Risk, Claims, and Insurance Liaison at Huntington Hospital, NY

Pasadena, California, United States -

Full Time

Start Date

Immediate

Expiry Date

13 Jun, 26

Salary

126360.0

Posted On

15 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Risk Management, Claims Processing, Insurance, Workers Compensation, Litigation Management, Communication, Investigation, Reporting, Calendaring, Liability Claims, Legal Counsel Interaction, Risk Mitigation, Confidentiality, Organizational Skills, Problem-Solving, Decision Making

Industry

Hospitals and Health Care

Description

** Internal Workers – Please log into your Workday account to apply ** Huntington Hospital Employee Login Expectations: 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. EDUCATION: Bachelor’s Degree required. EXPERIENCE/TRAINING: 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. Experience in the management of directors and officers, auto or property liability claims preferred. Experience in coverage analysis a plus, clinical experience is preferred. LICENSES/CERTIFICATIONS: Preferred: Current Industry certification Current Clinical license SKILLS: 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. Knowledge of project management, database programs, spreadsheet and graphical display software programs preferred. 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 ‎ Job Title: Risk, Claims, and Insurance Liaison ‎ Department: Risk Management Svcs ‎ Shift Duration: 8 ‎ Primary Shift: Days ‎ Time Type: Full time ‎ Location: 100 W California Blvd, Pasadena, CA 91105 ‎ Pay Range: The estimated base rate for this position is $84,240.00 - $126,360.00. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions. ‎ ‎ ‎ ‎ When you join the Huntington Health team, you are aligning yourself with an organization whose values drive our philosophy of compassionate community care. Over the past 129 years, we’ve grown from a small 16-bed hospital to a nationally recognized healthcare leader with 619 beds. As part of our commitment to providing equitable, high-quality care to all members of our community, we embrace differences and work hard to create a place of belonging for our patients and our employees. When you join the Huntington family, you’ll be empowered to enact change that continuously improves our ability to deliver world-class care, with kindness and dignity, to all who need it.

Responsibilities

This role manages the intake, processing, communication, tracking, and reporting for all levels of claims, from potential events to litigated cases, collaborating with defense counsel, clinical risk management, and insurance carriers. The Liaison provides professional service to investigate, evaluate, and resolve claims appropriately while capturing learnings for safety and quality improvements across the enterprise.