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Staff Attorney - Litigation & Claims
Staff Attorney - Litigation & ClaimsSCP Health • Lafayette, LA, US
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Staff Attorney - Litigation & Claims

Staff Attorney - Litigation & Claims

SCP Health • Lafayette, LA, US
10 days ago
Job type
  • Full-time
Job description

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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.

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 :

  • Corporate Office
  • 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.

    Seniority level

    Seniority level

    Entry level

    Employment type

    Employment type

    Full-time

    Job function

    Job function

    Legal

    Industries

    Hospitals and Health Care

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