Abbott
Healthcare
Manager,PatientClaims
“Manager, Patient Claims at Abbott. Skills: Patient claims management, Legal operations, Regulatory compliance. Manage patient claims lifecycle. Communicate with claimants”
What You'll Achieve.
Protect legal interests; Protect regulatory interests; Protect financial interests; Protect reputational interests; Ensure complete reporting; Ensure timely reporting; Ensure accurate reporting
Industry & Context.
Evaluate complex claims; Determine reasonable settlements; Exercise sound judgment; Analyze industry claims
5% travel, Continuous sitting, Keyboard use
What They're Looking For.
Must Have
Bachelor's Degree, 5+ years claims experience, 5+ years medical device legal operations, 5+ years insurance claims, 5+ years risk management, 5+ years regulated environment, Evaluate medical claims, Resolve medical claims, Evaluate technical claims, Resolve technical claims, Evaluate regulatory claims, Resolve regulatory claims
Nice to Have
Experience in medical devices, Experience in pharmaceuticals, Experience in FDA-regulated industries, Paralegal Certification, Investigative skills, Medical record review, Experience in CMS Section 111 reporting
What You'll Do.
Manage patient claims lifecycle
Communicate with claimants
Request necessary consents
Request necessary documents
Deliver claim decisions
Escalate regulatory risk
Escalate litigation risk
Investigate medical records
Investigate operative notes
Investigate product history
Investigate complaint data
Investigate field reports
Investigate physician information
Investigate hospital information
Determine product involvement
Determine claim valuation
Assess potential exposure
Develop settlement recommendations
Manage claim timelines
Manage claim resources
Manage cross-functional workflows
Ensure timely resolution
Ensure regulatory compliance
Negotiate settlements
Escalate novel matters
Escalate complex matters
Escalate high-exposure matters
Ensure FDA compliance
Ensure US privacy compliance
Ensure HIPAA compliance
Ensure anti-kickback compliance
Oversee CMS reporting
Ensure accurate RRE submissions
Maintain audit-ready case files
Maintain settlement documentation
Maintain correspondence records
Maintain system records
Lead legal team projects
Contribute to legal team projects
Conduct special investigations
Influence commercial teams
Ensure compliant patient interactions
Contribute to tactical planning
Contribute to execution planning
Analyze claims for patterns
Recommend process enhancements
Recommend risk mitigation strategies
Train stakeholders on best practices
How You'll Work.
Team & Collaboration
Cross-functional workflows; Cross-functional teams; Multiple stakeholders; Commercial teams
Communication Scope
Verbal communication; Written communication; Empathetic communication
Process & Methodology
Process improvement, System implementations, Policy development
Applying for this Manager, Patient Claims role?
Most applicants get filtered before a human reads their resume. See if yours makes the cut.
How to Apply on Workday
- Workday has a multi-step form — save your progress after every section.
- "Apply With LinkedIn" can fail or lose data; manual entry is more reliable.
- Watch for the "Submit for Review" final step — hitting "Save" alone does not submit.
- Job requisition numbers are useful when following up with HR by email.
ANONYMOUS · UNFILTERED
What do employees actually say about Abbott?
Real rants from real employees. Read before you apply.