RN Claims & Litigation Specialist

CHRISTUS Health; Irving (TX); On-site; USD 90,000 - 140,000; Full time

Job summary

CHRISTUS Health is seeking a Regional Claims Specialist to support the Vice President of Litigation and the Claims Team in investigation, management, and defense of health-care related claims across affiliated centers. The role involves on-site interviews, settlement negotiations, and active involvement in pre-litigation and litigation proceedings.

The candidate should bring 3–5 years of healthcare risk experience, a BSN, and relevant legal or paralegal qualifications. RN licensure is required.

Qualifications

• BSN required.
• 3–5 years in a health care setting with exposure to risk management or operations.
• Some legal experience (e.g., Paralegal, Legal Nurse Consultant) preferred; JDs will be considered.
• Adjuster licensure and/or CPHRM certification a plus.
• Three to five years in a health care setting with exposure to clinical care, risk management or operations.
• Some legal experience (i.e., Paralegal, Legal Nurse Consultant) preferred.

Responsibilities

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Provides support to the VP of Litigation and Claims Team in investigation, management, resolution and defense of liability events, claims, appeals, arbitrations or other disputes.
• Investigates patient and claimant complaints and demands and communicates recommendations; on-site interviews of providers may occur.
• Negotiates settlements within designated authority and drafts settlement agreements.
• Attends depositions, trials, hearings, and mediations; analyzes MMSEA issues and provides counsel with risk assessment.
• Teaches and participates in risk management education and system-wide events.

Skills

Leadership

Public speaking

Teaching

Interpersonal skills

Education

BSN

Paralegal Certificate

JD considered

Tools

PowerPoint

Excel

Job description

CHRISTUS Health is seeking a Regional Claims Specialist to support the Vice President of Litigation and the Claims Team in investigation, management, and defense of health-care related claims across affiliated centers. The role involves on-site interviews, settlement negotiations, and active involvement in pre-litigation and litigation proceedings.

The candidate should bring 3–5 years of healthcare risk experience, a BSN, and relevant legal or paralegal qualifications. RN licensure is required.