Specialist-Claims & Risk

JOB DESCRIPTION

Details

Department: Claims

Schedule: Full time, Days

Location: Remote

Salary: $75,295.00- $104,957.00 per year

Benefits

Paid time off (PTO)

Various health insurance options & wellness plans

Retirement benefits including employer match plans

Long-term & short-term disability

Employee assistance programs (EAP)

Parental leave & adoption assistance

Tuition reimbursement

Ways to give back to your community

Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.

Responsibilities

Oversee medical professional liability claims and litigation for the Ascension Health Alliance Professional Liability and General Liability Self-Insurance Trust. Responsible for case strategy, investigation and oversight of case action plan in collaboration with insured and defense counsel.

Investigate and process general and professional liability claims from first notice of loss through resolution including coverage, liability, damage evaluations, caseload management and resolution.

Establish reserves based on protocols and authority procedures.

Oversee litigation assigned to external counsel pursuant to established guidelines. Manage panel counsel retained for litigated claims.

Complete National Claims Committee reports for large loss matters.

Collaborate with Risk Management team regarding lessons learned and mitigation efforts.

Attend depositions, meetings with insureds, mediations, and trials. Negotiate settlements directly with patients, plaintiff attorneys and/or direct defense counsel within approved authority.

#LI-Remote

Requirements

Education: High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree with 1 year of experience OR 5 years of applicable cumulative job specific experience required.

2 years of leadership or management experience preferred.

Additional Preferences

No additional preferences.

Why Join Our Team

Ascension associates are key to our commitment of transforming healthcare and providing care to all, especially those most in need. Join us and help us drive impact through reimagining how we can deliver a people-centered healthcare experience and creating the solutions to do it. Explore career opportunities across our ministry locations and within our corporate headquarters.

Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.

Equal Employment Opportunity Employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.

For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

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• Oversee medical professional liability claims and litigation for the Ascension Health Alliance Professional Liability and General Liability Self-Insurance Trust.
• Investigate and process general and professional liability claims from first notice of loss through resolution including coverage, liability, damage evaluations, caseload management and resolution.
• Establish reserves based on protocols and authority procedures.
• Oversee litigation assigned to external counsel pursuant to established guidelines.
• Manage panel counsel retained for litigated claims.
• Complete National Claims Committee reports for large loss matters.
• Collaborate with Risk Management team regarding lessons learned and mitigation efforts.
• Attend depositions, meetings with insureds, mediations, and trials.
• Negotiate settlements directly with patients, plaintiff attorneys and/or direct defense counsel within approved authority.

• High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree with 1 year of experience OR 5 years of applicable cumulative job specific experience required.
• 2 years of leadership or management experience preferred.

• Paid time off (PTO)
• Various health insurance options & wellness plans
• Retirement benefits including employer match plans
• Long-term & short-term disability
• Employee assistance programs (EAP)
• Parental leave & adoption assistance
• Tuition reimbursement