Hybrid - Risk​/Claims Manager

Overview

Find your calling at Mercy! Must live within the Mercy footprint in Illinois, Missouri, Arkansas, Oklahoma and/or Kansas.

Manages ministry-wide functions of the Risk, Claims & Litigation (RCL) team in Mercy's Legal Department. The RCL team is led by the Associate Counsel for RCL in concert with the Executive Director for Litigation and the Chief Litigation Officer. The position reports directly to a Director of RCL, but duties and responsibilities may be assigned by any leader on the team.

This is a Ministry position that includes responsibilities throughout the various communities within the Mercy Ministry. The RCL manager partners with others in the Legal Department and closely with the Quality, Patient Safety, Compliance Departments, and other caregivers to protect Mercy's interest. The RCL team manages potentially compensable events (PCE's), general and healthcare professional liability, and other claims and litigation as assigned that include investigation, evaluation, reserving, and resolution.

The Risk/Claim Manager applies industry best practices in risk, claims, and litigation management to minimize expense and indemnity expenditures. They work autonomously within a demonstrated settlement authority level and collaborate with other leaders on the RCL team on matters that require a higher authority level. The position develops and communicates trends and education regarding risk, claims, and litigation to Mercy leaders and stakeholders to increase safety and risk awareness.

It is responsible for data integrity and sustainability of Mercy's systems that support events, claim, and litigation management. The role is data driven and assumes additional responsibilities as assigned by RCL leaders in a manner consistent with our mission, values, and Mercy Standards.

• Lead ministry-wide functions of the Risk, Claims & Litigation (RCL) team in Mercy's Legal Department; report to a Director of RCL with duties that may be assigned by any team leader.
• Partner with the Legal Department, Quality, Patient Safety, Compliance, and other caregivers to protect Mercy's interests.
• Manage potentially compensable events (PCEs), general and healthcare professional liability, and other claims and litigation, including investigation, evaluation, reserving, and resolution.
• Apply industry best practices in risk, claims, and litigation management to minimize expense and indemnity expenditures.
• Work autonomously within settlement authority and collaborate on matters requiring higher authority levels.
• Develop and communicate trends and education regarding risk, claims, and litigation to Mercy leaders and stakeholders to increase safety and risk awareness.
• Ensure data integrity and sustainability of Mercy's systems that support events, claims, and litigation management.
• Act in a data-driven manner and assume additional responsibilities as assigned by RCL leadership in alignment with Mercy's mission, values, and standards.

• Education:
  
  Four-year college degree or equivalent work experience.
• Experience:
  
  3 years in medical malpractice claims management, healthcare risk management, litigation management, or insurance claims management.
• Skills and knowledge:
  Strong work ethic and demonstrated performance; demonstrated case management experience; strong analytical and organizational skills; knowledge of legal terminology; ability to meet goals and work at a high-performance level; strong oral and written communication skills; self-directed and able to work independently while collaborating in a team; strong interpersonal and critical thinking skills; proficient with Microsoft 365 and ability to use software applications and databases;
  
  ability to travel throughout the Mercy ministry to attend meetings, mediations, and trials as assigned.

• Work Experience:
  
  A minimum of 3 to 5 years experience handling medical malpractice litigation as a paralegal or defense counsel, nurse, or other clinical competence, claims manager in a healthcare field or organization.
• Education:
  
  Bachelor's degree in healthcare field, health care risk management, or law degree.
• Professional Designations/
  
  Certifications:
  
  CPHRM, ARM, CPCU

From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.

Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.