Senior Claims Analyst - Allied Health Professional Liability

Sr Claims Analyst FL - CV08DE

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

Qualifications

• 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

• Experience handling allied health or medical malpractice matters strongly preferred

• 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

This role can have a Hybrid or Remote work arrangement.? Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL, Alpharetta, GA) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).? ?Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise.

Compensation

The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford's total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is:

$108,800 - $163,200

Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age