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Organization TypePublic Interest
Years of Experience
Date Last Verified
Litigation Claims Analyst The candidate will be reporting to the Associate Litigation Counsel/Director of Risk, Claims, and Insurance, provides proactive claims management services for all types of litigation, including professional liability, general liability, employment liability, property, OCIP, guardianship, and contract cases in accordance with the organizationâ€™s claim philosophy. Assists in achieving the vision of the Risk Management Department for loss reduction and outstanding claims management by monitoring cost, managing outside counsel, and analyzing trends. Proactively assists in the management of claims from notification to closure. Maintain a tracking system on all claim files, to ensure all claims are reported to excess carriers, discovery deadlines are met, and reserves are in place. Follows up with counsel as necessary to ensure defense counsel guidelines are adhered to. Assists in the management of a pre-suit claims management program. Investigates pre-suit claims and assesses the merit of the claim. Communicates with counsel and/or the claimant throughout the course of the claim. Ensures compliance with Medicare regulations. Regularly reviews individuals claims within each program (Professional liability, employment liability, OCIP, etc.) and keeps reserves and records up to date. Identifies issues and trends in the losses and makes recommendations to the Associate Litigation Counsel regarding the same. Prepares and gathers materials for written discovery throughout the life of the case; tracks down witnesses for depositions. Tracks billing for all claims and maintains dashboards related to performance of our claims program. Prepares materials for review and analysis by the Executive Claims Committee each month. Reports all potential claims to the excess carrier and obtains confirmation from the carrier that the claim has been reported. Performs an audit twice per year of 10 files in every claim area, to ensure that all matters are reported and that the file is maintained appropriately. Assists in preparation of reports for the Board of Directors regarding the performance of the claims management program. Assists in preparation of a â€œlessons learnedâ€ analysis to prevent future claims. Adheres to all Northwest Community Hospital standards, policies, and procedures. Must have completion of a Bachelorâ€™s Degree in a business related field or paralegal certificate. Should have 5+ years of progressively responsible experience in healthcare litigation claims management. Knowledge of U.S. legal system is preferred. Excellent oral and written communication skills and ability to identify and convey the central risk issues in a particular event or claim is must.
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