Claims Administrator at The University of Pennsylvania in FMC Tower

Job description

University Overview The University of Pennsylvania, the largest private employer in Philadelphia, is a world-renowned leader in education, research, and innovation. This historic, Ivy League school consistently ranks among the top 10 universities in the annual U.S. News & World Report survey. Penn has 12 highly-regarded schools that provide opportunities for undergraduate, graduate and continuing education, all influenced by Penn’s distinctive interdisciplinary approach to scholarship and learning. As an employer Penn has been ranked nationally on many occasions with the most recent award from Forbes who named Penn one of America’s Best Large Employers in 2023. Penn offers a unique working environment within the city of Philadelphia. The University is situated on a beautiful urban campus, with easy access to a range of educational, cultural, and recreational activities. With its historical significance and landmarks, lively cultural offerings, and wide variety of atmospheres, Philadelphia is the perfect place to call home for work and play. The University offers a competitive benefits package that includes excellent healthcare and tuition benefits for employees and their families, generous retirement benefits, a wide variety of professional development opportunities, supportive work and family benefits, a wealth of health and wellness programs and resources, and much more. Posted Job Title Claims Administrator Job Profile Title Claims Administrator Job Description Summary 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. Experienc