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Investigative Associate

Healthcare Risk Advisors

Investigative Associate

New York, NY
Full Time
Paid
  • Responsibilities

    Job Description

    POSITION OBJECTIVE: The Investigative Associate provides essential support on medical malpractice asserted and unasserted cases by handling discovery requests, obtaining information and materials for litigation purposes and performing administrative duties as needed.


    ESSENTIAL DUTIES & RESPONSIBILITIES:

    1. Processes all defense attorney discovery requests via ResolveStar, including but not limited to: obtaining medical logs, policy and procedure manuals, signature identifications, medical records, radiology studies and pathology specimens. Forwards requested items to appropriate defense counsel per HRA guidelines.
    2. Maintains communication with internal/external clients and attorneys concerning relevant work.
    3. Meets with Professional Liability Investigator assigned to the case immediately upon identification of difficult requests. If the IA requires further direction, he/she meets with the Supervisor, and/or PLI Manager/AVP, if the matter cannot be resolved by the PLI.
    4. Opens unasserted cases in eOASIS claim system. Completes/distributes security request forms on each opened case to the appropriate departments, and uploads forms into OnBase system.
    5. Scans any paper medical records received by clients and notifies assigned PLI to upload into OnBase.
    6. Scans (if applicable) and uploads Risk Management alert referral forms into OnBase system.
    7. Picks up and drops off paperwork between field office and HRA office, if applicable.
    8. Maintains current list of hospital resource departments with phone/fax and e-mail addresses.
    9. Answers and directs incoming calls as needed.
    10. Performs other duties or special projects as required or as assigned. PERFORMANCE METRICS: • Responds (or coordinates response) to attorney requests in a timely fashion, within 60 days of request (if non-priority) or by date required by counsel (priority). • Opens unasserted cases, and requests security of appropriate evidence on all cases within 30 calendar days of receipt, or as directed by the PLI Manager. • Requests medical records for all summonses within 1 business day, if applicable. • Ensures all calls and emails are appropriately channeled, and/or responded to, by close of each business day. QUALIFICATIONS AND REQUIREMENTS: Education/Certification • High school diploma, college degree preferred Experience Required • 1-2 years administrative assistance experience; exposure to claims or legal a plus. Skills/Abilities: • Good Microsoft Office Suite skills. • Strong organizational skills. • Strong communication and interpersonal skills. • Ability to multi-task. • Attention to detail. • Medical terminology and/or claims knowledge preferred. • Must be a self-motivator able to work autonomously as well as collaborate on a team POSITION CLASSIFICATIONS: FLSA Status: Non-Exempt

    The statements herein are intended to describe the general nature and level of work being performed by employees, and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the sole discretion of HRA. All employment with HRA is of an at-will nature. Healthcare Risk Advisors is an equal opportunity employer and complies with applicable worker and workplace employment laws and regulations.