National Healthcare Professional Liability -Senior Claims Consultant - Remote United States Job Responsibilities: Understanding client needs and programs Identify Healthcare client HPL exposures via quantitative loss analyses, qualitative reviews, discovery sessions with client stakeholders to provide consulting advice and services designed to mitigate exposures and drive operational improvement for clients. Improve client HPL claims management programs by examining and analyzing program elements and build best practice-oriented approaches to claims cost containment. Conduct and support risk, clinical quality, and safety process assessments with a focus on operational improvement and financial exposure mitigation; deliver virtual, onsite visits and reports summarizing findings and recommendations. Aon is in the business of better decisions At Aon, we shape decisions for the better to protect and enrich the lives of people around the world. As an organization, we are united through trust as one inclusive, diverse team, and we are passionate about helping our colleagues and clients succeed. What the day will look like: Client Advocacy Provide advocacy on behalf of assigned clients relating to services rendered by carriers and/or TPAs to include the review and revision of account instructions, addressing client service concerns and negotiating applicable renewal pricing and terms. Ensure the highest level of service from HPL claims administrator(s). Participate in telephonic or in-person claim reviews designed to result in resolution, inclusive of documenting claim specific outcomes, action plans and the appropriateness of reserving. Coordinates settlement approval of HPL claims with designated client contacts. Coordinates with legal counsel and other personnel involved in claims management and participate in final approval to defense strategies. Advises clients regarding payment approval of fees including defense counsel and payment of other expenses of claims defense Program Consultation Work collaboratively within teams including risk control, ergonomic and casualty claims staff to execute initiatives for pre and post loss strategies. Coordinates and consults with clients regarding appropriate reporting to all required outside agencies Consults with clients in the following claims management program elements: Reporting procedures Investigation procedures Claim Reserving Use of alternative dispute resolution mechanisms Monitoring of legal counsel Patient communications, to include claimants, attorneys, physicians, employees, brokers and consultants Claim settlements Claims coding taxonomy Compliance with Medicare/Medicaid case reporting regulations Business and Administrative Participate in periodic on-site client meetings regarding service delivery and stewardship. Establish project plans and budgets. Participate in business development opportunities as needed; articulate value propositions. Meet assigned billable hour utilization goals Skills and experience that will lead to success Ability to interpret a variety of data (loss information, statistics, quality reports, CMS data, etc.) to create strategic and tactical improvement plans. Solid technical background in exposures, controls and best practices in healthcare, including acute care, long term care, assisted living, behavioral health, ambulatory care, physician office practices. Detailed understanding of “batch” HPL claims and ability to work with clients to manage the claims process Understanding of jurisdictional variances across the country Working knowledge of the Safe Medical Device Act (SMDA) Familiarity with healthcare accreditations and quality scores, such as CMS Environment of Care Standards (EOC), Joint Commission EOC Standards, DNV EOC Standards, OSHA Standards applicable to healthcare, Working knowledge of Patient Safety Organizations (PSO) Familiarity with HPL insurance markets and attendance at meetings and market symposiums. Ability to establish rapport and maintain positive working relationship with clients and colleagues. Possess excellent written, verbal and presentation communication skills. Can work effectively on multiple tasks at any given time with minimal supervision and with deadlines Proficiency in computer applications and data management tools (Share Point, Microsoft applications) Travel: Approximately 25% Required Experience: 10 years of experience as an accredited claims professional, additional credentials such as a registered nurse or 5 or more years in the safety/risk management in industry and/or insurance consultation with 5 years of direct clinical experience in healthcare. Education: Bachelor Science/Art or Master Level in business, healthcare or related technical major. How we support our colleagues In addition to our comprehensive benefits package, we encourage a diverse workforce. Plus, our agile, inclusive environment allows you to manage your wellbeing and work/life balance, ensuring you can be your best self at Aon. Furthermore, all colleagues enjoy two “Global Wellbeing Days” each year, encouraging you to take time to focus on yourself. We offer a variety of working style solutions, but we also recognize that flexibility goes beyond just the place of work... and we are all for it. We call this Smart Working! Our continuous learning culture inspires and equips you to learn, share and grow, helping you achieve your fullest potential. As a result, at Aon, you are more connected, more relevant, and more valued. Aon values an innovative, diverse workplace where all colleagues feel empowered to be their authentic selves. Aon is proud to be an equal opportunity workplace. Aon provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, veteran, marital, domestic partner status, or other legally protected status. People with criminal histories are encouraged to apply. We welcome applications from all and provide individuals with disabilities with reasonable adjustments to participate in the job application, interview process and to perform essential job functions once onboard. If you would like to learn more about the reasonable accommodations we provide, email ReasonableAccommodations@Aon.com For positions in San Francisco and Los Angeles, we will consider for employment qualified applicants with arrest and conviction record in accordance with local Fair Chance ordinances. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Pay Transparency Laws: The salary range for this position (intended for U.S. applicants) $160,000 to $180,000 annually. The actual salary will vary based on applicant’s education, experience, skills, and abilities, as well as internal equity and alignment with market data. The salary may also be adjusted based on applicant’s geographic location. Whether it is bonus/commission eligible This position is eligible to participate in one of Aon’s annual incentive plans to receive an annual discretionary bonus in addition to base salary. The amount of any bonus varies and is subject to the terms and conditions of the applicable incentive plan. A summary of all the benefits offered for this position: Aon offers a comprehensive package of benefits for full-time and regular part-time colleagues, including, but not limited to: a 401(k) savings plan with employer contributions; an employee stock purchase plan; consideration for long-term incentive awards at Aon’s discretion; medical, dental and vision insurance, various types of leaves of absence, paid time off, including 12 paid holidays throughout the calendar year, 15 days of paid vacation per year, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, health savings account, health care and dependent care reimbursement accounts, employee and dependent life insurance and supplemental life and AD&D insurance; optional personal insurance policies, adoption assistance, tuition assistance, commuter benefits, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies. #LI-BK1 #REMOTE 2556786