Risk Claims Manager jobs in United States
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Albany Medical Center · 1 month ago

Risk Claims Manager

Albany Medical Center is a healthcare institution, and they are seeking a Risk Claims Manager to develop litigation strategies and manage claims. The role involves working with outside counsel, maintaining compliance, and overseeing various administrative responsibilities related to claims management.

Hospital & Health Care

Responsibilities

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 ligation meetings, pre-depositions, depositions, trial related
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
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

Qualification

Claims ManagementLitigation StrategiesData ManagementRegulatory ComplianceSharepointCommunication SkillsOrganizational SkillsCollaboration Skills

Required

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

Preferred

Master's Degree - preferred

Company

Albany Medical Center

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Albany Medical Center is one of the Capital Region’s largest private employers with more than 9,000 employees.

Funding

Current Stage
Late Stage

Leadership Team

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Suryakant Kale
Chief Technology Officer/Vice President Information services, Technology & Infrastructure
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Frances Albert
Chief Financial Officer
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