East Florida Division Claims Administrator (Miami)

East Florida Division Claims Administrator

Do you want to join an organization that invests in you as a East Florida Division Claims Administrator? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. This position will be based in the East Florida area - Ft. Lauderdale, Miami, or Palm Beach. Candidate must reside in this area or be willing to relocate to this area.

HCA Healthcare offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include : comprehensive medical coverage, additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans, auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance, free counseling services, 401(k) plan with a 100% match, employee stock purchase plan, family support, consumer discounts, education assistance, colleague recognition program, time away from work program, and employee health assistance fund.

You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated East Florida Division Claims Administrator like you to be a part of our team.

Job Summary and Qualifications

This position is one of the professional staff positions in the HCI Claims Department and in the larger Risk & Insurance Department reporting to a Director of Claims. As the Division Claims Administrator, you will have broad responsibility for the local coordination of information and document gathering in the course of investigating and defending professional and general liability claims within an assigned territory. This includes supervision of centralized claims staff and is responsible for their facilitation of claims investigation, legal discovery, depositions, mediation, settlement and trials through coordination with Defense Counsel, Investigators, HCI, Facility Patient Safety / Risk Managers, Hospital Administration, Division Leaders, physicians, and patients / families. You will be responsible for directly managing a caseload of the Company's professional liability claims, including in-depth analysis, setting reserves, deciding if a claim should be settled or defended and ultimately bringing that claim to a resolution. You will be responsible for retaining and supervising outside Defense Counsel and regularly interacting with various facility representatives and leaders. You will also assist in identification of claim trends and reinforcement of risk mitigation efforts with clinical leaders throughout their assigned territory.

Job Responsibilities

• Engage in the department and company strategy and philosophy of proactive, efficient and effective claims management.
• Manage local claims workflow / processes from the time a probable claim is filed through closure.
• Assist HCI's claim evaluation process by representing and communicating the local facility's interests.
• Handle professional liability cases with a designated caseload.
• Continuous and appropriate documentation within, and maintenance of, the electronic claims system for designated caseload.
• Serve as the facility representative in mediations and trials whenever requested.
• Supervise the Division Claims Coordinator; conduct orientation and training, assign his / her work duties, and evaluate performance.
• Coordinate with the PSO and senior leadership regarding potential claims issues that could significantly affect the hospital or staff.
• Routinely visit assigned hospitals, meeting with patient quality staff to help them better focus on risk mitigation efforts where trends, or meaningful exposures may be developing.
• Maintain performance against department established metrics.
• Develop and maintain positive customer relationships.
• Comply with all relevant state codes, laws, rules and regulations related to the claim coordination responsibilities.

Job Requirements Include

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Division Claims Administrator opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.