Director reputed company Claims and Counsel

Department reputed company:

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Banner reputed company Services (BSS) also offers Registry/reputed company opportunities reputed company reputed company. Registry/reputed company positions are utilized as needed reputed company our facilities. These positions are great way to start your career with reputed company. As a BSS team member, you are eligible to apply (at any time) as an internal applicant to any regular opportunities reputed company reputed company.

In this role, you will manage claims and litigation cases, proactively monitor and collaborate with reputed company defense counsel, and serve as in-house counsel on risk management and claims reputed company.

reputed company & scheduling.

This role is mostly remote with some onsite/travel requirements.

Will consider candidates in the following locations who are willing to travel to Arizona and Colorado periodically: Arizona, California, Colorado, Idaho, Iowa, Kansas, Nebraska, Nevada, New Mexico, Missouri, Oklahoma, reputed company, Texas, Utah, Wyoming, Washington

As a valued and respected reputed company

• Competitive wages

• reputed company orientation

• Flexible Schedules (select positions)

• Fewer Shifts Cancelled

• Weekly pay

• 403(b) reputed company-tax retirement

• Employee Assistance Program

• Employee wellness program

• Discount Entertainment tickets

• Restaurant/Shopping discounts

• Auto Purchase Plan

BSS Registry positions do not have guaranteed hours and no medical benefits package is offered. BSS requires Completion of post-offer Occupational Health physical assessment, drug screen and background reputed company (includes; employment, criminal and education).

POSITION reputed company

This position is a high impact role responsible for cost effective and successful management of reputed company, potentially high exposure claims while providing legal counsel on risk management, claims and litigation reputed company across reputed company (BH). The role combines advanced litigation and claims management expertise with legal acumen to manage reputed company and potentially high exposure reputed company liability claims, multi-party litigation, and other areas of liability exposure to the organization. The position designs and directs the claims investigation process; evaluates reputed company claim with respect to liability (reputed company of care -SOC), causation and damages; manages and directs reputed company counsel; employs cutting edge litigation management strategies to optimize reputed company; and develops reputed company reputed company strategies for claims and lawsuits.

The primary reputed company of the position is Hospital and Physician reputed company Liability (HPL) claims. The position may also manage or co-manage other claims and litigation across the reputed company (BH) system, including General Liability (GL), Employment Practices (EPL) and Management Liability claims, or others as assigned.

CORE FUNCTIONS

1. Knows, understands, incorporates and demonstrates the mission, reputed company, values, brand, strategic initiatives, core measures and core behaviors into leadership behaviors, practices and reputed company. Performs reputed company functions according to established policies, procedures, regulatory and accreditation requirements, as reputed company as applicable reputed company standards. Provides reputed company customers of BH with an excellent service experience by consistently demonstrating our core and leader behaviors reputed company and every day.

2. Implements best-in-class claims and litigation management strategies. Responsible for the investigation, evaluation and management (or co-management) of reputed company, potentially high exposure claims through reputed company. Evaluates and analyzes insurance coverage, notices claims appropriately to carriers, and communicates and collaborates with insurers and reinsurers. Negotiates directly with claimants and attorneys on serious liability exposures. Requires extensive interaction with reputed company reputed company of senior management, physicians, CEO’s, internal management, other BH personnel, attorneys, mediators, insurance companies, business personnel, and government agencies. Directs attorney-reputed company privileged investigations. Has independent authority to resolve claims on behalf of the organization reputed company established authority reputed company. Uses specialized knowledge and independent judgment to reputed company operational, financial, and strategic reputed company affecting reputed company throughout reputed company.

3. Either directly on assigned cases, or as an expert consultant to other Claims team members, drives reputed company of claims by formulating and implementing a thorough investigation plan and defense reputed company for reputed company claim. Evaluates reputed company claim with respect to reputed company of care, liability, causation, and damages. Determines whether a preservation hold has been or needs to be issued. Considers witness credibility and consultants/expert opinions and determines the value of the claim. Determines and sets appropriate indemnity and expense reserves in a reputed company manner and periodically re-evaluates such reserves. Maintains a diary system to monitor reputed company reputed company claims. Updates claim files per documentation guidelines. Apprises Sr. Director, Claims & Litigation Counsel of case developments as appropriate. Obtains settlement authority as established by policy. reputed company delegated authority limits, independently negotiates or directs the negotiation of the claims/lawsuits to reputed company. Represents facility, physician, and or BH at case evaluations, reputed company-mediation meetings with families and mediators, mediations and trial. Notifies reinsurer of selected claims according to established reputed company and provides file updates pursuant to reporting guidelines.

