Risk Management Paralegal - Surrey, Canada - Fraser Health

Description

Detailed Overview

Supporting the Vision, Values, Purpose and Commitments of Fraser Health including service delivery that is centered around patients/clients/residents and families: Reporting to the Leader, Risk Management Services, the Risk Management Paralegal is a key member of the Risk Management team providing a critical linkage between Fraser Health and external parties, including the Risk Management Branch of the Provincial Government, external law firms, other health authorities and internal partners.

The position works independently to assess the need and priority for claims and litigation management to balance the workflow and demands of the litigation process and internal demands of the department.

This role will also have specific responsibility for triaging and prioritizing the Risk Management service desk for incoming new requests for consults and other services to the department.

The Risk Management Paralegal is the primary point of contact for Risk Management with the Province of BC Risk Management Branch and external law firms and is responsible for confidential processing and managing of all legal documentation for insured claims, formal Risk Management Branch requests for supporting materials and information, including:

policies and standards, documentation; setting up interviews with key staff and medical staff; conducting research, assessing legal requests and facilitating site visits.

The role may provide some general guidance and analytical support to Fraser Health departments on claims, insurance and risk issues in relation to Fraser Health's liability claims.

Specifically, the Risk Management Paralegal manages the claims management database (electronic file management system), provides paralegal and administrative support and ensures compliance with Fraser Health's records management protocol.

The incumbent will assist other Risk Management colleagues in the reporting and investigation follow up related to potential liability claims and litigation.

The incumbent will also provide administrative support in coroner investigations and the management of uninsured claims not covered by the Provincial Risk Management Branch Health Care Protection Program (HCPP) as required.

Responsibilities Manages the centralized intake process by coordinating the workflow and requests for legal documentation and inquiries and triaging requests for Risk Management services, reviewing and analyzing information provided, and pursuing additional or clarifying information as needed.

Supports employees/management staff through process in situations involving potential or actual claims by organizing legal meetings between HCPP appointed legal counsel and Fraser Health employees involved in insured liability claims or litigation and arranges site visits and forwards any reports received to appropriate management and staff.

Manages the database and file system for claims and litigation; tracks and categorizes legal documents for reference and legal proceedings.

This includes tracking trial dates, examination of discovery, mediation, and hearing deadlines and important dates for follow up and response; registering and documenting potential and actual claims into the database and manage the electronic claim file system for tracking and categorizing legal documents and file materials and preparing and maintaining a variety of claims, insurance and legal records and correspondence.

Receives, analyses and identifies high risk adverse events for potential claims and organizes relevant legal material by gathering claims details through liaising with appropriate Risk Management colleagues and Fraser Health departments.

Reports, actual or potential losses or claims in compliance with hospital, governmental and insurance company policies, rules and regulations to the Risk Management Branch and any specific designated insurance carrier Reviews claims files to be closed and prepares a synopsis for each claim noting the outcome, risk management issues, recommendations and amounts recovered by HCPP.

Responds to internal partner inquiries regarding confirmation of insurance coverage or memorandum of coverage, claims status; prepares and maintains a variety of claims, insurance and legal records and correspondence.

Supports coroner investigation and response to claims not covered by HCPP; obtaining information from third party claimants and Fraser Health employees; assesses liability in consultation with Leader Risk Management Services.

In consultation with Risk Management colleagues, provides support by liaising with various Fraser Health departments on follow up action related to risk management issues or potential liability claims.

Makes recommendations on risk management processes and system improvements to enhance the efficient delivery of risk management services. Performs other related duties as required.


Qualifications QUALIFICATIONS:

Bachelor's degree or completion of a college diploma with successful completion of recognized courses in a paralegal, risk management or general Insurance plus minimum of five years' recent related experience in claims and/or risk management, legal or related field in a large complex organization.

An equivalent combination of education, training and experience will be considered.


COMPETENCIES:
Demonstrates the leadership practices of the Fraser Health Leadership Framework of Clear, Caring and Courageous and creates the conditions for people to succeed


Professional/Technical Capabilities:

Knowledge of the British Columbia health care system Ability to exercise judgement and sensitivity working with complex, confidential and sensitive issues Knowledge of the Freedom of Information and Protection of Privacy Act Demonstrated ability to problem-solve with a global perspective Demonstrated conceptual, critical thinking and analytical skills.

Strong writing and verbal communication abilities and independent problem solving and decision making capabilities Demonstrated ability to perform legal research, organize and analyze legal information, prepare legal documents, and present information in a clear and logical format, research legislation and cases, maintain legal filing and indexing system.

Strong customer service skills and experience in preventing and defusing aggressive situations and using initiative and judgment in directing and resolving issues with customers Self-directed and effective organizational, time management skills Demonstrated ability to manage challenging and competing demands within a limited timeframe.

Ability to work under pressure with frequent interruptions and time constraints Demonstrated ability to manage a large caseload, plan, implement, organize and problem solve in a constantly changing health care environment; to work under pressure and adapt and respond to changing priorities and deadlines Proficiency with MS Office including Word, Outlook, Excel and PowerPoint Demonstrated organization skills and the ability to prioritize tasks and meet stringent legislated timelines.

Demonstrated excellent interpersonal and oral and written communication skills, including ability to foster and maintain good working relationships with maturity, tact, confidentiality and discretion Ability to function independently with minimal direction and as part of a team Physical ability to perform the duties of the position