Director Complex Claims and Counsel

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Department Name: Banner Staffing Services-AZ Work Shift: Varied Job Category: Legal Banner Staffing Services (BSS) also offers Registry/Per Diem opportunities within Banner Health. Registry/Per Diem positions are utilized as needed within our facilities. These positions are great way to start your career with Banner Health. As a BSS team member, you are eligible to apply (at any time) as an internal applicant to any regular opportunities within Banner Health. In this role, you will manage claims and litigation cases, proactively monitor and collaborate with outside defense counsel, and serve as in-house counsel on risk management and claims matters. Flexible hours & scheduling. This role is mostly remote with some onsite/travel requirements. Will consider candidates in the following locations who are willing to travel to Arizona and Colorado periodically: Arizona, California, Colorado, Idaho, Iowa, Kansas, Nebraska, Nevada, New Mexico, Missouri, Oklahoma, Oregon, Texas, Utah, Wyoming, Washington As a valued and respected Banner Health team member, you will enjoy: Competitive wages Paid orientation Flexible Schedules (select positions) Fewer Shifts Cancelled Weekly pay 403(b) Pre-tax retirement Employee Assistance Program Employee wellness program Discount Entertainment tickets Restaurant/Shopping discounts Auto Purchase Plan BSS Registry positions do not have guaranteed hours and no medical benefits package is offered . BSS requires Completion of post-offer Occupational Health physical assessment, drug screen and background check (includes; employment, criminal and education). POSITION SUMMARY This position is a high impact role responsible for cost effective and successful management of complex, potentially high exposure claims while providing legal counsel on risk management, claims and litigation matters across Banner Health (BH). The role combines advanced litigation and claims management expertise with legal acumen to manage complex and potentially high exposure professional liability claims, multi-party litigation, and other areas of liability exposure to the organization. The position designs and directs the claims investigation process; evaluates each claim with respect to liability (standard of care -SOC), causation and damages; manages and directs outside counsel; employs cutting edge litigation management strategies to optimize outcomes; and develops equitable resolution strategies for claims and lawsuits. The primary focus of the position is Hospital and Physician Professional Liability (HPL) claims. The position may also manage or co-manage other claims and litigation across the Banner Health (BH) system, including General Liability (GL), Employment Practices (EPL) and Management Liability claims, or others as assigned. CORE FUNCTIONS 1. Knows, understands, incorporates and demonstrates the mission, vision, values, brand, strategic initiatives, core measures and core behaviors into leadership behaviors, practices and decisions. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of BH with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day. 2. Implements best-in-class claims and litigation management strategies. Responsible for the investigation, evaluation and management (or co-management) of complex, potentially high exposure claims through resolution. Evaluates and analyzes insurance coverage, notices claims appropriately to carriers, and communicates and collaborates with insurers and reinsurers. Negotiates directly with claimants and attorneys on serious liability exposures. Requires extensive interaction with all levels of senior management, physicians, CEO's, internal management, other BH personnel, attorneys, mediators, insurance companies, business personnel, and government agencies. Directs attorney-client privileged investigations. Has independent authority to resolve claims on behalf of the organization within established authority levels. Uses specialized knowledge and independent judgment to make operational, financial, and strategic decisions affecting outcomes throughout the company. 3. Either directly on assigned cases, or as an expert consultant to other Claims team members, drives resolution of claims by formulating and implementing a thorough investigation plan and defense strategy for each claim. Evaluates each claim with respect to standard of care, liability, causation, and damages. Determines whether a preservation hold has been or needs to be issued. Considers witness credibility and consultants/expert opinions and determines the value of the claim. Determines and sets appropriate indemnity and expense reserves in a timely manner and periodically re-evaluates such reserves. Maintains a diary system to monitor all open claims. Updates claim files per documentat

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