Claims Administrator

Claims Administrator

The primary function of this position is to coordinate the essential administrative functions related to Penn Medicine’s professional liability claims management including responsibility for maintaining a comprehensive claims database, preparing reports for actuaries, excess carriers and internal stakeholders, handling the opening and closing of claims and recording of reserves, and managing data requests. This position likewise supports the claims management team in all aspects of claims management.

Job Description

Job Responsibilities:

• Maintaining comprehensive claims database including responsibility to input and update information on claims including reserves, and reporting of potential claims to insurance carriers.
• Coordinating claims set-up including contact with filing party, verification of insurance coverage, data entry to record new claim, and submission of State Board letters.
• Managing responses to all claims data requests from brokers, auditors, excess carriers, and actuaries.
• Prepares reports, charts and print-outs with respect to claims and loss experience.
• Assist with and validates weekly check run for indemnity payments and vendor payments.
• Assist in all aspects of claims management including participation in reserving process, updating reserves, closure of cases including managing any requisite CMS reporting.
• Serves as liaison to database software vendor and internal information services.
• Assist with acceptance of service and responds to internal inquiries regarding information requests and subpoenas related to claims or potential claims.
• Provides assistance to risk management staff as needed to meet the goals of the risk management program.
• Other duties and responsibilities as assigned.

Qualifications

• BA/BS and 3-5 years of experience, or an equivalent combination of education and experience required.

• Possess ability to work independently, manage time effectively & use sound judgment.

• Sensitivity in handling confidential materials; strong verbal & written communication skills.

• Strong attention to detail skill, must be well-organized, self-starter with the ability to take initiative & find solutions to complex situations.

• Ability to prioritize work & have ability to meet simultaneous deadlines.

• Strong proficiency in Microsoft Office software applications, with particular emphasis on Access, Word, & Excel & ability to learn new software programs.

Preferred:

• Experience in a hospital legal office or insurance claims management office.

• Experience with Origami and iManage or similar programs.

• Job Location - City, State

• Philadelphia, Pennsylvania About The President's Center:

The mission of the President's Center is to support the President, the trustees, and the officers of the University; to assist the faculty, students, and staff in their teaching, research, and service activities; and to advance excellence at Penn. In addition to the President's Office, the President's Center includes the following units:

• Office of the President

• African-American Resource Center

• Almanac

• Office of Equal Opportunity Programs

• Office of the Associate Vice President for Equity and Title IX Officer

• Office of General Counsel

• Office of Institutional Research & Analysis

• Office of Government and Community Affairs

• Office of the Ombuds

• The Office of Religious and Ethnic Interests (Title VI)

• Office of Social Equity & Community

• Office of the University Secretary

• Office of University Communications

• WXPN

• To learn more, visit us at https://president.upenn.edu/university-leadership/presidents-center

• Department / School

• President's Center

• Pay Range

• $55,962.00 - $92,593.00 Annual Rate

• Salary offers are made based on the candidate’s qualifications, experience, skills, and education as they directly relate to the requirements of the position, and in alignment with salary ranges based on external market data for the job’s level. Internal organization and peer data at Penn are also considered.

• Equal Opportunity Statement

• The University of Pennsylvania is an equal opportunity employer. Candidates are considered for employment without regard to race, color, sex, sexual orientation, religion, creed, national origin (including shared ancestry or ethnic characteristics), citizenship status, age, disability, veteran status or any class protected under applicable federal, state or local law.

• Special Requirements

• Background checks may be required after a conditional job offer is made. Consideration of the background check will be tailored to the requirements of the job.

• University Benefits

• Health, Life, and Flexible Spending Accounts: Penn offers comprehensive medical, prescription, behavioral health, dental, vision, and life insurance benefits to protect you and your family’s health and welfare. You can also use flexible spending accounts to pay for eligible health care and dependent care expenses with pre-tax dollars.

• Tuition: Take advantage of Penn's exceptional tuition benefits. You, your spouse, and your dependent children can get tuition assistance here at Penn. Your dependent children are also eligible for tuition assistance at other institutions.

• Retirement: Penn offers generous retirement plans to help you save for your future. Penn’s Basic, Matching, and Supplemental retirement plans allow you to save for retirement on a pre-tax or Roth basis. Choose from a wide variety of investment options through TIAA and Vanguard.

• Time Away from Work: Penn provides you with a substantial amount of time away from work during the course of the year. This allows you to relax, take vacations, attend to personal affairs, recover from illness or injury, spend time with family—whatever your personal needs may be.

• Long-Term Care Insurance: In partnership with Genworth Financial, Penn offers faculty and staff (and your eligible family members) long-term care insurance to help you cover some of the costs of long-term care services received at home, in the community or in a nursing facility. If you apply when you’re newly hired, you won’t have to provide proof of good health or be subject to underwriting requirements. Eligible family members must always provide proof of good health and are subject to underwriting.

• Wellness and Work-life Resources: Penn is committed to supporting our faculty and staff as they balance the competing demands of work and personal life. That’s why we offer a wide variety of programs and resources to help you care for your health, your family, and your work-life balance.

• Professional and Personal Development: Penn provides an array of resources to help you advance yourself personally and professionally.

• University Resources: As a member of the Penn community, you have access to a wide range of University resources as well as cultural and recreational activities. Take advantage of the University’s libraries and athletic facilities, or visit our arboretum and art galleries. There’s always something going on at Penn, whether it’s a new exhibit at the Penn Museum, the latest music or theater presentation at the Annenberg Center, or the Penn Relays at Franklin Field to name just a few examples. As a member of the Penn community, you’re right in the middle of the excitement—and you and your fam