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Day - 08 Hour (United States of America)This is a Stanford Health Care job.
A Brief Overview
Under the direction of the Director, Claims & Litigation Strategy, the Claims Manager is primarily responsible for handling Employment Practices Liability (EPL) claims for Stanford Health Care, Stanford Health Care Tri-Valley, and Stanford Children's Health. Claims include those involving allegations of discrimination, retaliation, hostile work environment, and wrongful termination. This position requires coordination with internal stakeholders and external partners. Assists Director, Claims & Litigation Strategy in other EPL claims-related projects as requested.
Locations
Stanford Health Care
What you will do
Manage pre-suit and litigated claims. Evaluate EPL coverage and ensure timely reporting to carriers. Retain outside counsel for litigated matters, attend mediation, evaluate reserves, monitor litigation costs, prepare discovery responses, and oversee decisions regarding discovery, strategy, and ultimate resolution.
Investigate pre-suit claims, including conducting witness interviews. Evaluate claims for early resolution, as appropriate, and directly negotiate settlements with opposing counsel and/or claimants when warranted. Prepare responses to administrative charges.
Serve as liaison with other Stanford departments, including Human Resources and Employee & Labor Relations, and external partners, such as defense counsel, insurance brokers, and insurance carriers, to coordinate issues impacting claim resolution. Maintain timely and consistent communication with insurance carriers regarding substantive and procedural claim updates, and ensure compliance with all policy requirements.
Manage electronic claims files. Input all work product and case information into the claims database to ensure that files contain updated information.
Responsible for review and timely submission of EPL-related invoices.
Education Qualifications
Bachelor’s degree required.
Juris Doctor (JD) preferred.
Experience Qualifications
Five (5) years of progressively responsible and directly-related work experience in EPL claim management required.
Required Knowledge, Skills and Abilities
Ability to analyze and develop solutions to complex problems.
Ability to apply judgment and informed decisions.
Ability to communicate effectively in written and verbal formats including summarizing data and presenting results.
Ability to establish and maintain effective working relationships.
Ability to work effectively both as a team player and leader.
Ability to utilize computer systems and software, such as Riskonnect, to manage electronic claim files.
Knowledge of local, state and federal laws and regulatory requirements related to EPL claims handling.
Licenses and Certifications
BAR - CA Attorney preferred
These principles apply to ALL employees:
SHC Commitment to Providing an Exceptional Patient &a