Senior Director, Claims & Litigation Counsel

Department Name:

Litigation & Claims Mgmt

Work Shift:

Day Job Category:

Legal Banner Health believes leadership matters. We look for leaders who share our vision making health care easier, so life can be better. Our executives are at the forefront of the health care transformation, planning the future of Banner Health.

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 responsible for providing strategic and operational leadership to the claims and litigation management team. This includes implementation of best practices, financial responsibility for performance of claims including oversight of claim reserves and outcomes, and providing legal advice and direction related to risk management incidents, potential claims, claims and litigated matters. This leader provides direct reporting to the company’s offshore captive insurance company board, and regularly interacts with domestic and international insurance market contacts.

This position oversees, leads and mentors Claims Directors managing their own caseloads and the Claims team as a whole and is also active in strategies, mediations and trials with cases involving potential for high exposure and ensures cost effective and successful management of Hospital and Physician Professional Liability (HPPL), General Liability (GL) and Employment Practices Liability (EPL) and other liability claims and litigation.

The leader coordinates with other risk area functions including clinical risk management and risk finance to implement strategic initiatives designed to reduce the financial impact of liability risk and claims on the organization.

CORE FUNCTIONS
1. Provides leadership and direction to ensure cost effective and successful management of liability claims and litigation, including interacting with senior leaders of BH in decision-making on large litigation matters, the handling of claim files, creating reports, database entries, establishing and following standardized claims management procedures and other claims management responsibilities. Creates, monitors, and updates policies and procedures. Serves as a role-model for the organization’s mission, vision, values, and behaviors.
2. Provides direction and legal advice to Claim Directors and Specialists on claims and litigation matters and is active in management of cases with high potential exposure. Establishes and implements standardized excess reporting guidelines and reviews and responds to queries regarding excess carrier reports and loss runs. Oversees trial preparation for major claims. Within delegated authority limits, independently negotiates or directs the negotiation of the claims/lawsuits to resolution.

Represents facility, physician, and/or organization at case evaluations, pre-mediation meetings with families and mediators, mediations, and trial.
3. Provides legal advice and counsel to employees, leadership, and captive insurer relating to risk management issues, risk mitigation issues, and settlement and litigation strategies. Provides legal advice and direction to the organization with respect to incidents, potentially compensable events, claims, or suits. Directs privileged investigations.
4. Develops, participates in and coordinates internal and external claims audits, and leads claims team roundtable and reserve review processes. Monitors for and identifies system claim trends, as well as industry benchmarks. Prepares claims data reports and prepares case…