A Brief OverviewPrimary responsibility for managing, investigating, and resolving professional and general liability claims for the Stanford Medicine enterprise. Requires coordination with internal stakeholders and staff, as well as oversight and management of panel counsel. Analyzes complex medical claims and evaluates exposure and liability. Assists in handling other types of exposures as warranted, including cyber/privacy, construction, and property claims.
LocationsStanford Health Care
What you will do- Develops action plan for managing litigated claims, evaluates insurance coverage, attends mediation and trial, monitors litigation costs, handles discovery, and provides recommendations for ultimate resolution.
- Oversees legal defense strategy, retains outside counsel, coordinates support for investigation, reviews attorney invoices, and monitors counsel's compliance with litigation management guidelines.
- Investigates pre-suit claims, reviews medical records, interviews providers, retains consultants when necessary, communicates with patients and/or families, and directly negotiates settlements when warranted.
- Prepares claims reports and settlement evaluations. Presents high-exposure cases to leadership and stakeholders, including reinsurance partners.
- Maintains accurate defense and indemnity reserves.
- Manages claims files in internal database. Inputs all work product to ensure case information is accurate and entered in a timely manner.
- Investigates cyber and privacy claims. Pursues recovery in construction and property claims. Manages associated insurance reporting and communication requirements.
- Assists in other matters as assigned. Handles Medical Board and NPDB reporting. Prepares and conducts Risk Management educational presentations.
Education Qualifications- Juris Doctor (JD) required. California license preferred.
Experience Qualifications- Five (5) years of progressively responsible and directly-related claim management experience.
Required Knowledge, Skills and Abilities- Strong writing, communication, and presentation skills.
- Effective negotiation skills.
- Ability to analyze complex legal problems and develop solutions.
- Ability to review and evaluate medical records and literature.
- Knowledge of laws pertaining to professional and general liability litigation.
- Ability to work effectively both as a team player and leader.
Licenses and CertificationsBase Pay Scale: Generally starting at $100.03 - $132.51 per hour
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.
