Claims & Litigation Associate (Remote)

Overview

This role manages, investigates, and resolves professional and general liability claims for the Stanford Medicine enterprise. It requires coordination with internal stakeholders and staff, as well as oversight and management of panel counsel. The position analyzes complex medical claims to evaluate exposure and liability, and assists with other exposure types as warranted, including cyber/privacy, construction, and property claims.

Responsibilities

• Develop an action plan for managing litigated claims, including evaluation of insurance coverage.
• Attend mediation and trial; monitor litigation costs.
• Handle discovery and provide recommendations for ultimate resolution.
• Oversee legal defense strategy.
• Retain outside counsel and coordinate support for investigation.
• Review attorney invoices and monitor counsel compliance with litigation management guidelines.
• Investigate pre-suit claims by reviewing medical records, interviewing providers, and retaining consultants when necessary.
• Communicate with patients and/or families as needed.
• Negotiate settlements directly when warranted.
• Prepare claims reports and settlement evaluations.
• Present high-exposure cases to leadership and stakeholders, including reinsurance partners.
• Maintain accurate defense and indemnity reserves.
• Manage claims files in an internal database; enter all work product to ensure case information is accurate and submitted timely.
• Investigate cyber and privacy claims.
• Pursue recovery in construction and property claims.
• Manage associated insurance reporting and communication requirements.
• Handle Medical Board and NPDB reporting.
• Prepare and conduct Risk Management educational presentations.
• Perform other related duties as assigned.

Requirements

• Juris Doctor (JD) required.
• Five (5) years of progressively responsible and directly-related claim management experience.

Required Knowledge, Skills, and Abilities

• Strong writing, communication, and presentation skills.
• Effective negotiation skills.
• Ability to analyze complex legal problems and develop solutions.
• Ability to review and evaluate medical records and literature.
• Knowledge of laws pertaining to professional and general liability litigation.
• Ability to work effectively as a team player and leader.

Preferred Qualifications

• California license preferred.

Licenses and Certifications

• None

Compensation & Benefits

• Base Pay Scale: Generally starting at $103.03 - $136.49 per hour.
• The salary for the selected finalist will be set based on internal equity, experience, education, specialty, and training. This pay scale is not a promise of a particular wage.

Location

• Stanford Health Care

Equal Opportunity

The employer is an Equal Opportunity Employer and does not discriminate on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.