Litigation and Claims Specialist

Rochester Regional Health•Portland, OR

1d•$70,000 - $90,000•Onsite

About The Position

The role is responsible for managing, coordinating, and resolving claims and litigation matters involving the organization. The position involves working closely with internal stakeholders, external counsel, insurers, and other third party administrators to minimize risk exposure and ensure efficient resolution of disputes.

Requirements

3 years of experience in Healthcare, Risk Management, Nursing, Human Resources or a Legal Field or a Bachelor’s Degree required.
Healthcare Risk Management (HRM) or Certified Professional in Risk Management Certification (CPHRM) within 24 months of hire.

Nice To Haves

Claims Review experience
Daily Safety Check experience
Treat to Target experience
Claims / Handling investigations experience
Ethics Master's Degree preferred.
Bachelors’ Degree preferred

Responsibilities

Manage and monitor ongoing litigation and claims matters.
Conduct confidential investigations and draft investigation reports.
Receives and reports on complaints, claims, and potential claims related to professional and general liability.
Reviews safety event reporting, investigates safety events and claims, and reports to third party administrator as appropriate. Creates privileged written reports.
Continuously monitors risk hotline and communications.
Reviews and analyzes legal documents and correspondence related to claims and litigations.
Prepares internal reports for senior leadership regarding litigation status and claims trends.
Interfaces with patients and public with respect to liability claims.
Attends ethics committee meetings and elevates questions to senior leadership.
Conducts medical chart reviews and prepares written analysis for senior leadership in connection with claims.
Performs as a liaison between RRH and external counsel, insurers, and claims adjusters.
Assists in developing legal strategies and evaluating potential liability and exposure.
Provides training and guidance to internal teams on claims management and risk reduction practices. Provides direct support to care teams with respect to legal questions and patient matters.