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Claims & Litigation Associate (Remote)

Stanford Health Care
Remote, USA
Full-time
Mid
Remote
Discovered 2 weeks ago
Negotiation

Full Job Posting

What you will do

  • Develops action plan for managing litigated claims, evaluates insurance coverage, attends mediation and trial, monitors litigation costs, handles discovery, and provides recommendations for ultimate resolution.
  • Oversees legal defense strategy, retains outside counsel, coordinates support for investigation, reviews attorney invoices, and monitors counsel’s compliance with litigation management guidelines.
  • Investigates pre-suit claims, reviews medical records, interviews providers, retains consultants when necessary, communicates with patients and/or families, and directly negotiates settlements when warranted.
  • Prepares claims reports and settlement evaluations. Presents high-exposure cases to leadership and stakeholders, including reinsurance partners.
  • Maintains accurate defense and indemnity reserves.
  • Manages claims files in internal database. Inputs all work product to ensure case information is accurate and entered in a timely manner.
  • Investigates cyber and privacy claims. Pursues recovery in construction and property claims. Manages associated insurance reporting and communication requirements.
  • Assists in other matters as assigned. Handles Medical Board and NPDB reporting. Prepares and conducts Risk Management educational presentations.
  • Education Qualifications
  • Juris Doctor (JD) required. California license preferred.

Experience

  • Qualifications
  • Five (5) years of progressively responsible and directly-related claim management experience.
  • Required Knowledge, Skills and Abilities
  • Strong writing, communication, and presentation skills.
  • Effective negotiation skills.
  • Ability to analyze complex legal problems and develop solutions.
  • Ability to review and evaluate medical records and literature.
  • Knowledge of laws pertaining to professional and general liability litigation.
  • Ability to work effectively both as a team player and leader.
  • Licenses and Certifications
  • These principles apply to ALL employees:
  • SHC Commitment to Providing an Exceptional Patient & Family Experience
  • Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.
  • You will do this by executing against our three experience pillars, from the patient and family’s perspective:
  • Know Me: Anticipate my needs and status to deliver effective care
  • Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
  • Coordinate for Me: Own the complexity of my care through coordination

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