Claims Manager in Waltham, MA at Benchmark Senior Living

Date Posted: 9/18/2020

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Waltham, MA
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    9/18/2020

Job Description

Want to make your mark? Join Benchmark, a new type of senior living company. At Benchmark, we impact lives through human connection. We are thought leaders creating quality experiences and inspiring personal growth for all who engage with us. We just happen to imagine, build and manage beautiful, private-pay communities geared toward older adults. Are you Called to Care about your work, other people and making a difference? Do you believe that people and teams are Better Together than going it alone? Are you always striving to Be the Benchmark by which all others are measured? Then our core values match. Connect with us –and to what truly matters!

Benchmark Senior Living (BSL) was founded in 1997 by Tom Grape, CEO, and is the largest provider of senior housing in New England. The Company, with its corporate offices located in Waltham, MA, offers the highest quality of service and care with the warmth and hospitality of home. BSL is a leading service provider in several key areas including: independent living, assisted living, memory care, skilled nursing and short stay programs. With a choice of lifestyles and differing levels of care, the company is able to tailor its services and/or living arrangements to suit the needs of each resident.

JOB SUMMARY:

Manage and administer the Company’s claims programs.  Work in a team environment, interacting with associates, adjusters, providers, community management, regional HR representatives, brokers, attorneys and others as necessary.  Investigate, document, audit, and resolve claims.  Oversee work of claims adjusters, analyze claims data to identify trends, reserve, monitor, report, negotiate, resolve, recommend measures and techniques to prevent similar claims in the future.  Manage and report on data and RMIS (Risk Management Information Systems).  Special projects as assigned.

RESPONSIBILITIES:

  • Manage all general liability, auto liability, and employment practices liability claims.
  • Oversee and administer workers compensation program and assist in developing and implementing new policies and programs.
  • Assist with first-party property and other claims as needed.
  • Identify potential high value and/or fraud claims and future strategy development.
  • Provide direction and training to community management on claims management issues and leadership within the Company on fact investigations and documentary evidence while identifying and developing defense witnesses.
  • Perform periodic file audits and individual review of high value claims as needed to ensure claim handling guidelines and best practices are adhered to. Coordinate and lead quarterly claim reviews with internal stakeholders, TPA, defense counsel and others as needed.
  • Manage and oversee RMIS (Risk Management Information System) database. Provide expertise to internal staff, work in conjunction with IT to resolve technical issues, identify and implement protocols as needed to ensure system is used most effectively.
  • Develop and maintain periodic incident and claim trending analysis and participate in presentations to executive team and others. Identify and develop new ideas related to trending and analysis of claims data.
  • Assist Safety Director to identify loss control measures which could prevent or reduce frequency or severity of claims. Analyze and evaluate their effectiveness.
  • Some travel required. Special projects as assigned.

Job Requirements

Requirements:

  • B.S. or advanced degrees in Risk Management or related fields and Paralegal certificate or equivalent experience and expertise.
  • 7-10 years of supervisory claims management experience in workers compensation and general liability.  Healthcare professional liability experience a plus. 
  • Strong skills in MS Office (Word, Excel, PowerPoint, and Teams) Working knowledge of RMIS and claims systems.
  • Strong communication skills within all levels of the Company and with partners and vendors.  Excellent analytical and problem-solving abilities. 
  • Prioritize effectively while meeting deadlines. 
  • Ability to work effectively in team environment.