Risk Claims Manager

6 days ago

Albany, NY, United States Albany Med Full time

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.

  • Marine Claims Senior Claims Specialist

    5 days ago

    Albany, NY, United States Zurich NA Full time

    Marine Claims Senior Claims Specialist 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and Liability experience preferred) to join our team! We are open to remote work for the right candidate located within the U.S.. In this role you will be responsible for: Ability to handle dedicated accounts. Frequent...

  • Marine Claims Senior Claims Specialist

    2 weeks ago

    Albany, NY, United States Zurich NA Full time

    Marine Claims Senior Claims Specialist 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and Liability experience preferred) to join our team! We are open to remote work for the right candidate located within the U.S.. In this role you will be responsible for: Ability to handle dedicated accounts. Frequent...

  • Director Claims

    1 week ago

    Albany, NY, United States Ryder Full time

    Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) . Job Description : Summary The Director Claims directs activities within the General and Auto Liability Claims, Physical Damage Repairs and Property and Cargo Claims including the management of loss control activities and third-party...

  • Claims Examiner | Auto NF, PIP, MP | Remote

    7 days ago

    Albany, NY, United States Sedgwick Full time

    By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as...

  • AVP- Complex Claim Specialist

    1 day ago

    Albany, NY, United States Travelers Insurance Full time

    Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what...

  • Assistant Claims Team Lead

    5 days ago

    Albany, NY, United States Sedgwick Full time

    By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as...

  • Claims Examiner | Multi-Line | Public Entity | Remote

    5 days ago

    Albany, NY, United States Sedgwick Full time

    By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as...

  • Claims Examiner | Multi-Line | Public Entity | Remote

    1 week ago

    Albany, NY, United States Sedgwick Full time

    By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as...

  • Manager - Risk Management

    2 weeks ago

    Albany, NY, United States American Express Full time

    Description At American Express, our culture is built on a 175-year history of innovation, shared values and Leadership Behaviors, and an unwavering commitment to back our customers, communities, and colleagues. As part of Team Amex, you'll experience this powerful backing with comprehensive support for your holistic well-being and many opportunities to...

  • Auto Liability Claim Representative

    2 weeks ago

    Albany, NY, United States VetJobs Full time

    Job Description ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set,...