Risk Claims Manager

Department/Unit: Risk Management

Work Shift: Day (United States of America)

Salary Range: $77,075.00 - $119,466.00

Responsibilities

• Develop litigation strategies for management of claims and collaborate with outside counsel on engagement of experts, life‑care planners, structure brokers, and settlement strategies.
• Establish claims files immediately and conduct all interviews within specified timeframes.
• Work with outside counsel to gather information for defense and respond to discovery demands.
• Manage reserve process by reviewing cases with the Vice President and checking adequacy of reserves with defense counsel semi‑annually.
• Track litigation timelines—including trial, discovery, and disclosure dates—in accordance with Litigation Management Guidelines.
• Manage expert retention according to established processes.
• Schedule internal and external meetings related to litigation, pre‑depositions, depositions, and trial.
• Assume day‑to‑day responsibility for data entry of all claims, suits, and potentials in Stars.
• Maintain regulatory compliance by reporting/updating all MMERS/MMDCS within the DOH system.
• Prepare clinical service reports for the 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 the AMP system.

Minimum Qualifications

• High School Diploma (required).
• Bachelor’s degree in Business, Law, or a related field (required).
• Master’s degree preferred, especially in Health Law.