Liability Claims Specialist at Jackson Health

Miami, Florida, United States -

Full Time

Start Date

Immediate

Expiry Date

04 Jun, 26

Salary

0.0

Posted On

06 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Management, Litigation Management, Personnel Administration, Data Analysis, Correspondence Drafting, Legal Document Preparation, Interviewing, Deposition Attendance, Record Keeping, Insurance Policy Renewal, Certificate of Insurance Preparation, Actuarial Studies Support, Medical Malpractice Reporting, Calendar Management, Critical Thinking, Independent Judgment

Industry

Hospitals and Health Care

Description

Liability Claims Specialist, Risk Management, Part Time with Limited Benefits, Days Jackson Memorial Hospital Department: Jackson Health System, Risk Management Address: 1611 NW 12th Ave, Miami, Florida, 33136 Shift details: Part- Time, Days, Monday through Friday Why Jackson: Jackson Memorial Hospital is the flagship hospital for Jackson Health System and it has been a beacon of medical excellence and community care for more than a century. Throughout its rich and storied history, Jackson Memorial - located in the heart of the City of Miami - has been ground zero for some of the world's greatest medical breakthroughs and important moments in South Florida. We've grown into one of the nation's largest public hospitals, and one of the few that is also a world-class academic medical center with a proud mission and proven success. Jackson Memorial is an accredited, tertiary teaching hospital with 1,500 licensed beds, where nearly every medical specialty is provided by some of the world's most skilled and highly regarded multidisciplinary team of healthcare professionals. Job Summary The Liability Claims Specialist is responsible for claims management functions and as well as providing support to the following departments; Risk, Transfer Center, Regulatory Affairs and Medical Staff office. The Liability Claims Specialist may deal with attorneys in litigation, including labor relations issues. This position works together with other team members to provide high quality and timely support to the work of the organization. This position assists in monitoring, assessing and identifying strategies to improve services, systems and process in the designated area. This position reports to Director of Claims and/or AVP/Chief Patient Safety officer. This position will have a significant role in personnel administration, departmental efficiencies, claims management, and litigation management. This is a project-oriented position with some oversight and works in a confidential capacity. Position requires exercise of independent judgment. Responsibilities Create monthly loss runs for open claims out of Quantros. Regularly draft and send correspondence and legal documents for pending pursuit and litigation which may include grievances related to the subject matter. Responsible for managing visitor / patient / employee and director appointments. Oversees bi-weekly Kronos activity for assigned programs and advises AVP when final sheets are complete for approval. Insurance policy renewal adjunct related to information gathering and interaction with insurance broker. Prepares accurate Certificates of Insurance as requested from outside contractors. Review and assign correspondence to appropriate responsible party. Manages inventory supplies and equipment. Manages new cases in Quantros related to claims and maintains necessary and relevant content to that new file. Manages interviews for various claims activities to include depositions, pre-deposition and attendance at trial. Maintains accurate confidential staff records, including disciplinary records. Processes and ensures appropriate support information for all check requests. Constantly manages confidential medical records/files. Prepares and then transmits Medical malpractice closed claims report to Florida Department of Financial Services on Quarterly basis. Calendar management for AVP, Senior Directors and Director of Claims as requested. Prepares AHCA annual report from Quantros system and interacts with Risk leads to ensure complete for submission. Prepares complex and non-routine letters and maintain efficient correspondence to assist office staff. Analyzes data for preparing presentations. Provides primary audit support on annual basis and maintains accurate data for actuarial studies. Performs all other related job duties as assigned. Required Qualifications Experience Generally requires 0 to 3 years of related experience. Education High school diploma is required. Skill Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines. Ability to communicate effectively in both oral and written form. Ability to handle difficult and stressful situations with critical thinking and professional composure. Ability to understand and follow instructions. Ability to exercise sound and independent judgment. Knowledge and skill in use of job appropriate technology and software applications. Credentials Paralegal certification or acquire adjuster license within 9 months of hire. Jackson Health System is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law.

Responsibilities

The Liability Claims Specialist manages claims functions, supporting departments like Risk, Transfer Center, Regulatory Affairs, and Medical Staff, often dealing with attorneys in litigation and labor relations issues. This role involves monitoring, assessing, and identifying strategies to improve organizational services, systems, and processes.