Risk Claims Manager

Claims Management

Develop litigation strategies for management of claims, work with outside counsel on engagement of experts, life care planners, structure brokers and settlement strategies.

Establish claims files immediately

Conduct all interviews within specified timeframes

Work with outside counsel on gathering information for defense

Respond to discovery demands

Manage reserve process by reviewing case with Vice President

Check adequacy of reserves by reviewing with defense counsel semi-annually

Track the litigation, anticipate trial dates, discovery dates, disclosure dates, etc. in accordance with Litigation Management Guidelines

Manage expert retention according to established process

Scheduling, internal and external to the office for related litigation meetings, pre-depositions, depositions, trial related

Data Management

• Assumes day to day responsibility for data entry of all claims/suits/potentials in Stars
• Maintains regulatory compliance with reporting/updating all MMERS/MMDCS within DOH system
• Prepare clinical service reports for Vice President to present claims data to Department Chairmen
• Maintain accuracy of Sharepoint litigation tracker for electronic requests and audit trails
• Complete PPR/Joint Commission standards in AMP system

Administrative Responsibilities

• Maintains current trial calendar
• Ensures timely notification of claims to insurance carriers
• Collaborate with IS/legal on Litigation Notification Response procedure
• Oversees service of summons, subpoenas, preservation requests and search warrants:
• Manage malpractice verifications and claims history requests
• Maintain file on Recall Notifications

Education

Bachelor's Degree BS in Business, Law related field - Required

Master's Degree - preferred

Thank you for your interest in Albany Med Health System!?

Albany Med Health System is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Med Health System, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:

Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.