Risk Claims Manager
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Job Location:
Albany, GA - USA
Monthly Salary:
$ 71612 - 110999
Posted on:
6 hours ago
Vacancies:
1 Vacancy
Job Summary
Department/Unit:
Risk ManagementWork Shift:
Day (United States of America)Salary Range:
$71612.39 - $110999.20Claims Management: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 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
Data Management:
- 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
Administrative Responsibilities:
- 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
Education
Bachelors Degree BS in Business Law related field - Required
Masters Degree - preferred
Thank you for your interest in Albany Medical Center!
Albany Medical is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center its patients affiliates and partners including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a need to know and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts consistent with Albany Med Center policies and standards shall be made to ensure that information is adequately protected from unauthorized access and modification.
Required Experience:
Manager
Key Skills
- Arm
- Risk Management
- Financial Services
- Cybersecurity
- COSO
- PCI
- Root cause Analysis
- COBIT
- NIST Standards
- SOX
- Information Security
- RMF
About Company
Albany Medical Colllege is one of the oldest medical colleges in the country, associated with one of the largest medical centers in NYS. Visit AMC.edu today!
