Claims and Litigation Manager Job at Summa Health
Summa Health Corporate Office
Full-Time, Benefit Eligible
Hybrid Schedule Offered!
Summary:
Investigates, evaluates, negotiates, and performs resolution of claims and lawsuits. Assists System Director with the daily operation of Summa Health System's insurance and risk management programs. Maintains claim and adverse occurrence related data programs. Participates in Legal On-Call rotation.
1. Formal Education Required:
a. Bachelor’s degree in nursing or related clinical field with Master’s degree OR Law Degree
Investigates, evaluates, negotiates, and performs resolution of claims and lawsuits. Assists System Director with the daily operation of Summa Health System's insurance and risk management programs. Maintains claim and adverse occurrence related data programs. Participates in Legal On-Call rotation.
1. Formal Education Required:
a. Bachelor’s degree in nursing or related clinical field with Master’s degree OR Law Degree
2. Experience & Training Required:
a. Minimum of seven (7) years of professional experience which has provided knowledge of electronic medical record, claims and litigation process, and project management.
3. Other Skills, Competencies and Qualifications:
b. Ability to understand liability issues and medical and legal terminology
c. Experience or ability to obtain knowledge of civil court process
d. Demonstrates organizational skills, attention to detail, and the ability to work independently
e. Excellent knowledge of office computer applications (i.e. Microsoft Word, Excel, Power Point)
f. Analytical skills
g. Knowledge of or ability to acquire knowledge of Electronic Medical Record applications including Epic
h. Possess excellent verbal and written communication skills to communicate with all levels within and outside of the organization
i. Must maintain confidentiality of sensitive insurance and patient information
j. Population Specific Competency: Ability to effectively interact with populations of patients/customers with an understanding of their needs for self-respect and dignity
4. Level of Physical Demands:
a. Sedentary, exerts up to 10 lbs of force occasionally and/or a negligible amount of force frequently.
Summa Health System is recognized as one of the region’s top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits.
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