Staff Attorney - Litigation & Claims

At SCP Health, what you do matters

As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.

Why you will love working here:

- Strong track record of providing excellent work/life balance.

- Comprehensive benefits package and competitive compensation.

- Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.

RESPONSIBILITIES

• Daily management and handling of assigned claims and legal matters that are part of the company claims and litigation program.
• Support efficiency in departmental operations related to all types of litigation, all pending claims, and all prospective claims/litigationon
• Perform all appropriate claim reviews with leadership for recommendations regarding claim progress and direction
• Participation and management, with leadership oversight, of medical malpractice defense claims
• Participation and management, with leadership oversight, of assigned general liability defense claims
• Participation and management, with leadership oversight, of assigned company collection claims
• Direct administration of claims and litigation through direction and negotiation within defined authority parameters
• Attendance and participation in mediations and resolution meetings on behalf of organization and/or insured providers
• Attendance and participation in trials on behalf of organization and/or insured providers
• Coordination with assigned counsel and litigation leadership for collaborative claim direction
• Coordination with claim and litigation team for assurance of accurate and timely reporting on all pending claims and litigation
• Refer cases for authority under established guidelines, doing so with the appropriate case summary and documentation to justify recommendations.
• Review claim files for irregularities and trending, ensuring appropriate litigation strategies

RESPONSIBILITIES (Continued)

• Participate in claim calls with assigned counsel
• Organize and conduct appropriate meetings and communications with third parties for claim mitigation and/or resolution
• Understand claim programs, policies, and procedures as to reporting, investigation, financial analysis, trending, forecasting and litigation management up to and through the resolution/outcome of claims.
• Seek to support and further the mission and vision of the Litigation Division, Legal Department and the company.
• Develop, maintain and foster productive relationships with external persons and entities such as defense and plaintiff counsel, litigation management companies, claimants, insurers, insureds, brokers, and patient compensation funds.
• Assist with miscellaneous legal matters, including legal research, responding to legal inquiries, fielding questions from providers or employees, and providing advise as needed and appropriate
• Perform in a manner that enhances the operations of the department and the organization and promotes quality patient care.

Knowledge, Skills, and Abilities:  Excellent analytical, research, writing and interpersonal skills; Strong negotiation skills; Knowledge and/or familiarity with medical and insurance professions

Education:  Juris Doctorate from Accredited Law Center

Work Experience/Qualifications:

• Legal/Insurance experience – 0-3 years required / 3 -5 years preferred
• Familiarity with medical records/terminology
• Familiarity with insurance practice

CERTIFICATES AND LICENSES:  Law License

WORK ENVIRONMENT AND PHYSICAL DEMANDS:

• Professional setting
• Continuous sitting
• Continuous oral & written communication and listening skills
• Continuous computer use
• Occasional bending, kneeling, lifting, pulling & pushing up to 10 pounds
• Job requires a high level of mental awareness

PRIMARY LOCATION:

• Corporate Office

SECONDARY LOCATION:

• Associated Travel

The daily activities of this position will be held in the strictest confidence whether it is in regard to a person, individual and/or a strategic initiative.  Confidentiality must be maintained on any and all documents and/or information processed.

COMPLIANCE:

All SCP Health employees will abide by all policies and procedures including the SCP Health Corporate Compliance Program and will adhere to all applicable local, state, and federal laws.

DISCLAIMER:

The above statements reflect the general duties considered necessary to describe the essential functions of the job as identified and shall not be considered as a detailed description of all work requirements which may be inherent in the position.  They may be subject to change at any time due to reasonable accommodations or other reasons.

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