Claims Attorney

Hartford HealthCare - Hartford, CT3.2

Full-timeEstimated: $98,000 - $120,000 a year
Skills
Description

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 Connecticut’s most comprehensive healthcare network.

Hartford HealthCare is a fully integrated health system that includes a tertiary-care teaching hospital, an acute-care community teaching hospital, an acute-care hospital and trauma center, three community hospitals, the state’s most extensive behavioral health network, a large multispecialty physician group, a regional home care system, an array of senior care services, a large physical therapy and rehabilitation network and an accountable care organization. Through its institute model, Hartford HealthCare offers the highest standards of care for cancer, heart and vascular services, neuroscience, orthopedics and urology.

Hartford Healthcare Corporation (“HHC”) manages and resolves all professional and general liability claims for claims covered by HHC’s subsidiary Hartford HealthCare Indemnity Services, Ltd. (HHCISL). HHCISL provides medical professional liability coverage for licensed healthcare providers who are employees of HHC affiliates and offers professional liability coverage to over 400 voluntary attending physicians who are members of the medical staffs of HHC’s hospitals and organizations.

Position Summary:
The Claims Attorney will be responsible for overseeing the management of a segment of the claims operations, conducting thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and action plans for portfolio of professional liability claims. The Claims Attorney will work in a collaborative environment in service to the mission of a growing healthcare system.

Key Accountabilities:
Manage and oversee professional liability claims processes, working with a team of claims professionals to achieve a timely, fair and efficient resolution of matters
Manage a caseload of complex professional liability claims, effectively participating when appropriate in internal fact investigation, settlement negotiations, mediations, arbitrations and trials. Present cases under management to claims committees for input on standard of care and for settlement authority
Responsibly utilize case reserving and settlement authority within established levels
Assure appropriate documentation and use of claims management system
Assure accountability for approval of claims expenses and litigation fees
Juggle numerous competing priorities and perform in a continually changing legal, regulatory, and clinical environment
Develop and maintain effective and respectful working relationships with company employees at all levels, including risk managers, patient safety and quality, senior management and business managers
Keep abreast of legal developments and continue legal education in substantive areas and litigation practices, particularly in the area of Communication and Resolution Programs. Demonstrate diversity in thought and experience
Work closely with external counsel on appropriate matters to develop and drive overall litigation strategy, ensure compliance with company policies, and drive cost savings
Health law regulatory knowledge preferred

Work with minimal supervision, works well on a team, demonstrates excellent communication, and develops new areas of sub-specialty as needs may arise
Utilize excellent judgment, client counseling, multi-tasking, and decision-making skills

Qualifications

Juris Doctorate from an ABA accredited law school with a license to practice law in Connecticut or ability to become an active member in one year, and outstanding academic credentials

Certification in risk management or insurance and adjusters license in Connecticut a plus

Five plus years of relevant experience with emphasis on resolving professional liability claims

Proven success managing people
Knowledge of federal and state health care regulations preferred

Experience advising complex organizations with interaction between multiple legal entities

Proficiency in legal research, including Lexis, Westlaw & other research tools, as well as technology used in operations, such as claims management systems

Strong analytical, inter-personal, drafting, negotiation, written and verbal communication skills

Excellent organizational skills and high level of attention to detail and accuracy

Previous experience with academic medical centers, physician group practices, and/or health care delivery systems either in-house or at a large law firm preferred

Collegial, possesses mature interpersonal skills and is able to quickly adapt to changing demands

Writing samples and references will be requested