Claims Investigator General Liability
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POST DATE 5/23/2019
END DATE 8/8/2019
Fort Lauderdale, FL
JOB DESCRIPTIONDESCRIPTION SHIFT: Work From Home
HCA, a Fortune 100 company with more than 200,000 employees, is one of the nation's leading providers of healthcare services, operating over 170 locally managed hospitals and over 100 freestanding surgery centers in 20 states and the United Kingdom. With its founding in 1968, HCA created a new model for hospital care in the United States, using combined resources to strengthen hospitals, deliver patient-focused care and improve the practice of medicine. HCA is a learning healthcare system that uses more than 27 million annual patient encounters to advance science, improve patient care and save lives. HCA has been named one of the world's most ethical companies for eight years in a row. At HCA, we are driven by a single goal: the care and improvement of human life.
The Claims Investigator WFH position will focus on General Liability Claims, conducting liability investigations for claims assigned to them. This position will prepare a report of their investigation and analysis to the HCI General Liability Claims Professionals, Facility Patient Safety Directors/Risk Managers and Defense Counsel to assist in the early evaluation of general liability claims. The individual must possess or be eligible to obtain the appropriate claims adjuster's license and any other state license requirements necessary. HCI Investigators typically reside in markets with sufficient claim volume to support the local presence (e.g. areas of Florida and Texas). Position requires a home office as this is a 100% home based position.
Research, review and summarize medical records and prepare reports as requested by HCI for assigned claim matters.
Interview facility staff members and other relevant witnesses involved in the events giving rise to the claims to help arrive at a determination of liability exposure.
Communicate with Claimants and their Counsel, fact witnesses, Defense Counsel, Risk Managers/Patient Safety Directors either by phone, in writing or in person for the purpose of gathering facts and resolving the claims.
Travel to and attend mediation and trials as needed to support the corporate claims staff.
Bachelor's Degree Required
5+ years of experience in General liability claims and litigation experience, preferably in healthcare and preferably in multi-state environment.
Must be eligible to apply for and obtain adjusters license(s) in assigned jurisdictions.
Experience with Origami or comparable claims information system (desired)
Working knowledge of medical and legal terminology.
Ability to prioritize, handle multiple claims with due dates.
Certification in risk management or insurance is a plus, such as CPHRM, ARM or CPCU
Bilingual is an added bonus
We are committed to:
Providing an inclusive work environment where everyone is treated with fairness, dignity and respect.
Recruiting and retaining a diverse staff reflective of the patients and communities we serve.
Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, gender, national origin, citizenship, age, disability, sexual orientation, genetic information, gender identity, protected veteran status, or any other legally protected category in accordance to applicable federal, state, or local laws.