Claims Risk Manager Jobs in Baton Rouge, LA (NOW HIRING)

About this Job ABOUT THE PATIENT'S COMPENSATION FUND The Patient's Compensation Fund (PCF) was created in 1975 to provide an affordable and guaranteed medical malpractice coverage system for the private healthcare providers in the state. The Patient's Compensation Fund is a self-funded state entity, operating independently of the main state budget, and governed by the PCF Oversight Board. The Patient's Compensation Fund provides protection for the healthcare system, keeping costs down, and providing a guaranteed pool of funds to pay those citizens injured from medical malpractice of private care providers.

We are a small agency invested in retaining a skilled, productive, engaged, diverse team that we support through training and development, building connections, and supporting a harmonious work-life balance while delivering quality services to the citizens of Louisiana. ABOUT THIS POSITION This is an extremely responsible professional position. Supervision is exercised over journeyman-level to professional-level adjusters.

The position involves application of claims law, knowledge of medical procedures and terminology, claims investigation and evaluation, current jurisprudence, claims and medical management, and particularly the medical malpractice statute, LA R.S. 40:1299.41, et seq. Working under the guidance of legislative mandate, this section provides efficient and economic claims handling of medical malpractice cases as an excess carrier

The cases ultimately adjusted within this section are complicated and have damages of the highest value, over $100.000.00, and are all litigated. AN IDEAL CANDIDATE WILL POSSESS THE FOLLOWING COMPETENCIES: Building and Supporting Teams: The ability to combine one's actions and efforts with others to work toward achieving a common goal. Displaying Expertise: The ability to demonstrate specialized knowledge, skills, and experience to apply subject-matter expertise in diverse and evolving contexts

Making Accurate Judgments: The ability to assess options, weigh risks, and make sound decisions using available information and logical reasoning. Acting with Ethics and Integrity: The ability to make choices that reflect ethical standards, integrity, and honesty, regardless of circumstances or personal benefit. Displaying Professionalism: The ability to uphold workplace standards through consistent conduct, responsible communication, and consideration for others.

Leading Effective Teams: The ability to build, guide, and motivate teams to achieve goals through collaboration, accountability, and shared purpose. Managing Performance: The ability to plan, monitor, and document employee performance throughout the year. Solving Problems: The ability to identify root causes, analyze relevant data, and apply practical or innovative solutions to challenges.

Training Others: The ability to design and deliver training experiences that build knowledge, develop skills, and improve performance. Minimum Qualifications Six years of experience in insurance claims adjusting, examining, or investigation; accident investigation, legal research, project management, contract management, or construction management; OR Six years of full-time work experience in any field plus three years of experience in insurance claims adjusting, examining, or investigation; accident investigation, legal research, project management, contract management, or construction management; OR A bachelor's degree plus three years of experience in insurance claims adjusting, examining, or investigation; accident investigation, legal research, project management, contract management, or construction management; OR An advanced degree in risk management or insurance, business or public administration, safety or legal studies, construction management, or a health services field plus two years of experience in insurance claims adjusting, examining, or investigation; accident investigation, legal research, project management, contract management, or construction management. EXPERIENCE SUBSTITUTION: Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of full-time work experience in any field.

The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field. Job Specification The official job specifications for this role, as defined by the State Civil Service, can be found here. Job Duties and Other Information The State Risk Adjuster 5 is a supervisory role that oversees a team of State Risk Adjusters responsible for resolving claims in a manner that meets the needs and interests of Louisiana healthcare providers and those injured as a result of medical malpractice incidents.

The role will actively engage with the claims leadership team; provide technical guidance to risk adjusters; provide direction on claim resolution; evaluate claims for authority, reserve accuracy, and payment; and manage employee and team performance. A successful candidate will foster a culture of excellence and servant leadership for those they have the privilege to serve. "The best test...is: Do those served grow as persons

Do they, while being served, become healthier, wiser, freer, more autonomous, more likely themselves to become servants?" (Greenleaf) POSITION-SPECIFIC DETAILS: Appointment type: Classified, Probationary and Promotional Compensation: The actual starting salary depends on the experience of the selected applicant. HOW TO APPLY: No Civil Service test score is required to be considered for this vacancy. To apply for this vacancy, click on the "Apply" link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities.

Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page. *Please identify ALL work experience with each employer on your job application.

Please submit a complete job history. Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.* For further information about this vacancy, contact: Taylor Colar Patient's Compensation Fund/Human Resources PO Box 3718 Baton Rouge, LA 70821 225-342-5200 All prospective new hires will be subject to employment eligibility verification via the federal government's E-Verify system

As an Equal Opportunity Employer, PCF is committed to a diverse and inclusive workplace prohibiting discrimination based on any non-merit factor. PCF is a State as a Model Employer (SAME) agency that supports improved employment opportunities for individuals with disabilities.