Assistant General Counsel - Claims, Risk Management, and Insurance

About the role

The Assistant General Counsel, Claims, Risk Management, and Insurance (AGC-RMCI) serves as counsel supporting the Director of Risk Management in claims, risk management and insurance functions. The AGC-RMCI will work closely with corporate risk management, clinical quality, and safety teams across the organization.

Responsibilities

• Litigation/Claims Management
  • Managing all aspects of company claims function, including but not limited to overseeing the reporting of claims to the appropriate carrier for other insurance lines.
  • Reporting and liaising with key stakeholders (internal and external) on litigation/claims issues.
  • Proactively monitoring claims and providing support for the strategy for defending claims.
  • Developing, updating, and maintaining internal policies and procedures for the claims function.
• Risk Management
  • Making legal recommendations for improvements in patient care and safety.
  • Creating, updating, and maintaining legal protocols for the handling of adverse events.
  • Communicating effectively with stakeholders upon the occurrence of an adverse event.
  • Serving as a liaison between the Director of Risk Management and the Enterprise Risk Management team.
• Enterprise Risk Management & Audit
  • Facilitating risk assessments with departments across the organization to identify threats and vulnerabilities that could adversely impact the organization.
  • Maintaining a central record of organizational risks, including risk descriptions, likelihood, potential impact and mitigation strategies.
  • Working with leaders and other key stakeholders to develop and track corrective action or mitigation plans for identified risk.
  • Preparing risk reports as requested to leadership, including but not limited to the Audit & Compliance committee.
  • Ensuring enterprise risk management activities align with corporate risk management activities in furtherance of organizational goals and strategic objectives.
  • Conducting targeted reviews in areas susceptible to fraud, waste or abuse.

Qualifications

• Juris Doctorate Degree (JD) from an accredited law school required
• Bachelor’s Degree in Nursing or another clinical area required
• Licensed to practice law in Ohio required
• Minimum five (5) years of law practice required
• Ability to travel to depositions, witness interviews, and attend trials, as necessary
• Experience working as a clinician and/or risk manager preferred
• Excellent communication and interpersonal skills, with the ability to interact effectively with all levels of the organization and external parties