Job Description
Primary City/State: Phoenix, Arizona Department Name: Litigation & Claims Mgmt Work Shift: Day Job Category: Legal Great careers are built at Banner Health. There’s more to health care than doctors and nurses. We support all staff members as they find the path that’s right for them. Apply today, this could be the perfect opportunity for you. A network with resources for leaders with vision. We value and celebrate equity, diversity and inclusion by promoting a culturally-rich workforce. Our leaders are at the forefront of the health care transformation, planning the future of Banner Health. This role is hybrid for Arizona residents with onsite requirements. In this role you will manage claims and litigation case information and filings and will work alongside the defense counsel. Your pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits. In addition, this position may be eligible for our Management Incentive Program as part of your Total Rewards package. Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care. Position Summary This position is a high impact role responsible for cost effective and successful management of complex, potentially high exposure claims while providing legal counsel on risk management, claims and litigation matters across Banner Health (BH). The role combines advanced litigation and claims management expertise with legal acumen to manage complex and potentially high exposure professional liability claims, multi-party litigation, and other areas of liability exposure to the organization. The position designs and directs the claims investigation process; evaluates each claim with respect to liability (standard of care -SOC), causation and damages; manages and directs outside counsel; employs cutting edge litigation management strategies to optimize outcomes; and develops equitable resolution strategies for claims and lawsuits. The primary focus of the position is Hospital and Physician Professional Liability (HPL) claims. The position may also manage or co-manage other claims and litigation across the Banner Health (BH) system, including General Liability (GL), Employment Practices (EPL) and Management Liability claims, or others as assigned. Core Functions Knows, understands, incorporates and demonstrates the mission, vision, values, brand, strategic initiatives, core measures and core behaviors into leadership behaviors, practices and decisions. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of BH with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day. Implements best-in-class claims and litigation management strategies. Responsible for the investigation, evaluation and management (or co-management) of complex, potentially high exposure claims through resolution. Evaluates and analyzes insurance coverage, notices claims appropriately to carriers, and communicates and collaborates with insurers and reinsurers. Negotiates directly with claimants and attorneys on serious liability exposures. Requires extensive interaction with all levels of senior management, physicians, CEO’s, internal management, other BH personnel, attorneys, mediators, insurance companies, business personnel, and government agencies. Directs attorney-client privileged investigations. Has independent authority to resolve claims on behalf of the organization within established authority levels. Uses specialized knowledge and independent judgment to make operational, financial, and strategic decisions affecting outcomes throughout the company. Either directly on assigned cases, or as an expert consultant to other Claims team members, drives resolution of claims by formulating and implementing a thorough investigation plan and defense strategy for each claim. Evaluates each claim with respect to standard of care, liability, causation, and damages. Determines whether a preservation hold has been or needs to be issued. Considers witness credibility and consultants/expert opinions and determines the value of the claim. Determines and sets appropriate indemnity and expense reserves in a timely manner