AVP Attorney Network Management

Metlife Legal Plans•Cleveland, OH

2d•Hybrid

About The Position

The Assistant Vice President is responsible for managing and supporting multiple business processes across the MetLife Legal Plans organization to ensure operational success and meeting of strategic objectives and service level agreements. The Assistant Vice President also supports and maintains network attorney and claims processing compliance by ensuring escalated complaints and data requests for audits are met and addressed in a timely manner.

Requirements

Bachelor’s degree from an accredited university
J.D. from an accredited law school
Must be licensed in good standing in the State of Ohio or have the ability to sit for the State of Ohio bar
Possess a minimum of 8 years of experience as a practicing attorney
Strong leadership skills and ability to work with internal and external partners at all levels
Strong time management skills and an ability to prioritize tasks
Ability to motivate a team to work together to achieve and support organizational goals
Ability to manage team and support the individual goals and objectives of team members
Detail-oriented and well-organized, with the ability to handle a high-volume workload
Self-motivated with the ability to take initiative
Ability to communicate effectively, both verbally and in writing
Ability to analyze and manage client service issues
Ability to handle confidential and sensitive situations and documents

Nice To Haves

Experience in all aspects of the general practice of law and litigation matters
Strong business acumen
Prior experience managing a team
Prior client relationship management experience
Knowledge of the industry, business and product
Strong interpersonal skills
Strong mediation/conflict resolution skills
Ability to coach, mentor and train team members
Ability to think outside the box to resolve issues

Responsibilities

Manage attorney panel including recruiting, training, supervising, evaluating and re-credentialing and communicating with PLFs and visiting PLF offices as appropriate
Lead a team 40 relationship managers to engage, support, educate and manage attorney relationships across the country
Develop communications and strategies to strengthen our relationships, engage, educate and improve the network NPS
Support coverage reviews including coverage determinations and coverage appeals.
Manage annual review of network attorney fees to determine if adjustments need to be made to existing fee schedules including negotiation of fees.
Maintain and update Participating Law Firm manual on a regular basis.
Support and manage virtual panel engagement offering available to members.
Lead a team of associates that support scheduling appointments with our attorneys
Support Sales department in completing RFP (request for proposal) responses, plan comparisons, and competitor comparisons.
Participate in finalist meetings, customer facing sales calls/presentations as requested by the sales/marketing organization.
Partner with our Sales and Legal departments in creating new coverages and/or updating coverage definitions and establish alignment of these changes throughout the organization.
Partner with Finance and Legal departments in establishing network and out of network attorney fees for new coverage offerings.
Approve special fee requests at firm level during recruitment to our network.
Manage attorney panel including recruiting, evaluating, and re-credentialing to including malpractice checks.
Manage recruiting of network attorneys including: reviewing and approving all attorney applications
Manage the attorney audit system including assisting accounting with audit standards and cases, determining PLF status related to audit issues and managing training related audit issues
Support and manage responses for member complaints relating to coverage, claims processing and network attorneys.
Support and respond to any litigation which may arise from items directly related to position’s management responsibilities.
Support company litigation by researching legal issues and/or coaching members of the organization in their responses.
Support and manage audit activity and responses related to the panel and claims departments.
Obtain and maintain adjustor licenses as deemed necessary for role responsibilities.
Manage, coach, train, supervise and develop direct reports.
Manage departmental staffing levels, paid time off, performance reviews and compensation
Support budget planning by ensuring staffing and capacity models are kept up to date and reflects work responsibilities across the Attorney Network and Claims Management teams.
Participate in user acceptance testing for any changes in process/technology for the Panel Management and Claims departments.
Support training of new team members in the Panel Management and Claims departments.
Serve as a resource and provide training for other departments on coverage and attorney network issues
Manage the client inquiry system including: review and resolution of difficult inquiries; review allegations of attorney misconduct or poor service; review of attorney status; and categorization of inquiries
Support Strategic Planning efforts and deliver on the organization’s objectives and key results.
Support organization with achieving Service Level Agreements and NPS goals.
Manage SLA report out requests for Sponsors
Assist Legal, Panel, and Claims organization with other items as required.
Ensure that all employees are adhering to and modeling after company Success Principles.