Senior Claims Analyst - Allied Health Professional Liability

The Hartford•San Antonio, TX

22h•Hybrid

About The Position

We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future. The Global Financial Lines Senior Claims Analyst - Allied Health Professional Liability manages complex primary and excess financial lines claims under claims‑made policies. This role applies strong technical expertise and sound judgment to evaluate, manage, and resolve claims in accordance with company standards and regulatory requirements. Job duties include: Claim File Management Plan, recommend, reserve, and execute file strategies including investigation, valuation, disposition, and settlement of assigned claims of low to moderate exposure and/or complexity, in a manner consistent with corporate claim settlement policies and procedures, and statutory, regulatory and ethics requirements Appropriately escalate matters to Team Lead/management per escalation protocols Independently draft and issue timely reservation of rights letters on all files and independently draft denials for management review Properly assesses the exposure of assigned claims. Plan and organize, establish priorities, anticipate issues, determine realistic completion dates, know and communicate the status of assignments, appropriately manage vendors Demonstrate increasing ability and continued development with respect to appropriately interpreting and applying financial lines insurance coverage concepts, including how to trigger other insurance when indicated Demonstrate development regarding technical and jurisdictional expertise Maintain current knowledge of claim loss cost management initiatives, and utilize them appropriately and in a manner consistent with company practices and procedures Identify and properly utilize mitigation, subrogation, and other recovery opportunities Customer Service Maintain dedication to meeting or exceeding expectations and requirements of internal and external customers Obtain first-hand customer information; use it for improvements in products and services Establish and maintain effective relationships with customers, gaining their trust and respect. Demonstrate diplomacy and tact to effectively avoid or diffuse high-tension situations. Business Acumen and Technical Expertise Utilize verbal and numerical critical thinking skills to gather information, apply sound reasoning, and draw appropriate conclusions; make sound decisions based upon mixture of analysis, experience, and judgment. Accurately resolve coverage and compensability issues. Demonstrated experience investigating, evaluating, and successfully negotiating/mediating claims to appropriate disposition. Possess superior analytical and critical thinking skills. Excellent time management abilities Possess the technical knowledge to properly reserve claims Properly apply statutory laws and regulations of applicable jurisdiction Demonstrate advanced expertise to utilize claim management practices to effectively manage loss costs Contribute to loss cost management by recognizing potential for Subrogation and Special Investigation Teamwork and Team Building Support and help create a team environment that celebrates diversity and Inclusion Support and assist in building a high performing team with diverse characteristics, where individual differences are valued Build appropriate rapport and constructive and effective relationships with people inside and outside the organization This position will handle files in more than one claims systems

Requirements

College degree required, J.D. strongly preferred
At least two to three years of successful relevant experience handling third-party professional liability claims or litigation, with a career history of increasing responsibility
Technical expertise in managing claims
Self-starter, resourceful and independent
Ability to work in a fast-paced environment and ability to prioritize work
Outside the box thinking to negotiate creative resolutions
Strong computer proficiency in utilizing software programs, knowledge of ECOS claim system a plus
Strong communication skills, oral, written, collaboration and negotiation
Excellent time management and organizational skills
Superior customer service skills
Adept at managing conflict as an opportunity to listen and share information while negotiating a win/win outcome that supports The Hartford's and the insured’s best interests
State adjusting licenses will be required; a plus if already obtained
Proficiency in using Microsoft Word and Excel
Operate under the mindset of The Hartford's Behaviors: be courageous, break through, and better the experience

Nice To Haves

Experience handling allied health or medical malpractice matters strongly preferred
knowledge of ECOS claim system a plus
State adjusting licenses will be required; a plus if already obtained

Responsibilities

Claim File Management Plan, recommend, reserve, and execute file strategies including investigation, valuation, disposition, and settlement of assigned claims of low to moderate exposure and/or complexity, in a manner consistent with corporate claim settlement policies and procedures, and statutory, regulatory and ethics requirements
Appropriately escalate matters to Team Lead/management per escalation protocols
Independently draft and issue timely reservation of rights letters on all files and independently draft denials for management review
Properly assesses the exposure of assigned claims.
Plan and organize, establish priorities, anticipate issues, determine realistic completion dates, know and communicate the status of assignments, appropriately manage vendors
Demonstrate increasing ability and continued development with respect to appropriately interpreting and applying financial lines insurance coverage concepts, including how to trigger other insurance when indicated
Demonstrate development regarding technical and jurisdictional expertise
Maintain current knowledge of claim loss cost management initiatives, and utilize them appropriately and in a manner consistent with company practices and procedures
Identify and properly utilize mitigation, subrogation, and other recovery opportunities
Maintain dedication to meeting or exceeding expectations and requirements of internal and external customers
Obtain first-hand customer information; use it for improvements in products and services
Establish and maintain effective relationships with customers, gaining their trust and respect.
Demonstrate diplomacy and tact to effectively avoid or diffuse high-tension situations.
Utilize verbal and numerical critical thinking skills to gather information, apply sound reasoning, and draw appropriate conclusions; make sound decisions based upon mixture of analysis, experience, and judgment.
Accurately resolve coverage and compensability issues.
Demonstrated experience investigating, evaluating, and successfully negotiating/mediating claims to appropriate disposition.
Possess superior analytical and critical thinking skills.
Excellent time management abilities
Possess the technical knowledge to properly reserve claims
Properly apply statutory laws and regulations of applicable jurisdiction
Demonstrate advanced expertise to utilize claim management practices to effectively manage loss costs
Contribute to loss cost management by recognizing potential for Subrogation and Special Investigation
Support and help create a team environment that celebrates diversity and Inclusion
Support and assist in building a high performing team with diverse characteristics, where individual differences are valued
Build appropriate rapport and constructive and effective relationships with people inside and outside the organization
This position will handle files in more than one claims systems