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Carrot Peelers, Sales, Personality and Your Job Search
In-House
Attorney
Litigation
Litigation - Whistleblower - CFTC
Min 5 yrs required
Senior Director Claims, Privacy & Litigation Counsel Duties: Provides leadership and direction to ensure cost effective and successful management of liability claims and litigation, including the handling of claim files, creating reports, database entries, establishing and following standardized claims management procedures and other claims management responsibilities. Creates, monitors and updates policies and procedures. Serves as a role-model for the organizations mission, vision, values, and behaviors. Manages caseload of higher exposure cases, and provides direction and legal advice to Claim Directors and Specialists on other claims and litigated matters. Establishes and implements standardized excess reporting guidelines and reviews and responds to queries regarding excess carrier reports and loss runs. Oversees trial preparation for major claims. Within delegated authority limits, independently negotiates or directs the negotiation of the claims/lawsuits to resolution. Represents facility, physician, and/or organization at case evaluations, pre-mediation meetings with families and mediators, mediations and trial. Provides legal advice and counsel to employees, leadership, and captive insurer relating to risk management issues, risk mitigation issues, and settlement and litigation strategies. Provides legal advice and direction to the organization with respect to incidents, potentially compensable events, claims or suits. Directs privileged investigations. Develops, participates in and coordinates internal and external claims audits, and leads claims team roundtable and reserve review processes. Monitors for and identifies system claim trends, as well as industry benchmarks. Prepares claims data reports and prepares case review materials. Presents comprehensive information at internal claim reviews and status reports to facility leadership, risk managers, facility administrators, medical staffs, various committees, executives and other as requested. Participates in the attorney selection and re-evaluation process. Retains approved defense counsel on a per claim basis and directs and supervises the work of outside defense counsel pursuant to litigation protocol. Partners with defense counsel to establish a claim resolution strategy, facilitates and communicates same. Provides guidance and clarity to other team members relating to litigated matters. Identifies loss control issues and makes recommendations on process improvements and risk mitigation efforts. Documents risk modification and risk reduction strategies. Works collaboratively with the risk management team and leaders across the organization to identify risk management trends, issues and opportunities for improvement. Responsible for cultivation of and assistance with Banners Insurance Program. Participates and presents at meetings with insureds and potential insureds; prepares clear and comprehensive written evaluations, data reports, dashboards, presentations and other materials, participates in and presents at insurance underwriter meetings, facility meetings, physician practice meetings, corporate committees, governance committees and other organizational structures and at other medical staff and physician program meetings. Provides education throughout the system relative to the program.
Qualification and Experience
Qualifications: JD Degree and admission to at least one state Bar, and 5+ years medical professional liability management experience, either as in-house claims professional or outside counsel. Working knowledge of medical terminology is required, as are strong analytical skills and the ability to clearly and concisely communicate information both orally and in writing within all levels of the organization. Initiative and the ability to handle responsibility independently are necessary; must have the ability to deal with conflict in a non-confrontational manner and possess the ability to handle sensitive situations and information in a calm and mature manner. Ability to meet deadlines and to respond to shifting priorities is necessary. Must be comfortable operating in a collaborative, shared leadership environment and exemplify the organizations core leader behaviors. Preferred: Strong negotiating skills and advanced knowledge of healthcare risk management, quality management and performance improvement preferred. Knowledge of in-house liability claims management processes and procedures and other related healthcare regulatory and/or litigation experience preferred. Additional related education and/or experience preferred, as is prior managerial experience.
Job No.: 171340
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