Senior Coordinator, Claims & Litigation Job at Summit Health CityMD
Career Opportunities at Summit Health and CityMD
Summit Health and CityMD form a physician-driven, patient-centric network, committed to simplifying the complexities of health care and bringing a more connected kind of care. Our unique network was created by the 2019 merger between Summit Medical Group, one of the nation’s premier independent multispecialty medical groups, and CityMD, the leading urgent care provider in the New York metropolitan area. Together, Summit Health and CityMD deliver a more intuitive, comprehensive, and responsive care experience for every patient, regardless of the stage of life or health condition, through high-quality primary, specialty, and urgent care.
We are continually growing to meet the needs of our patients and deliver exceptional care to an even greater population. Summit Health now has more than 2,800 providers across more than 80 specialty areas, 13,000 employees, and over 370 locations in New York, New Jersey, Connecticut, Pennsylvania, and Central Oregon. CityMD has over 150 locations across the tri-state. We share a vision of improving the way health care needs are addressed by offering timely, high-quality, comprehensive care with an exceptional patient experience. Together, we provide the best possible care to every patient in every neighborhood.
Join our team!
Summit Health and CityMD are dedicated to hiring and retaining the right talent who will contribute to our ongoing expansion and success. We work to set clear goals and expectations, while regularly managing performance and cultivating personal and team capabilities within a positive, collaborative environment that recognizes and rewards success. We strive to make each team member's experience at our company inspiring. Explore our open positions and apply to become a part of the Summit Health and CityMD family.
Job Description
Essential Job functions:
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.
Total Rewards at Summit Health CityMD
Our team members are essential to our mission to reshape healthcare through the power of connection. Summit Health highly values the critical role that health and wellness play in the lives of our team members and their families. We strive to provide a valuable suite of benefits, wellness programs, compensation, time off, and resources to support the wellbeing and personal needs of team members and their families at various stages of life and in their professional career. Collectively, we call these "Total Rewards“.
Here at Summit Health, our total rewards include, but are not limited to:
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We’ve Got You Covered - Health coverage is vital, and it begins as soon as the 1st of the month after you start employment.
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Build a Healthy Foundation – Various medical plan options, HDHP with HSA option and employer contribution, and waived copays at CityMD Urgent Cares.
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Enhance Your Health Coverage – Dental and vision insurance, plus healthcare and dependent care spending accounts.
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Safeguard Your Household – Company paid EAP and life insurance, plus optional supplemental life, pet, and legal plan insurance.
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Protect Against the Unexpected – Voluntary benefits including hospital indemnity, accident, critical illness, and disability insurance.
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Retirement Investing - 401(k) plan with company match every pay period to help you build towards your retirement.
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Work/Life Balance - Paid time off including PTO, holidays, and more so employees can take a break or care for themselves and their family.
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Paid Maternity Leave - Paid time off for the birth of a child to assist with important time away while welcoming the newest addition to your family.
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Reach Professional Goals – Tuition reimbursement, annual compensation and bonus program, and internal growth opportunities.
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Financial Wellness - Educational webinars, resources, and tools to help foster financial literacy.
Equal Opportunity Employer
Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.
Safety Disclaimer
Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit,
https://www.consumer.ftc.gov/JobScams
or file a complaint at
https://www.ftccomplaintassistant.gov/
.
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