One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $11.6 billion in 2020. In 2021, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in 2020, ranked #281 on the Fortune 500; and listed #330 in Forbes ranking of U.S.’ Largest Public Companies. Headquartered in King of Prussia, PA, UHS has 89,000 employees and through its subsidiaries operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 38 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
The UHS Corporate Insurance Department is hiring a Medical Malpractice Claims Examiner to manage high severity professional and general liability claims by investigating, analyzing, evaluating exposures and bringing the cases to a timely and reasonable resolution by maintaining compliance with the UHS claims philosophy and guidelines.
Key Responsibilities include:
Gather, investigate and analyze information and documents from Risk Managers regarding general liability, and professional liability/medical malpractice claims
Maintain an average diary of 150-175 mid-range exposure claims. Monitor diary on 30, 60, 90 day schedule and document ongoing liability and damage evaluation in claims system
Evaluate primary and excess insurance coverage. Report exposures in excess carrier promptly and according to excess carrier requirements. Provide ongoing updates and communication regarding claims to excess carriers
Communicate regularly with defense counsel to plan and execute defense strategy along with ongoing communication regarding exposure analysis
Negotiate settlements directly with patients, plaintiff attorneys and or directs defense counsel until the case is settled. Find alternative ways to reach cost effective end results in which all parties benefit. Recommends solutions to claims
Monitor and controls defense expense. Approves defense invoices in billing system. Follows UHS cost control and billing guidelines
Attend mediations and trials. Provide prompt updates to supervisor and senior management
Prepare claim summary reports according to UHS Claims guidelines for claims reserved in excess of $1M, claims with scheduled mediations/trials, claims requiring settlement authority and claims that have been settled
Bachelor's degree with 5 - 8 years' experience.
Strong insurance knowledge, including ability to interpret policy and basic foundation of litigation
Superior computer skills and oral/written communication skills are necessary
Must be organized, able to work with all levels of people and have an understanding of the end result
10% travel required
This opportunity provides a rewarding career, challenging and rewarding work environment as well as growth and development opportunities within UHS and its subsidiaries, including competitive compensation, excellent Medical, Dental, Vision and Prescription Drug Plan, and 401k with company match.
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.