Staff Attorney Litigation & Claims

Lafayette, IN - USA

Monthly Salary: Not Disclosed

Posted on: 30+ days ago

Vacancies: 1 Vacancy

Job Summary

At SCP Health what you do matters

As part of the SCP Health team you have an opportunity to make a difference. At our core we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients 7500 providers 30 states and 400 healthcare facilities SCP Health is a leader in clinical practice management spanning the entire continuum of care including emergency medicine hospital medicine wellness telemedicine intensive care and ambulatory care.

Why you will love working here:

- Strong track record of providing excellent work/life balance.

- Comprehensive benefits package and competitive compensation.

- Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration courage agility and respect.

RESPONSIBILITIES

Daily management and handling of assigned claims and legal matters that are part of the company claims and litigation program.
Support efficiency in departmental operations related to all types of litigation all pending claims and all prospective claims/litigationon
Perform all appropriate claim reviews with leadership for recommendations regarding claim progress and direction
Participation and management with leadership oversight of medical malpractice defense claims
Participation and management with leadership oversight of assigned general liability defense claims
Participation and management with leadership oversight of assigned company collection claims
Direct administration of claims and litigation through direction and negotiation within defined authority parameters
Attendance and participation in mediations and resolution meetings on behalf of organization and/or insured providers
Attendance and participation in trials on behalf of organization and/or insured providers
Coordination with assigned counsel and litigation leadership for collaborative claim direction
Coordination with claim and litigation team for assurance of accurate and timely reporting on all pending claims and litigation
Refer cases for authority under established guidelines doing so with the appropriate case summary and documentation to justify recommendations.
Review claim files for irregularities and trending ensuring appropriate litigation strategies

RESPONSIBILITIES (Continued)

Participate in claim calls with assigned counsel
Organize and conduct appropriate meetings and communications with third parties for claim mitigation and/or resolution
Understand claim programs policies and procedures as to reporting investigation financial analysis trending forecasting and litigation management up to and through the resolution/outcome of claims.
Seek to support and further the mission and vision of the Litigation Division Legal Department and the company.
Develop maintain and foster productive relationships with external persons and entities such as defense and plaintiff counsel litigation management companies claimants insurers insureds brokers and patient compensation funds.
Assist with miscellaneous legal matters including legal research responding to legal inquiries fielding questions from providers or employees and providing advise as needed and appropriate
Perform in a manner that enhances the operations of the department and the organization and promotes quality patient care.

QUALIFICATIONS

Knowledge Skills and Abilities: Excellent analytical research writing and interpersonal skills; Strong negotiation skills; Knowledge and/or familiarity with medical and insurance professions

Education: Juris Doctorate from Accredited Law Center

Work Experience/Qualifications:

Legal/Insurance experience 0-3 years required / 3 -5 years preferred
Familiarity with medical records/terminology
Familiarity with insurance practice

CERTIFICATES AND LICENSES: Law License

WORK ENVIRONMENT AND PHYSICAL DEMANDS:

Professional setting
Continuous sitting
Continuous oral & written communication and listening skills
Continuous computer use
Occasional bending kneeling lifting pulling & pushing up to 10 pounds
Job requires a high level of mental awareness

PRIMARY LOCATION:

SCP Office (Atlanta GA; Lafayette LA; Dallas TX; Traverse City MI)

SECONDARY LOCATION:

Associated Travel

CONFIDENTIALITY:

The daily activities of this position will be held in the strictest confidence whether it is in regard to a person individual and/or a strategic initiative. Confidentiality must be maintained on any and all documents and/or information processed.

COMPLIANCE:

All SCP Health employees will abide by all policies and procedures including the SCP Health Corporate Compliance Program and will adhere to all applicable local state and federal laws.

DISCLAIMER:

The above statements reflect the general duties considered necessary to describe the essential functions of the job as identified and shall not be considered as a detailed description of all work requirements which may be inherent in the position. They may be subject to change at any time due to reasonable accommodations or other reasons.

#LI-PM1

Required Experience:

Staff IC

At SCP Health what you do mattersAs part of the SCP Health team you have an opportunity to make a difference. At our core we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients 7500 providers 30 states and 400 healthcare ...