Claims Attorney

Hartford, CT
Full Time
10-18-2019
Job #: 19159704 Exp.: 5+ Years
Description:
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

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