya, we’re obsessed with creating exceptional experiences for our clients, clinicians and employees. In fact, we put employee satisfaction above all else. Our team members are responsible for incomparable customer experience and we know that happy employees are critical to maintaining happy clients. We foster an entrepreneurial, high-energy, low-bureaucracy culture and value innovative thinking and creative problem solving. We embrace diversity in thought and backgrounds unified by a commitment to high achievement. When you join Aya, you’ll be surrounded by teammates who care about you as an individual and leaders who will help you grow both personally and professionally. 

RESPONSIBILITIES:

• Manage active and litigated Professional Liability and Workers Compensation claims – track, review, analyze, and update Corporate Counsel on all open matters. 
• Assist with claim investigations, monitor compensability determinations and review with outside counsel when necessary. Evaluate claim action plans and overall file quality to help achieve optimal claim outcomes. 
• Work regularly with outside counsel and insurance representatives to obtain up to date claim information and to analyze and approve investigation and reserve requests. 
• Ensure compliance with state regulatory rules and requirements. 
• Collaborate with specialty resources (medical and legal) to proactively pursue claim resolutions, and analyze settlement authority requests.  
• Regularly meet with Corporate Counsel to review claims and discuss claim strategy. 

REQUIRED QUALIFICATIONS:  

• 3+ years experience in Professional Liability and/or Workers Compensation (Indemnity) claims adjusting 
• Ability to work in fast-paced environment with large volume of matters 
• Strong knowledge of claim handling policies and procedures 
• Knowledge of medical terminology 
• Familiarity with claims in multiple jurisdictions 
• Experience working with a TPA 
• Experienced in litigation and settlement negotiations 
• Intermediate knowledge of WC and/or PL products and ability to apply available resources and technology to resolve claims and streamline the claim process 

WHAT WE OFFER:   

• Free premium medical, dental, life and vision insurance 
• Generous 401(k) match 
• Aya also offers other benefits to those that are eligible and where required by applicable law, including reimbursements and discretionary bonuses 
• Aya provides paid sick leave in accordance with all applicable state, federal, and local laws. Aya’s general sick leave policy is that employees accrue one hour of paid sick leave for every 30 hours worked. However, to the extent any provisions of the statement above conflict with any applicable paid sick leave laws, the applicable paid sick leave laws are controlling 
• Celebrations! We hit our goals and reward ourselves
• Company-sponsored virtual events, happy hours and team-building activities are always on the horizon — plus, you get a special treat on your birthday!  
• Unlimited DTO — we believe in time off!  
• Virtual yoga, meditation or boot camp classes offered daily   

COMPENSATION: Aya reasonably anticipates the pay scale for this position to be $43.27 to $52.88 hourly, which equates to $90,000 to $110,000 annually.  

The pay scale for this position may vary if applicant possesses experience outside of what Aya reasonably anticipates for this position. Bonuses are subject to the role and your manager’s discretion.   

Aya is an Equal Opportunity Employer (EEO), including Disability / Vets, and welcomes all to apply. Please click here for our EEO policy.