Claims & Litigation Associate (Remote)

Overview

Primary responsibility is managing, investigating, and resolving professional and general liability claims for the Stanford Medicine enterprise. This role coordinates with internal stakeholders and staff, provides oversight and management of panel counsel, and analyzes complex medical claims to evaluate exposure and liability. Support may also extend to other exposure areas as warranted, including cyber/privacy, construction, and property claims.

Responsibilities

• Develop and maintain an action plan for managing litigated claims, including evaluating insurance coverage
• Attend mediation and trial as needed, monitor litigation costs, manage 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 and directly negotiate settlements 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, ensuring work product is entered accurately and in a timely manner
• Investigate cyber and privacy claims
• Pursue recovery in construction and property claims, including managing associated insurance reporting and communication requirements
• Handle Medical Board and NPDB reporting as well as risk management educational presentations
• Assist with other matters as assigned

Requirements

• Juris Doctor (JD) required
• California license preferred
• 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 both a team player and leader

Compensation & Benefits

• Base pay scale: Generally starting at $103.03 - $136.49 per hour
• Final compensation will be set based on factors including internal equity, experience, education, specialty, and training. This pay scale is not a promise of a particular wage.

Location

• Remote USA
• Day - 08 Hour (United States of America)

Equal Opportunity Statement

The employer is an equal opportunity employer and is committed to equal opportunity and non-discrimination in all policies and practices, including employment. 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.