索赔经理 - 就业
Claims Manager - Employment
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Day - 08 Hour（美国）
这是一份斯坦福医疗保健公司的职位。
职位简介
在索赔与诉讼策略主管的指导下，索赔经理主要负责处理斯坦福医疗保健公司、斯坦福医疗保健三谷地区和斯坦福儿童健康公司的雇佣实践责任（EPL）索赔。索赔包括涉及歧视、报复、敌对工作环境和不当解雇的指控。该职位需要与内部利益相关者和外部合作伙伴协调。根据要求，协助索赔与诉讼策略主管完成其他EPL索赔相关项目。
工作地点
斯坦福医疗保健公司
你将负责的工作
- 管理诉前和诉讼索赔。评估EPL保险覆盖范围并确保及时向保险公司报告。为诉讼事项聘请外部律师，参加调解，评估准备金，监控诉讼成本，准备发现回应，并监督关于发现、策略和最终解决的决策。
- 调查诉前索赔，包括进行证人访谈。在适当的情况下评估索赔以实现早期解决，并在必要时直接与对方律师和/或索赔人协商和解。准备对行政指控的回应。
- 作为与其他斯坦福部门（包括人力资源和员工与劳资关系）以及外部合作伙伴（如辩护律师、保险经纪人和保险公司）的联络人，协调影响索赔解决的问题。就索赔的实质性与程序性更新与保险公司保持及时且一致的沟通，并确保遵守所有政策要求。
- 管理电子索赔文件。将所有工作成果和案件信息输入索赔数据库，以确保文件包含最新信息。
- 负责审查并及时提交与EPL相关的发票。
教育要求
- 需要本科学位。
- 法学博士（JD）优先考虑。
经验要求
· 需要五年及以上在EPL索赔管理方面逐步增加责任的相关工作经验。
所需知识、技能和能力
- 能够分析并解决复杂问题。
- 能够运用判断力
查看英文原文
If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered.
Day - 08 Hour (United States of America)This is a Stanford Health Care job.
A Brief Overview
Under the direction of the Director, Claims & Litigation Strategy, the Claims Manager is primarily responsible for handling Employment Practices Liability (EPL) claims for Stanford Health Care, Stanford Health Care Tri-Valley, and Stanford Children's Health. Claims include those involving allegations of discrimination, retaliation, hostile work environment, and wrongful termination. This position requires coordination with internal stakeholders and external partners. Assists Director, Claims & Litigation Strategy in other EPL claims-related projects as requested.
Locations
Stanford Health Care
What you will do
- Manage pre-suit and litigated claims. Evaluate EPL coverage and ensure timely reporting to carriers. Retain outside counsel for litigated matters, attend mediation, evaluate reserves, monitor litigation costs, prepare discovery responses, and oversee decisions regarding discovery, strategy, and ultimate resolution.
- Investigate pre-suit claims, including conducting witness interviews. Evaluate claims for early resolution, as appropriate, and directly negotiate settlements with opposing counsel and/or claimants when warranted. Prepare responses to administrative charges.
- Serve as liaison with other Stanford departments, including Human Resources and Employee & Labor Relations, and external partners, such as defense counsel, insurance brokers, and insurance carriers, to coordinate issues impacting claim resolution. Maintain timely and consistent communication with insurance carriers regarding substantive and procedural claim updates, and ensure compliance with all policy requirements.
- Manage electronic claims files. Input all work product and case information into the claims database to ensure that files contain updated information.
- Responsible for review and timely submission of EPL-related invoices.
Education Qualifications
- Bachelor’s degree required.
- Juris Doctor (JD) preferred.
Experience Qualifications
· Five (5) years of progressively responsible and directly-related work experience in EPL claim management required.
Required Knowledge, Skills and Abilities
- Ability to analyze and develop solutions to complex problems.
- Ability to apply judgment and informed decisions.
- Ability to communicate effectively in written and verbal formats including summarizing data and presenting results.
- Ability to establish and maintain effective working relationships.
- Ability to work effectively both as a team player and leader.
- Ability to utilize computer systems and software, such as Riskonnect, to manage electronic claim files.
- Knowledge of local, state and federal laws and regulatory requirements related to EPL claims handling.
Licenses and Certifications
· BAR - CA Attorney preferred
These principles apply to ALL employees:
SHC Commitment to Providing an Exceptional Patient & Family Experience
Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.
You will do this by executing against our three experience pillars, from the patient and family’s perspective:
- Know Me: Anticipate my needs and status to deliver effective care
- Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
- Coordinate for Me: Own the complexity of my care through coordination
Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination inall ofits policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.
Base Pay Scale: Generally starting at $66.52 - $88.14 per hourThe salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.
Originally posted on Himalayas