Legal Claims Manager Job at TeamHealth

TeamHealth Tennessee

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    REMOTE
  • Job Type:
    Health Care
    Insurance
    Legal
  • Experience:
    Not Specified
  • Date Posted:
    3/2/2023

Job Description

This individual will be responsible to investigate, evaluate, and resolve assigned professional liability and general liability claims involving TeamHealth regional and specialty operations in accordance with TeamHealth policies & procedures and industry best practices. Individual will manage the financial resources of TeamHealth by efficiently coordinating activity on assigned claims/ litigation and provide superior claim services to TeamHealth operations, claimants, claim Third Party Administrator and participating excess insurance participants. Individual will have a detailed knowledge of TeamHealth Operations and Physician Professional Liability/ Commercial General Liability insurance policy coverage. This individual will report to the TeamHealth Director of Claims.


ESSENTIAL FUNCTIONS

  • Directly manages assigned claim inventory to achieve operational goals and optimal outcome on assigned cases.

  • Manages and monitors medical professional liability claims in multiple jurisdictions

  • Recommends and sets timely and adequate indemnity and expense reserves

  • Responsible for communication with attorneys, physicians, client hospitals, insurance carriers, and division leadership concerning the status of claims

  • Assumes the lead role in coordinating litigation management along with defense counsel and Western Litigation

  • Attends and participates in settlement conferences, arbitrations, mediations, depositions, hearings, trials, and claims review meetings as required by policy or as directed

  • Prepares in depth case analysis and makes settlement recommendations to the Sr. Director of Claims, the Vice President of Claims and Risk Management and Claims Review Committee

  • Monitors assigned claim files for the timely submission of status reports from defense counsel and Western Litigation

  • Utilizes a diary system to assist in the monitoring of claims

  • Responsible for entering claims data in Origami Risk on assigned claims

  • Maintains up to date knowledge on liability laws and practices in assigned states, makes recommendations when needed and participates in professional organizations

  • Responsible for special projects as needed or directed

Job Requirements

PHYSICAL AND ENVIRONMENTAL DEMANDS


The physical and environmental demands for this job are as follows:


  • Job performed in a well-lighted, modern office setting
  • Occasional lifting/carrying (15 pounds or less)

  • Moderate travel

  • Prolonged sitting

  • Moderate stress with ability to work in a dynamic environment

  • Prolonged work on computer/PC

This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions. Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week.


JOB QUALIFICATIONS


The job qualifications for this position are as follows:


  • BS/BA degree in Business, Healthcare, Risk Management or equivalent legal/insurance work experience

  • Three (3) years medical professional liability claim management or equivalent experience

  • Intermediate negotiation skills

  • Intermediate knowledge of insurance coverage, concepts and claim resolution procedures

  • Intermediate proficiency with personal computers and Microsoft Office programs

  • Excellent written and verbal communication skills

  • Excellent organizational skills

  • Excellent interpersonal skills



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