Claims Manager/Risk Manager Resume Example

Handle professional liability claims/lawsuits for system hospitals including extensive medical record review, investigation, claims evaluation, assisting defense counsel in the development of defense strategies. Assist hospital risk managers in development of claims reducing programs; conducting root cause analysis. Report to Quality Department special incidents, events, complaints,trends. Participate in monthly risk managers meetings where hospital issues are discussed and plans for addressing are formulated for implementation. Participate in quarterly claims committee meetings where cases that need a resolution prior to trial are discussed with both system and hospital administration.