Senior Specialist-Claims & Litigation

Ascension Healthcare; Oregon City (OR); Remote; USD 75,000 - 90,000; Full time

Job summary

Ascension Healthcare is seeking a Claims Manager to lead and manage medical professional liability claims within the organization. This role involves investigation, negotiation, and collaboration with legal counsel to resolve complex claims effectively. Candidates should have relevant experience and educational qualifications, ideally with a Juris Doctorate and leadership exposure. This is a remote position that offers a comprehensive benefits package, including PTO and health insurance options.

Benefits

Paid time off (PTO)

Various health insurance options & wellness plans

Retirement benefits including employer match plans

Long-term & short-term disability

Employee assistance programs (EAP)

Parental leave & adoption assistance

Tuition reimbursement

Qualifications

• 2 years of cumulative experience required or 5 years of applicable job-specific experience.
• Preferred Juris Doctorate and leadership experience.

Responsibilities

• Lead and support medical liability claims and litigation.
• Investigate and process liability claims and manage complex malpractice matters.
• Negotiate settlements directly with plaintiffs and counsel.

Skills

Investigation

Negotiation

Leadership

Claims Management

Education

High School diploma or equivalent

Associate's degree/Bachelor's degree

Job description

**Details**

+ **Department:** Claims

+ **Schedule:** Full time, Days

+ **Location:** Remote

**Benefits**

Paid time off (PTO)

Various health insurance options & wellness plans

Retirement benefits including employer match plans

Long-term & short-term disability

Employee assistance programs (EAP)

Parental leave & adoption assistance

Tuition reimbursement

Ways to give back to your community

_Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance and salary range at the time of the offer._

**Responsibilities**

Lead and support medical professional liability claims and litigation for the Ascension Health Alliance Professional Liability and General Liability Self-Insurance Trust. Responsible for case strategy, investigation and oversight of case action plan in collaboration with insured and defense counsel.

Responsibilities:

+ Investigate and process general and professional liability claims from first notice of loss through resolution including coverage, liability, damage evaluations and resolution. Responsible for claims handling of highly complex medical malpractice matters and handling of batches.

+ Establish reserves based on protocols and authority procedures.

+ Oversee litigation assigned to external counsel and manage panel counsel retained for litigated claims. Negotiate settlements directly with patients, plaintiff attorneys and/or direct defense counsel within approved authority.

+ Complete National Claims Committee reports for large loss matters.

+ Attend and present to self-insured clients’ board, hospital leadership committee, or claim meetings as requested. Collaborate with claims leadership to achieve Key Performance Indicators for the claims team.

+ Serve as mentor to team members on proper investigative techniques, documentation and resolution.

\#LI-Remote

**Requirements**

Education:

+ High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree with 1 year of experience OR 5 years of applicable cumulative job specific experience required. 2 years of leadership or management experience preferred.

**Additional Preferences**

+ Juris Doctorate preferred

+ High exposure jurisdiction preferred

**Why Join Our Team**

Ascension associates are key to our commitment of transforming healthcare and providing care to all, especially those most in need. Join us and help us drive impact through reimagining how we can deliver a people-centered healthcare experience and creating the solutions to do it. Explore career opportunities across our ministry locations and within our corporate headquarters.

Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.

**Equal Employment Opportunity Employer**

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.

For further information, view the EEO Know Your Rights (English) (https://www.eeoc.gov/sites/default/files/2022-10/22-088\_EEOC\_KnowYourRights\_10\_20.pdf) poster or EEO Know Your Rights (Spanish) (https://www.eeoc.gov/sites/default/files/2022-10/22-088\_EEOC\_KnowYourRightsSp\_10\_20.pdf) poster.

As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.

Pay Non-Discrimination Notice (https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp\_%20English\_formattedESQA508c.pdf)

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

**E-Verify Statement**

This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.

E-Verify (https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify\_Participation\_Poster\_ES.pdf)