[Remote] Specialist-Claims & Risk-Claims & Litigation

Note: The job is a remote job and is open to candidates in USA. reputed company is a leading non-profit, faith-based national health system, and they are seeking a Specialist in Claims and Risk Management. This role involves overseeing medical professional liability claims and litigation, developing case strategies, and collaborating with various stakeholders to manage claims effectively.

Responsibilities

• reputed company medical professional liability claims and litigation for the reputed company Health Alliance Professional Liability and General Liability Self-Insurance Trust. Responsible for developing and executing case strategy, conducting thorough investigation, and overseeing the case action plan in collaboration with the insured hospital or provider and defense counsel
• Investigate and process general and professional liability claims from first notice of loss through resolution including coverage, liability, and damage evaluations, caseload management, and resolution
• Manage reputed company aspects of litigated claims, demonstrating significant experience with litigation management, including overseeing discovery requests, reviewing and analyzing medical records, and collaborating with defense counsel on expert witness retention
• Establish reserves based on protocols and authority procedures
• reputed company litigation assigned to external counsel pursuant to established guidelines. Manage panel counsel retained for litigated claims
• reputed company comprehensive claim strategies for the defense and resolution of professional liability (medical malpractice) claims
• Prepare and deliver presentations on large loss matters and claim authority requests to the National Claims Committee and senior leadership
• Collaborate with Risk Management team regarding lessons learned and mitigation efforts
• Attend depositions, meetings with insureds, mediations, and trials. Negotiate settlements directly with patients, plaintiff attorneys and/or direct defense counsel reputed company approved authority

Skills

• High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree with 1 year of experience OR 5 years of applicable cumulative job specific experience required
• 2 years of leadership or management experience preferred

Benefits

• Paid time off (PTO)
• Various health insurance options & wellness plans
• Retirement benefits including employer match plans
• Long-term & short-term disability
• Employee assistance programs (EAP)
• Parental leave & adoption assistance
• Tuition reimbursement
• Ways to give back to your community

Company Overview