Administrator Claims Management

Lehigh Valley Health Network•Allentown, PA

1d•Onsite

About The Position

Manage potential and asserted Professional Liability and General Liability Claims involving entities and staff within the Lehigh Valley Region. The Administrator, Claims Management oversees the investigation, analysis and reporting of claims and acts as liaison with outside counsel in managing asserted claims from acceptance of service through to resolution.

Requirements

Juris Doctor
5 years managing complex professional liability and general liability claims on behalf of a large health care network or litigation experience
Active Law License in the State of Pennsylvania
Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Responsibilities

Analyze all reports of adverse events and hold files to determine probability of litigation; report potential claims to Jefferson rRRG as indicated.
Evaluate requests for depositions of insured, unnamed providers and staff to determine risk of liability and need to assign counsel to defend the deposition.
Evaluate all new PL and GL claims for extent of liability and potential conflict among defendants; collaborate with SVP, Litigation and ERM for purposes of assigning outside counsel and setting legal/indemnity reserves.
Ensure the reporting of new claims to the State Board of Medicine and indicated insurance carriers including MCARE.
Oversee Claims Risk Manager in the creation of timeline of care and collection of relevant documentation for inclusion in new potential or asserted claim legal file.
Provide notice and initial instructions to named defendants in cases.
Attend outside counsel meetings and deposition preps with defendants and key witnesses in high reserve cases
Attend pre-trial conferences, mediations and settlement conferences; negotiate resolutions within limit of authority
Respond to letters of representation and requests for preservation of evidence; evaluate and negotiate resolution of claims pre-litigation up to approved amount of authority.
Direct the acceptance of service for insured entities and individuals in Professional Liability (PL) and General Liability (GL) claims.