Litigation

• Provide complete national claim loss services for providers and employees of VillageMD and its associated entities.
• Investigate and evaluate complex medical professional liability, general liability, auto, and property claims keeping the Director apprised of all pending matters.
  • Interview providers, staff, witnesses, and other appropriate parties to obtain information used to assess liability exposure.
  • Document files regarding results of investigation.
  • Secure records for investigation and evaluation of cases.
  • Evaluates cases for appropriate disposition and seeks authority for settlement from Director.
  • Determines and implements negotiation strategy and negotiates settlements with authority level in coordination with the retained TPA.
  • Directs and monitors activities of defense counsel, external insurance coordinators, and agent/brokers.
• Prepare and review responses to written discovery including interrogatories, notices to produce, and requests for admission.
• Coordinate responses to subpoena duces tecum and ad testificandum with appropriate departments.
• Assist in identifying appropriate personnel for production for deposition testimony.
• Assist in responding to medical record production requests in pending litigation.
• Monitor trials and attends pre-trial proceedings, mediations, and arbitrations, as necessary.
• Interact with other departments as necessary to help facilitate and coordinate responses to trending in filed litigation.
• Identifies significant Risk Management issues in filed litigation and directs information to the appropriate staff.

Insurance

• Maintains working knowledge of policy forms for the complete insurance program.
• Submit new losses to agent/broker and appropriate insurance provider.
• Review slip and fall reports for the purpose of reporting to Landlords when necessary.
• Coordinate the retrieval of video footage for slip and fall reports and review property leases for maintenance responsibility.
• Review lost/damaged property reports for the purpose of reporting to Landlords or CGL carrier when necessary.

General Job functions:

• Claims management monitoring and supporting external counsel handling MPL, GL, Property claims.
• Maintains litigation files and litigation tracking spreadsheets for all claims handled.
• Responsible for maintaining electronic database for all claims.
• Ensures confidentiality of all information at all times

Education, Certification, Computer and Training Requirements:

• Bachelor’s Degree required, paralegal certificate and/or adjuster license preferred.
•  4+ years of experience in claims (medical malpractice experience preferred), insurance, or health care risk management insurance experience.
• Insurance adjuster’s license may be required for specific states.
• Knowledge of medical, legal, and insurance terminology is required.
• Excellent assessment, communication, organization and teaching skills.
• Ability to communicate in English, both orally and in writing
• Ability to perform duties with time limitations with a high degree of accuracy.
• Strong attention to detail.
• Standard Office Equipment (Phone, Fax, Copy Machine, Scanner, Email/Voice Mail) and Office Technology in a Windows-based environment.

Physical Job Requirements:

• Light lifting
• Physical mobility, which includes movement from place to place on the job, taking distance and speed into account
• Physical agility, which includes ability to maneuver body while in place
• Dexterity of hands and fingers
• Endurance (e.g. continuous typing, prolonged standing/bending, walking)
• Memory, taking into consideration the amount and type of information
• Complex and time pressured decision making with high degree of accuracy
• Multi - tasking, organizing & priority setting

Travel:

• Travel to other client or other VillageMD locations as needed.
• Travel to and from offices and satellites as needed.
• Travel to outside meetings as needed.

About Village MD / Summit Health

Summit Health is a physician-driven, patient-centric network committed to simplifying the complexities of healthcare. Formed by the 2019 merger between Summit Medical Group and CityMD, Summit Health delivers a more intuitive, comprehensive and responsive care experience for every patient through high-quality primary, specialty and urgent care. We invite you to join and grow with our exceptional medical team that values employees and works to exceed patient expectations, everyday.

Connections working at Village MD / Summit Health