Senior Claims Analyst - Healthcare and Lawyers Professional Liability

at The Hartford in Boise, Idaho, United States

Sr Claims Analyst FL CV08DE

Were 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 Healthcare and Lawyers 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

+ Uti