General Liability Claim Investigator

Healthcare Risk Advisors is seeking a General Liability Investigator to join our claims team. This is a hybrid opportunity located at our New York City office and requires travel within Brooklyn, Queens, and Nassau Counties.

This position is the primary investigator of adverse events and occurrences at the institutions insured through HRA’s Insurance Program. The General Liability Investigator (GLI) assists in the defense of general liability lawsuits (actual and potential) and facilitates in the claim management process; conducts field investigations at member hospitals and agencies, reviews medical records, interviews key witnesses, assesses damages and liability, and identifies issues.

Qualificiations:

• Bachelor’s degree preferred.
• 3-5 years of investigative or claims experience.
• Ability to travel.

Responsibilities:

Service/Support Delivery

• Acknowledge receipt of assignment
• Perform investigation as required by guidelines
• Report on investigation and required by guidelines
• Escalate internally and externally as appropriate
• Provides high-quality, comprehensive work- product that facilitates efficient/effective downstream workflow.
• Collaborate with Claims Specialist throughout the life of the case

Claims Guidelines

• Maintains a broad-based understanding of the company standards and guidelines
• Articulates the guidelines to both internal and outside customers as necessary
• Seeks to actively meet the expected standards and guidelines in all phases of their work product
• Uses appropriate judgment in applying guidelines to achieve the desired outcome

 Report and Data Maintenance

• Entering accurate information and maintaining the accuracy of the information entered
• Provide informative and accurate memos that are grammatically correct when finalizing discovery requests, investigative reports, and data into relevant database as related to position
• Completing discovery requests, investigation reports and securing evidence on all new claims, as appropriate to position in an efficient and timely manner.

 Internal/External Customer Collaboration & Support

• Supports Claims leadership in opportunities to advance collaboration with our internal/external clients.
• Supports Claims leadership in developing an understanding of the business environment of our internal/external clients.
• Supports Claims leadership in achieving success when working with internal partners and clients
• Networks with peers across departmental lines to improve service, support, and retention of our clients.

Technical Knowledge and Professional Development

• Completes any training required to maintain or advance the skills set necessary to achieve professional, department, or company goals

Other Duties as Assigned

• Assists with a variety of department and company-wide projects.
• Makes oneself available for any and all duties.
• Accepts delegated tasks readily and completes assigned duties as directed.

Salary Range: $77,706- $95,990

Compensation varies based on skills, knowledge, and education. We consider factors such as specialized skills, depth of knowledge in the field, and educational background to ensure fair and competitive pay.

Benefits:

Healthcare Risk Advisors offers competitive compensation, outstanding career opportunities, an exceptional work environment, and an impressive benefits package, which starts with medical, family and bereavement leave; same-sex domestic partner benefits; short- and long-term disability programs; and an employee assistance program. There's more:

• Health, dental, and vision insurance
• Health and dependent care tax-free spending accounts with a company match
• 401(k) and Roth IRA with company match, as well as catch-up plans for both
• Paid vacation, sick days, and personal days each calendar year (with vacation increases based on length of service)
• 11 paid holidays each calendar year
• Life and travel insurance
• Tax-free commuter benefits
• In-person and online learning opportunities
• Cross-function career opportunities
• Business casual work environment
• Time off to volunteer
• Matching donations to qualifying nonprofit organizations
• Company-sponsored participation at non-profit events

Salary : $77,706 - $95,990