Risk Claims Manager

Albany Medical College; City of Albany, Northern (NY, KY); Hybrid; USD 77,000 - 119,000; Full time

Job summary

Albany Med Health System is seeking a Risk Claims Manager to develop litigation strategies for claims and coordinate with outside counsel across expert engagement and settlement planning.

Responsibilities include establishing claims files, conducting interviews, managing reserves, tracking litigation milestones, and ensuring regulatory compliance while maintaining data integrity in StarS and AMP systems.

Qualifications

• High School Degree required.
• BS in Business, Law or related field required.
• Master’s preferred, Health Law.
• Experience in Claims Management and litigation strategy development.

Responsibilities

• Develop litigation strategies for management of claims.
• Work with outside counsel on engagement of experts, life care planners, brokers and settlements.
• Establish claims files immediately.
• Conduct all interviews within specified timeframes.
• Respond to discovery demands.
• Manage reserve process and review with Vice President.
• Track litigation milestones, dates and guidelines.
• Manage expert retention and related meetings.
• Maintain data entry of claims in Stars and regulatory systems.
• Prepare reports and ensure audit trails in AMP and SharePoint.

Skills

Litigation strategies

Claims management

Interviews

Communication with outside counsel

Data entry

Regulatory compliance

Scheduling

Audit trails

Education

High School Degree

BS in Business/Law or related field

Master’s in Health Law (preferred)

Tools

Stars data system

AMP system

SharePoint

Job description

## Risk Claims ManagerApply: 66 Hackett Blvd Albany, NY 12208: Full time: Posted Today: 71118Department/Unit:Risk ManagementWork Shift:Day (United States of America)Salary Range:$77,075.00 - $119,466.00Develop litigation strategies for management of claims, work with outside counsel on engagement of experts, life care planners, structure brokers and settlement strategies.**Minimum Qualifications:**Education:High School Degree requiredBS in Business, Law or related field requiredMaster’s preferred, Health LawClaims Management:Develop litigation strategies for management of claims, work with outside counsel on engagement of experts, life care planners, structure brokers and settlement strategies.* Establish claims files immediately* Conduct all interviews within specified timeframes* Work with outside counsel on gathering information for defense* Respond to discovery demands* Manage reserve process by reviewing case with Vice President* Check adequacy of reserves by reviewing with defense counsel semi-annually* Track the litigation, anticipate trial dates, discovery dates, disclosure dates, etc. in accordance with Litigation Management Guidelines* Manage expert retention according to established process* Scheduling, internal and external to the office for related ligation meetings, pre-depositions, depositions, trial relatedData Management:* Assumes day to day responsibility for data entry of all claims/suits/potentials in Stars* Maintains regulatory compliance with reporting/updating all MMERS/MMDCS within DOH system* Prepare clinical service reports for Vice President to present claims data to Department Chairmen* Maintain accuracy of Sharepoint – litigation tracker for electronic requests and audit trails* Complete PPR/Joint Commission standards in AMP systemThank you for your interest in Albany Med Health System!Albany Med Health System is an equal opportunity employer.This role may require access to information considered sensitive to Albany Med Health System, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.