** Internal Workers – Please log into your Workday account to apply **
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.