Department/Unit:
Risk Management
Work Shift:
Day (United States of America)
Salary Range:
$77,075.00 - $119,466.00
Develop litigation strategies for management of claims, work with outside counsel on engagement of experts, life care planners, structure brokers and settlement strategies.
Minimum Qualifications:
Education:
High School Degree required
BS in Business, Law or related field required
Master’s preferred, Health Law
Claims Management:
Develop litigation strategies for management of claims, work with outside counsel on engagement of experts, life care planners, structure brokers and settlement strategies.
- Establish claims files immediately
- Conduct all interviews within specified timeframes
- Work with outside counsel on gathering information for defense
- Respond to discovery demands
- Manage reserve process by reviewing case with Vice President
- Check adequacy of reserves by reviewing with defense counsel semi-annually
- Track the litigation, anticipate trial dates, discovery dates, disclosure dates, etc. in accordance with Litigation Management Guidelines
- Manage expert retention according to established process
- Scheduling, internal and external to the office for related ligation meetings, pre-depositions, depositions, trial related
Data Management:
- Assumes day to day responsibility for data entry of all claims/suits/potentials in Stars
- Maintains regulatory compliance with reporting/updating all MMERS/MMDCS within DOH system
- Prepare clinical service reports for Vice President to present claims data to Department Chairmen
- Maintain accuracy of Sharepoint – litigation tracker for electronic requests and audit trails
- Complete PPR/Joint Commission standards in AMP system
