Claims & Litigation Associate (Remote)

Primary responsibility

Develops action plan for managing litigated claims, evaluates insurance coverage, attends mediation and trial, monitors litigation costs, handles discovery, and provides recommendations for ultimate resolution.

Oversees legal defense strategy, retains outside counsel, coordinates support for investigation, reviews attorney invoices, and monitors counsel’s compliance with litigation management guidelines.

Investigates pre-suit claims, reviews medical records, interviews providers, retains consultants when necessary, communicates with patients and/or families, and directly negotiates settlements when warranted.

Presents high-exposure cases to leadership and stakeholders, including reinsurance partners.

Maintains accurate defense and indemnity reserves.

Manages claims files in internal database. Inputs all work product to ensure case information is accurate and entered in a timely manner.

Investigates cyber and privacy claims.

Pursues recovery in construction and property claims.

Manages associated insurance reporting and communication requirements.

Assists in other matters as assigned.

Handles Medical Board and NPDB reporting.

Prepares and conducts Risk Management educational presentations.

Education

Juris Doctor (JD) required. California license preferred.

Experience

Five (5) years of progressively responsible and directly-related claim management experience.

Required Knowledge, Skills And Abilities

• Strong writing, communication, and presentation skills.
• Effective negotiation skills.
• Ability to analyze complex legal problems and develop solutions.
• Ability to review and evaluate medical records and literature.
• Knowledge of laws pertaining to professional and general liability litigation.
• Ability to work effectively both as a team player and leader.

Principles

C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions.

Know Me: Anticipate my needs and status to deliver effective care

Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health

Coordinate for Me: Own the complexity of my care through coordination

Equal Opportunity Employer

Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment.

Salary Information

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training.