Under the direction of the Vice President of Risk Management or his/her designee, this position is responsible for processing and adjusting claims and litigation related to hospital professional liability (HPL) and other lines of coverage as appropriate. In addition, under the direction of the Vice President of Risk Management or his/her designee, this position is responsible for providing loss prevention education and training, risk mitigation advice, investigation and analysis of the frequency, severity and causes of adverse events, quality assurance measures to prevent the recurrence of adverse events, and recommendations for peer review. These responsibilities are to be performed with the objectives of minimizing losses to the assets of the entire OHSU system from patient-safety related events, of analyzing adverse events to identify patient safety improvement strategies and of consulting on the design of new quality assurance elements and systems.
Undergrad clinical degree.
3 to 5 years of clinical practice experience with exposure to professional liability claims investigation, management and/or patient safety.
Ability to work as part of a team, in collaboration with team members. Investigation skills to evaluate and appropriately resolve claims.
Familiarity with medical and insurance terminology.
Correct language usage, grammar, spelling, punctuation and vocabulary.
Ability to exercise good judgment, tact and sensitivity.
Review and address large number of claim documents and forms under time constraints.
Demonstrate organizational and analytical skills.
Compile and prepare reports and correspondence.
Operate standard office equipment including computers and related software applications. Plan and organize work, meet schedules and timelines, maintain records; Read, interpret, apply and explain rules, policies, procedures and regulations.
Ability to resolve internal and external customer complaints and concerns.
Ability to communicate effectively, both verbally and in writing.
Internal Number: IRC86301
About Oregon Health and Science University
Oregon Health & Science University is a nationally prominent research university and Oregon's only public academic health center. U.S. News and World Report has named OHSU Hospital the No.1 Hospital in Oregon. We educate health professionals and scientists and provide leading-edge patient care, community service and biomedical research. OHSU employees are Torchbearers. It’s not only a job, it's a calling. –