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Years of Experience
Date Last Verified
Claims Analyst (Legal Affairs) Responsibilities: Practices service pride philosophy when speaking with employees, patients, visitors and physicians. Answers UCH discovery on assigned claims and litigation files. Prepares cases for legal action and secures evidence and documentation. Confers with attorneys, adverse parties, court officials, doctors, nurses and other staff as necessary about issues relating to claims and litigation cases. Interviews witnesses to obtain relevant information for claims and litigation. Locates and reviews medical records as part of discovery. Develops, organizes and maintains historical library for purpose of answering discovery requests. Opens, maintains and closes litigation files. Reviews attorney lien letters to begin the investigation of the case and compiling facts relating to the claim. Coordinates responses to subpoenas for records, including determining appropriate response. Prepares various write-ups and summaries for cases on committee agendas. Prepares case summaries for defense counsel within 10 days of request. Attends Medical Liability Committee (MLC) and prepares case summaries. Performs other duties as requested by senior management. Assist in entering accurate and complete claims data from litigation files and occurrence reports. Retrieve and analyze data to support the function of legal affairs.
Qualification and Experience
Qualifications: Bachelorâ€™s degree with Paralegal Certificate and 3-5 yearsâ€™ experience as a paralegal, legal assistant or risk manager in a law firm, hospital legal office or insurance company or. Bachelorâ€™s degree and 5-7 yearsâ€™ experience as a legal assistant or risk manager in a law firm, hospital legal office or insurance company. Will consider candidates with 5+ yearsâ€™ experience in lieu of B.S. degree. Medical background, such as nursing, medical technologist or experience in medical claims handling required. 3+ years computer experience needed. Requires knowledge of computer technology with ability to generate reports and charts. Excellent communication skills, both verbal and written, and demonstrated analytic ability, professional manner, familiarity with medical procedures and terminology, ability to work independently. Excellent verbal and written communication skills are imperative.
Job ID: 2018-12133
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