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

Note: The job is a remote job and is open to candidates in USA. Ascension 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

• Oversee medical professional liability claims and litigation for the Ascension 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 all 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
• Oversee litigation assigned to external counsel pursuant to established guidelines. Manage panel counsel retained for litigated claims
• Develop 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 within 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