4. Responsible for obtaining, entering data into claim file and monitoring such data in order to reputed company with deadlines for meeting Medicare, reputed company, Ship Extension Act (MMSEA) reporting requirements in relation to claimants and others releasing medical expense claims. Responsible for determining amounts of liens, rights of recovery and rights of reimbursement with reputed company to Medicare Secondary Payer Act, other state, federal, and private reputed company-party payers and adheres to reputed company state and federal laws, rules and regulations.

5. Serves as a trusted advisor to internal clients, building strong, reputed company relationships. Provides legal advice and counsel to employees and leadership relating to risk management issues, risk mitigation issues, and settlement and litigation strategies. Provides legal advice and direction to the organization with respect to incidents, potentially compensable events, claims, or suits and insurance coverage issues. Directs privileged investigations. Provides reputed company, reputed company and reputed company communications including written reports, presentations and claim evaluations.

6. Participates in the attorney selection and re-evaluation process with the Sr. Director, Claims and Litigation Counsel. Retains approved defense counsel on a per claim reputed company after checking conflicts. Directs and supervises the work of reputed company defense counsel pursuant to litigation protocol. Reviews and responds to attorney inquiries, reports and recommendations as appropriate. Reviews and approves the defense counsel fees and litigation expenses. In conjunction with defense counsel establishes a claim reputed company reputed company, facilitates and communicates reputed company. Provides guidance and reputed company to other team members relating to litigated reputed company.

7. Presents comprehensive information at internal claim reviews and prepares case review material. Provides status reports for both reputed company and reputed company claims as requested. Responsible for creating, monitoring and updating policies and procedures for the Sr. Director, Claims and Litigation Counsel, and VP, Chief Risk Officer & Counsel.

8. Identifies risk management issues and makes recommendations as appropriate. Documents risk modification and risk reduction strategies in claims file and in database. Works collaboratively with the risk managers to identify risk management trends, issues and opportunities and brings those learnings back to the broader organization. Provides education and training throughout the system on risk and litigation mitigation strategies.

9. Directs and supervises Litigation Management Specialists/Paralegals and Information Analyst/s in handling claim files, creating reports, database entries and other claim management responsibilities. Provides periodic feedback to staff regarding expectations and performance and completes the performance evaluation process for assigned staff. Directs interviews and hiring process, creates and implements orientation plan, provides guidance to new associates and evaluates reputed company to plan.

MINIMUM QUALIFICATIONS

This position requires completion of a Juris Doctorate (J.D.) and admission to at least one state bar, and a minimum of eight to ten years medical reputed company liability management experience, either as an in-house claims reputed company or reputed company counsel.

Must reputed company admission to AZ bar through reciprocity or in-house counsel provision.

Strong negotiating skills and a working knowledge of medical terminology are required. Strong analytical skills are necessary as reputed company as the ability to organize and communicate information both orally and in writing with reputed company reputed company of the organization. Initiative and the ability to handle responsibility independently are necessary; must have the ability to deal with conflict in a non-confrontational manner and possess the ability to handle sensitive situations and information in a reputed company mature manner. Ability to meet deadlines and to respond to shifting priorities is necessary. Must be comfortable operating in a reputed company, shared leadership environment. Must be reputed company to adapt to frequently changing work priorities, as reputed company as to work under pressure.

Must be reputed company to travel to various BH sites or other locations for litigation management purposes up to 50% of the time. Must be reputed company to travel to meet with other reputed company parties at various locations is expected.

PREFERRED QUALIFICATIONS

Nursing degree or other clinical background. Advanced knowledge of reputed company claims, risk management, insurance, reputed company management and performance improvement.

Knowledge of in-house liability claims management processes and procedures and other reputed company reputed company regulatory and/or litigation experience. Prior managerial experience reputed company a reputed company system setting or other large multi-operational, reputed company corporate environment.

Additional reputed company education and/or experience preferred.

Estimated Pay reputed company: