Claims Litigation & Legal Process Specialist

Job Summary

The Claims, Litigation & Legal Process Specialist is responsible for supporting the NCHS Legal Department's review, investigation and management of all claims and litigation, legal process and other legal proceedings involving the Health System and its affiliates and employees (whether as a party or a third-party), in collaboration with outside legal counsel, third-party administrator and insurance representatives (as applicable).

Also provides support for Legal Department special projects involving claims and insurance and provides back-up support for the Legal Department's contract management process.

Works under the supervision of the Legal Department attorneys and requires on-premises work at the Legal Department offices 2-5 days per week (as determined by supervising attorney).

 

Job Specific Duties


* Prepares letter and email correspondence related to potential compensatory events (PCEs), claims and litigation matters directed to third party administrator, NCHS’s outside counsel, counsel for other parties (in connection with subpoenas) and other recipients. 


* Leads or assists/supports Legal Department attorneys, the third-party administrator and outside counsel with the investigation of claims, PCEs or incidents (as applicable based on subject matter), including, but not limited to, research with staff, physicians, and in NCHS and other systems (e.g., electronic medical record, PolicyStat) to identify and obtain documents, information and fact witnesses related to claims and litigation matters. 


* Responsible for the collection, preservation, and transmittal of video footage, photographs, physical evidence (e.g., furniture), documents (electronic & paper), and information related to PCEs, claims and litigation matters. 


* Collaborates with third party administrator and/or outside counsel to coordinate witness interviews, unsworn statements, depositions, hearing or trial testimony for witnesses. 


* Responsible for the coordination and management of the Legal Department’s support to physicians and staff required or requested to participate in a conference, deposition, hearing, or trial as a treating provider or fact witness in a third-party legal matter (Health System is not a party), such as matters involving the Florida Department of Children and Families, family law, criminal and personal injury cases. 


* Accepts service of court-related documents on behalf of Nicklaus Children’s Health System (and its related entities) and employed physicians and staff.

Collaborates with attorneys to address deficiencies or inaccuracies in service process or in served documents. 


* Collaborates with Legal Department attorneys in reviewing, drafting, and updating responses to subpoenas, Writs for Garnishments, discovery requests and other litigation filings.

E-file responses in state or federal court, as applicable.


* Performs research related to legal cases and statutes (e.g., Florida ...