**Req Number** 164495 Job Description Participates in the management of a Claims Management Program. Prioritizes and monitors claims filed, evaluates insurance coverage, ensures reporting of claims to primary and excess insurance, evaluates and monitors reserves; oversees defense counsel. Job Responsibility *Orients, mentors and acts as a resource to claims team members. *Develops programs and presentations to educate staff members on risk management issues and trends. *Identifies potential litigation exposures and works with Office of Legal Affairs, Quality Management, colleagues within Risk Management and other administrative staff. *Takes initiative to make recommendations to Health System personnel on risk management practices and potential malpractice and other liability issues. *Coordinates these recommendations with OLA and Quality department with minimal supervision. *Provides assistance to Risk management leadership in administrating, reviewing, and ensuring up to date claims in the database, while establishing department processes and procedures. *Monitors a comprehensive, integrated system for managing non-workers' compensation claims for the organization and its affiliates; manages a caseload of complex claims by establishing the appraoch to a solution. *Ensures reporting of claims to insurance carriers; conducts thorough insurance coverage analyses. *Reviews and evaluates insurance carrier coverage responses including reservation or rights and coverage denials; evaluates loss runs to ensure adequate reserving of claims at all layers of primary and excess coverage. *Oversees third party claims and defense counsel in the management of all aspects of assigned claims including day-to-day management, case reserves, expenses and motion practice; maintains current claim information in the database. *Ensures appropriate expert reviews; evaluates claims focusing on exposure, severity, reserves, and trial dates in a timely manor. *Monitors cases on trial and attends trials, when necessary; identifies cases requiring early/pre-trial resolution. *Collects and reviews claims data to identify trends and opportunities for loss control; collaborates with risk management to recommend loss control initiatives and influence overall business strategy. *Serves as a main point of contact between the organization, Third Party Claims Administrator and Insurance Broker in all aspects of claims management; monitors complex claims impacting on the health system's Insurance Captive Insurance company, Self Insurance Program and/or deductibles, Reviews insurance and related provisions of written agreements. *Operates under limited guidance on work assignments that involve moderately complex issues and require in-depth evaluation of variable factors. *Performs related duties as required under minimal supervision. *All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Juris Doctor required. 4-6 years of relevant experience, required. ***Additional Salary Detail** The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). The salary range for this position is $112,800-$197,200/year It is Northwell Health’s policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.