Work where every moment matters.
Every day, almost 25,000 Hartford HealthCare employees come to
work with one thing in common: Pride in what we do, knowing every
moment matters here. We invite you to become part of Connecticuts
most comprehensive healthcare network.
The creation of the HHC System Support Office recognizes the
work of a large and growing group of employees whose
responsibilities are continually evolving so that we and our
departments now work on behalf of the system as a whole, rather
than a single member organization.
With the creation of our new umbrella organization we now have
our own identity with a unique payroll, benefits, performance
management system, service recognition programs and other common
practices across the system.
Manages a Professional Liability and General Liability caseload,
from inception to closure, of Hartford HealthCares claims and suits
through HHCs Claims Management Department. Responsible to assist in
the implementation, monitoring and maintaining of Hartford
Healthcares medical claim insurance program (the Captive), which
consists of professional liability and general liability claim
management for program insureds. Assists in maintaining financial
security of said insurance program while fostering its growth by
handling medical professional liability claims/suits to
Candidate will have working knowledge of insurance coverage,
medical and legal terminology and application. Builds a strong
foundation for each claim in order to apply coverage properly,
determine liability, and make claim settlements as necessary within
authority. Requires independent judgment in determining when to
consult claims management when confronted with non-routine
situations or problems. Possesses the ability to work in a
fast-paced, growing and changing environment. Consistently exhibits
behaviors and communication skills consistent with Hartford
Healthcares core values. Full time, in-office position, located in
Interacting with claimants, insureds, attorneys, risk management
Verifying coverage information and/or resolving coverage
Gathering loss information and evaluating medical liability
exposures, case value and reserve accuracy
Presenting complex litigation, reserve and strategy
recommendations to claims leadership if necessary.
Attending defense meetings, settlement conferences, trials and
mediations as directed.
Directing outside counsel, developing and monitoring defense
budgets, applying legal billing guidelines in analysis of invoices,
and reviewing and approving defense charges.
Directing and implementing defense tactics and strategies.
Promptly communicating with Department Director regarding areas
where quality improvement activities and/or risk mitigation
initiatives affecting Hartford Healthcare may be warranted.
Contributing and assisting in the implementation of a wide range
of initiatives brought forward by the Claims Team, the Department
Director, and HHC Leadership. #HHC
Reports To: HHC Director of Medical Claims
Education: College Degree, prefer aMasters Degree, JD
Five years insurance claim management/risk management handling
Professional Liability claims including medical malpractice, from
start to closure, including initial investigation, establishing
reserves, and negotiation of settlements
Seven years healthcare claim management/risk management or 5
years healthcare claim experience with JD. Proven ability to
mediate and negotiate settlements is preferred.
Licensure, Certification, Registration: CT State Multi-Line
Casualty License or equivalent Insurance Industry
Certifications.LEAN certification is preferred.
Knowledge, Skills and Ability Requirements:
Dependable, self-motivated team player with a strong work
Active Listener who can exhibit empathy to claimants
Demonstrated history of proactive claims management
Demonstrated knowledge of the healthcare and insurance
industries including insurance coverage, claim handling principles,
insurance/legal statutes, medical and legal terminology, and
Must possess strong analytical, problem-solving and
Knowledge of Microsoft Office applications and ability to learn
new software programs
Excellent oral and written communication and interpersonal
skills for negotiations and for all levels of management
Provide a high degree of customer service.
We take great care of careers.