Claims Manager

Job Description:

Are you passionate about helping others? Would you like to make a difference in someone’s life? If you answered yes, we encourage you to join the Sunrise family! Sunrise is one of the largest, private not-for-profit organizations in the country dedicated to serving people with intellectual and developmental disabilities. At Sunrise we pride ourselves in taking an individualized approach in addressing the unique needs of each person seeking or receiving services. As an employer, we seek to provide an environment of growth and development for our employees that is consistent with recognizing the rights, needs, and wants of all people.

Purpose:

To manage and coordinate all claims for the organization.

Qualifications:

• Must successfully complete the required pre-employment Background and Drug Screenings
• Must possess a valid Driver's License with all necessary endorsements and have a minimum of 3 years of driving experience
• Must possess an Bachelor’s Degree
• Must possess at least seven years of experience in a Claims or Risk Management capacity
• Must have at least 2 years' experience in a supervisory role
• Must possess strong analytical and computer skills 
• Travel: Up to 10%

Essential Functions:

• Manages all claims throughout the Organization.
• Handles with the following functions regarding claims: reporting litigated claims to carriers, opening files for each claimant, assisting with requests of production of documents and discovery, scheduling depositions as needed, processing payments and invoices from attorneys and or insurance carrier
• Communicates with corresponding claim adjusters to make sure they have all pertinent information. Contacts adjusters and respond to any questions. 
• Coordinates all meetings and communications between counsel, insurance adjusters, and employees.
• Maintains communication with operations to obtain claim forms or any items relevant to the claim as well as accommodation matters.  Answers, updates, and provides assistance to the relevant parties in field regarding claims.
• For WC claims, keeps track and makes sure the employee is attending the follow-ups to address their current work status and progress. Provides updates to the field as well as to the adjuster on file; coordinates transitional duty accommodations between operations, employee, and carrier.  Monitors length of time of accommodations and follows up on the timing of Maximum Medical Improvement for injured workers ensures compliance with Company procedures and State and Federal regulations.
• Assists Quality Enhancement department with incident reports and attends all pertinent meetings.
• Responsible for processes, including, but not limited to claim budgeting, claim bill processing, and tracking financial spends.
• Attend required meetings and trainings.
• Supervises and manages claims staff.
• Acts as backup for VP of Risk Management in their absence.
• Performs all other duties as assigned.

This position will remain open until filled. If you were referred by a current Sunrise employee, please make sure to indicate so when completing the employment application process.

This company is a Drug-Free Workplace. As part of our policies, all candidates for employment must submit to a pre-employment drug screening after receiving a conditional offer of employment. A positive confirmed screening, or refusal to submit to such screening, will result in a withdrawal of the conditional job offer.

Direct Support roles within this organization are mandated reporters, and as such must report any instances of abuse, neglect, or exploitation that they are involved in or witness.

Sunrise is an equal opportunity employer. We are committed to creating an inclusive environment for all employees.

Compensation and benefits estimated range: the pay range represents the base hourly rate or salary that the company in good faith believes it will pay for this position at the time of posting. Final compensation is determined by factors including geographic location, skills, education and relevant experience.

Benefits Offered: At Sunrise Community, Inc. we provide a comprehensive benefits package designed to support our employees' health, wealth and wellbeing. For this position benefits include: Paid time off, Retirement plan, Health insurance, Vision insurance, Dental insurance, Employee assistance program and more.