Manager, Risk Management Claims

The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S. and has supported over 16,000 healthcare professionals and team members at more than 1,200 health and wellness offices across 46 states in three distinct categories: Dental care, urgent care, and medical aesthetics. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that healthcare can be better and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of four consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, Chapter Aesthetic Studio and our newest addition Lovet. Each brand has access to a deep community of experts, tools and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale. As a reflection of our current needs and planned growth we are very pleased to offer an opportunity to join our team as a Risk Management, Claims Manager. Job Summary: The Risk Management Claims Manager will manage the administration of claims for incidents for multiple companies located in multiple states, along with a team of claims specialists. This will include managing the service of insurance carriers (“Carrier”), vendor partners, and any other service providers related to the managing of claims with oversight of claims reviews and internal claims management. Loss Run review for each line of coverage with carrier and ensure proper handling of all claims. Under the general direction of the Director of Risk Management, the Manager is responsible for mitigating, reporting, and managing Workers’ Compensation, Commercial General Liability, Property, Business Interruption and General Incident Review; through risk and claims by formulating, developing, and coordinating all claim-related activities. Management of incidents by providing communication between internal parties and carriers, incorporating direct support of the field through mitigation recommendations and actions. As a manager within the Risk Management Department other responsibilities will include leader of the Severe Weather Task Force, which includes field support of incoming inclement weather, management of the office tracker, and follow up on any property or business interruption (BI) claims with the partnership of the facilities team. This position will also support in the areas of Loss Control and Safety Training. The manager will be responsible for ensuring claims responsiveness across TAG and supported practices. Responsibilities:

• Documentation/Database Management: Maintain accurate and organized records of risk management and claims/incidents via internal and external systems, including loss run review.
• Risk Mitigation: Collaborate with relevant stakeholders to develop and implement risk management and compliance strategies, promoting a culture of patient/animal safety and minimizing potential liabilities.
• Communication and Collaboration: Serve as a point of contact and liaison between doctors, operations, field, and other support departments facilitating effective communication and collaboration to address risk management and claims related issues.
• Industry Knowledge: Stay updated with severe weather incidents, industry trends, legal regulations, and emerging risk management and compliance practices for all brands and recommend adjustments to policies and procedures accordingly.
• Data presentation: Run reports from databases for risk management and claims events to present to stakeholders.
• Other duties as assigned.

Qualifications:

• Bachelor’s degree in a relevant field (e.g., healthcare administration, risk management, compliance or a related discipline) or equivalent experience.
• Prior experience in risk management, compliance, or a similar role within the healthcare or dental industry in Claims Management.
• Excellent organizational skills with attention to detail and the ability to manage and maintain accurate records and staff oversight.
• Strong communication and interpersonal skills to effectively interact with providers, and other stakeholders.
• Ability to work independently, prioritize tasks, and manage multiple deadlines efficiently.
• Proficiency in using computer applications and databases for documentation, data reporting and record-keeping purposes.

Annual pay range: $100-125k, plus 10% bonus A generous benefits package that includes paid time off, health, dental, vision, and 401(k) savings plan with match View CA Privacy Policy Apply tot his job Apply To this Job