AVP, Legal Operations – Network Strategy

Role Overview

• Manage attorney panel including recruiting, training, supervising, evaluating and re-credentialing and communicating with PLFs and visiting PLF offices as appropriate
• Lead a team 40 relationship managers to engage, support, educate and manage attorney relationships across the country
• Develop communications and strategies to strengthen our relationships, engage, educate and improve the network NPS
• Support coverage reviews including coverage determinations and coverage appeals.
• Manage annual review of network attorney fees to determine if adjustments need to be made to existing fee schedules including negotiation of fees.
• Maintain and update Participating Law Firm manual on a regular basis.
• Support and manage virtual panel engagement offering available to members.
• Lead a team of associates that support scheduling appointments with our attorneys
• Support Sales department in completing RFP (request for proposal) responses, plan comparisons, and competitor comparisons.
• Participate in finalist meetings, customer facing sales calls/presentations as requested by the sales/marketing organization.
• Partner with our Sales and Legal departments in creating new coverages and/or updating coverage definitions and establish alignment of these changes throughout the organization.
• Partner with Finance and Legal departments in establishing network and out of network attorney fees for new coverage offerings.
• Approve special fee requests at firm level during recruitment to our network.
• Manage attorney panel including recruiting, evaluating, and re-credentialing to including malpractice checks.
• Manage recruiting of network attorneys including: reviewing and approving all attorney applications
• Manage the attorney audit system including assisting accounting with audit standards and cases, determining PLF status related to audit issues and managing training related audit issues.
• Support and manage responses for member complaints relating to coverage, claims processing and network attorneys.
• Support and respond to any litigation which may arise from items directly related to position’s management responsibilities.
• Support company litigation by researching legal issues and/or coaching members of the organization in their responses.
• Support and manage audit activity and responses related to the panel and claims departments.
• Obtain and maintain adjustor licenses as deemed necessary for role responsibilities.
• Manage, coach, train, supervise and develop direct reports.
• Manage departmental staffing levels, paid time off, performance reviews and compensation.
• Support budget planning by ensuring staffing and capacity models are kept up to date and reflects work responsibilities across the Attorney Network and Claims Management teams.
• Participate in user acceptance testing for any changes in process/technology for the Panel Management and Claims departments.
• Support training of new team members in the Panel Management and Claims departments.
• Serve as a resource and provide training for other departments on coverage and attorney network issues.
• Manage the client inquiry system including: review and resolution of difficult inquiries; review allegations of attorney misconduct or poor service; review of attorney status; and categorization of inquiries.
• Support Strategic Planning efforts and deliver on the organization’s objectives and key results.
• Support organization with achieving Service Level Agreements and NPS goals.
• Manage SLA report out requests for Sponsors.
• Assist Legal, Panel, and Claims organization with other items as required.
• Ensure that all employees are adhering to and modeling after company Success Principles.

Requirements

• Bachelor’s degree from an accredited university
• J.D. from an accredited law school
• Must be licensed in good standing in the State of Ohio or have the ability to sit for the State of Ohio bar
• Possess a minimum of 8 years of experience as a practicing attorney
• Strong leadership skills and ability to work with internal and external partners at all levels
• Strong time management skills and an ability to prioritize tasks
• Ability to motivate a team to work together to achieve and support organizational goals
• Ability to manage team and support the individual goals and objectives of team members
• Detail-oriented and well-organized, with the ability to handle a high-volume workload
• Self-motivated with the ability to take initiative
• Ability to communicate effectively, both verbally and in writing
• Ability to analyze and manage client service issues
• Ability to handle confidential and sensitive situations and documents

Benefits

• Health insurance
• 401(k) matching
• Paid time off
• Flexible work arrangements
• Professional development opportunities