Posted: Tuesday, January 2, 2018 6:44 PM
The Director Risk Management is responsible for the continuous improvement process of investigations, management and cost:effective resolution of high exposure claims (settlement authority up to 250,000). Develops and implements safety/loss control policies, procedures and guidelines to mitigate claims and losses. Identifies and analyzes loss exposures, measures the financial impact of risks, and implements appropriate risk management policies. Develops and maintains strategic alliances throughout the organization and externally to promote claim and risk control activities and a safe environment of care. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.
Bachelors degree in Business Administration or related field.
Five (5) years of experience in HPL/GL claims and litigation management of high exposure claims.
Experience in claims management.
:Knowledge of statutes and case law relative to health care providers.
:Ability to communicate verbally and in writing with all levels of Associates, physicians, attorneys, management, patients and their families.
:Skills in developing and implementing creative and aggressive methodologies for investigating and resolving HPL/GL claims.
:Skill in developing and implementing long:range plans and programs.
:Skill in negotiating with and between individuals and groups of people, including Associates, management, physicians, and attorneys.
:Ability to motivate/enable fellow Associates to work as a team to accomplish departmental and organizational goals.
:Ability to maintain working relationships within the MLH organization and foster a team approach to the continuous improvement in the delivery of care and patient safety.
:Ability to set priorities coordinates multiple tasks, organize tasks and maintain control of work flow.
:Ability to read and comprehend complex written material, such as legal documents. 13;
Key Job Responsibilities 13;
:Develops executing strategies, goals and plans for HPL/GL (Hospital Professional Liability/General Liability) Claims Department operations to accomplish departmental and MLH:Corporate objectives.
:Provides oversight of outside legal counsel to ensure that all claims are handled in a timely and appropriate manner.
:Plans, organizes, and controls assigned high exposure HPL/GL claims to ensure effective resolution and identification of patient safety and risk issues. Has approval of up to 250,000 for settlements.
:Manages the coordination of legal defense efforts and monitors to assure compliance with the MLH Litigation Management Guidelines.
:Keep senior management informed of all significant cases and requests approvals for reserve adjustments in a timely manner.
:Provides reports to Administrative Director and Senior Management regarding the status of high exposure cases.
:Assigns cases to appropriate staff and ensures the cases are being worked in an effective manner.
:Assists in developing and administering the annual Claim Management Department budget.
:Demonstrates and promotes a high level of customer service and teamwork and fosters a positive work environment.
:Maintains appropriate levels of job knowledge to promote effective and efficient levels of performance.
:Periodically reviews Claims management policies and procedures and activities for purposes of process improvement.
:Prepares and presents in:service programs for MLH Associates as needed.
:Performs necessary tasks where required to design, monitor or coordinate Compliance, Risk or Safety related programs. 13;
Physical Requirements 13;
:The physical activities of this position may include climbing, pushing, stan
• Location: Memphis
• Post ID: 33316862 memphis