Risk Claims Manager

Department / Unit : Risk Management

Work Shift :

Day (United States of America)

Salary Range :

$71,612.39 - $110,999.20

Claims 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, 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

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

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

Master's 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.