Risk, Claims, and Insurance Liaison
About The Position
Under the direction of the Director of Risk Management Services, this position is responsible for the intake, notifications, processing, communications, tracking, reporting, and calendaring for all levels of claims from potential claim events (PCE) to litigated cases and includes collaboration with hospital defense council, clinical risk management, safety officers, insurance carriers, medical staff and leadership of Huntington Hospital (HH). The Risk, Claims & Insurance Liaison (Liaison) provides professional service to meet the goals of the Claims and Insurance program to collaborate with leadership, defense counsel, and staff to investigate, evaluate, and resolve claims in a timely and appropriate manner, to capture learnings which lead to safety and quality improvements, and to mitigate risk and reduce loss across the enterprise. This position works closely with the clinical risk team in the investigation and determination of liability for HPL/GL cases and as indicated for early resolution of non-litigated claims. The Liaison provides advice and acts as a resource to administration, medical staff, patients, and staff relating to claims administration and risk management services. This position requires flexibility of hours.
Requirements
- Bachelor’s Degree required.
- Minimum 3 years experience working in healthcare
- Experience in the handling of professional liability, employment liability, and general liability claims.
- Experience interacting with medical staff, legal counsel, risk managers, and insurance carriers.
- Experience with insurance applications and portfolio management.
- Knowledge of legal and medical terminology required
- Compliance with all requirements of access and management of confidential patient and employee information, and other protected work product.
- Ability to manage sensitive and confidential issues.
- Proficiency in advanced word processing skills, the use of windows based software and report writing is required.
- Ability to exercise independent judgment and initiative.
- Ability to multi-task in the coordination of various projects, people and demands.
- Ability to work in fast paced environment.
- Must be flexible and willing to change tasks to meet department demands.
- Excellent organizational skills required.
- Maintains a professional appearance and is polite and helpful to visitors, co-workers, volunteers and physicians.
- Excellent written and verbal communication skills.
- Demonstrates ability to problem-solve and make decisions by evaluating department programs and systems and effecting changes as needed for continuous improvement.
- Demonstrates ability to work with minimal supervision.
- Demonstrates Just Culture practices
Nice To Haves
- Experience in the management of directors and officers, auto or property liability claims preferred.
- Experience in coverage analysis a plus, clinical experience is preferred.
- Preferred: Current Industry certification
- Current Clinical license
- Knowledge of project management, database programs, spreadsheet and graphical display software programs preferred.
Responsibilities
- Intake, notifications, processing, communications, tracking, reporting, and calendaring for all levels of claims from potential claim events (PCE) to litigated cases
- Collaboration with hospital defense council, clinical risk management, safety officers, insurance carriers, medical staff and leadership of Huntington Hospital (HH)
- Provide professional service to meet the goals of the Claims and Insurance program to collaborate with leadership, defense counsel, and staff to investigate, evaluate, and resolve claims in a timely and appropriate manner
- Capture learnings which lead to safety and quality improvements, and to mitigate risk and reduce loss across the enterprise
- Work closely with the clinical risk team in the investigation and determination of liability for HPL/GL cases and as indicated for early resolution of non-litigated claims
- Provide advice and acts as a resource to administration, medical staff, patients, and staff relating to claims administration and risk management services
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
5,001-10,000 employees
