Claims Analyst / Claims Adjuster
Clinical Laboratory Partners
Work whereevery momentmattersEvery day approximately Hartford HealthCare colleagues 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 Connecticutrsquos most comprehensive healthcare networkThe 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 organizationWith 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 systemPosition SummaryManages a robust caseload from inception to closure of Hartford HealthCarersquos claims and suits through HHCrsquos Legal Department Responsible to assist in the implementation monitoring and maintaining of Hartford Healthcarersquos claim insurance program the ldquoCaptiverdquo which consists of professional liability general liability auto liability and workersrsquo compensation liability claim management for program insureds Assists in maintaining financial security of said insurance program while fostering its growth by handling medical professional liability claimssuits to conclusionCandidate 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 Healthcarersquos core values Full time in office position located in HartfordPosition ResponsibilitiesmiddotInteracting with claimants insureds attorneys risk management and underwritingmiddotVerifying coverage information andor resolving coverage issuesmiddotGathering loss information and evaluating a variety of liability exposures case value and reserve accuracy which may include professional liability general liability auto liability and workersrsquo compensation liabilitymiddotPresenting complex litigation reserve and strategy recommendations to claims leadership if necessarymiddotAttending defense meetings settlement conferences trials and mediations as directedmiddotDirecting outside counsel developing and monitoring defense budgets applying legal billing guidelines in analysis of invoices and reviewing and approving defense chargesmiddotDirecting and implementing defense tactics and strategiesmiddotPromptly communicating with Claims Leadership regarding areas where quality improvement activities andor risk mitigation initiatives affecting Hartford Healthcare may be warrantedContributing and assisting in the implementation of a wide range of initiatives brought forward by the Claims Team and HHC LeadershipWork whereevery momentmattersEvery day approximately Hartford HealthCare colleagues 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 Connecticutrsquos most comprehensive healthcare networkThe 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 organizationWith 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 systemPosition SummaryManages a robust caseload from inception to closure of Hartford HealthCarersquos claims and suits through HHCrsquos Legal Department Responsible to assist in the implementation monitoring and maintaining of Hartford Healthcarersquos claim insurance program the ldquoCaptiverdquo which consists of professional liability general liability auto liability and workersrsquo compensation liability claim management for program insureds Assists in maintaining financial security of said insurance program while fostering its growth by handling medical professional liability claimssuits to conclusionCandidate 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 Healthcarersquos core values Full time in office position located in HartfordPosition ResponsibilitiesmiddotInteracting with claimants insureds attorneys risk management and underwritingmiddotVerifying coverage information andor resolving coverage issuesmiddotGathering loss information and evaluating a variety of liability exposures case value and reserve accuracy which may include professional liability general liability auto liability and workersrsquo compensation liabilitymiddotPresenting complex litigation reserve and strategy recommendations to claims leadership if necessarymiddotAttending defense meetings settlement conferences trials and mediations as directedmiddotDirecting outside counsel developing and monitoring defense budgets applying legal billing guidelines in analysis of invoices and reviewing and approving defense chargesmiddotDirecting and implementing defense tactics and strategiesmiddotPromptly communicating with Claims Leadership regarding areas where quality improvement activities andor risk mitigation initiatives affecting Hartford Healthcare may be warrantedContributing and assisting in the implementation of a wide range of initiatives brought forward by the Claims Team and HHC LeadershipEducationmiddotBachelorrsquos Degree preferably aJD or insurance adjuster licenseExperiencemiddotThree years insurance claim managementrisk management handling a variety of liability claims including medical malpractice from start to closure including initial investigation establishing reserves and negotiation of settlementsmiddotProven ability to mediate and negotiate settlements is preferredLicensure Certification RegistrationCT State Multi Line Casualty License or equivalent Insurance Industry Certifications LEAN certification is preferredKnowledge Skills and Ability RequirementsmiddotDependable self motivated team player with a strong work ethicmiddotActive Listener who can exhibit empathy to claimantsmiddotDemonstrated history of proactive claims managementmiddotDemonstrated knowledge of the healthcare and insurance industries including insurance coverage claim handling principles insurancelegal statutes medical and legal terminology and regulatory environmentmiddotMust possess strong analytical problem solving and organizationaltime management skillsmiddotKnowledge of Microsoft Office applications and ability to learn new software programsmiddotExcellent oral and written communication and interpersonal skills for negotiations and for all levels of managementmiddotProvide a high degree of customer serviceWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour momentEducationmiddotBachelorrsquos Degree preferably aJD or insurance adjuster licenseExperiencemiddotThree years insurance claim managementrisk management handling a variety of liability claims including medical malpractice from start to closure including initial investigation establishing reserves and negotiation of settlementsmiddotProven ability to mediate and negotiate settlements is preferredLicensure Certification RegistrationCT State Multi Line Casualty License or equivalent Insurance Industry Certifications LEAN certification is preferredKnowledge Skills and Ability RequirementsmiddotDependable self motivated team player with a strong work ethicmiddotActive Listener who can exhibit empathy to claimantsmiddotDemonstrated history of proactive claims managementmiddotDemonstrated knowledge of the healthcare and insurance industries including insurance coverage claim handling principles insurancelegal statutes medical and legal terminology and regulatory environmentmiddotMust possess strong analytical problem solving and organizationaltime management skillsmiddotKnowledge of Microsoft Office applications and ability to learn new software programsmiddotExcellent oral and written communication and interpersonal skills for negotiations and for all levels of managementmiddotProvide a high degree of customer serviceWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour moment
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