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Position Summary
Our Healthcare Claims Division is seeking a Vice President (VP) to lead and oversee the healthcare professional liability claims team. This team manages complex claims for hospitals, miscellaneous healthcare facilities and other healthcare providers. The role will require collaboration with underwriters, brokers, and program stakeholders. The VP will ensure efficient claims handling, compliance with regulatory requirements, and strategic leadership to support organizational goals.
Responsibilities
- Develop and maintain strong relationships with healthcare program partners, including providing regular reports, identifying trends, and advising on regulatory and legal developments impacting insured healthcare professionals.
- Identify and evaluate coverage issues, review coverage position letters, retain coverage counsel, and review legal opinions as needed.
- Develop and implement claims strategies that align with organizational goals and support efficient resolution of complex healthcare liability matters.
- Establish team goals, KPIs, and accountability frameworks to ensure operational excellence.
- Provide coaching, performance management, and development for claims managers and examiners.
- Collaborate with underwriting, risk management, defense counsel, and brokers to communicate claims developments and outcomes.
Assess liability and damages, review investigative materials, and determine appropriate reserves for each claim.-
- Review pleadings, expert reports, medical records, and other relevant case documentation.
- Prepare and present written and oral reports to senior leadership summarizing claim evaluations, recommendations, and reserve analyses.
- Negotiate resolutions of claims, including settlement discussions and mediation.
- Maintain accurate claim diaries, timely reserve postings, and prompt responses to internal and external inquiries.
- Travel as needed to attend internal meetings and events, mediations, hearings, and other claim-related proceedings.
Experience & Required Skills
- Exceptional communication, analytical, negotiation, and interpersonal skills to effectively collaborate across teams.
- Strong leadership skills with experience driving change and improving operational efficiency.
- Proven ability to manage and mentor high-performing teams.
- Strong organizational and time-management abilities.
- Demonstrated experience leading complex healthcare or medical malpractice claims.
- Ability to work independently and in a collaborative team environment.
- Proficiency in Microsoft Excel, PowerPoint, and Word.
- Willingness to travel up to 10% as required.
Education
- Bachelor's degree required; Juris Doctorate preferred
- Seven to 10 (7-10) of leadership and management required
- Minimum 10 years of experience in healthcare professional liability, medical malpractice claims, or related field.
- Active adjuster licensing in applicable states or ability to obtain licensure within designated time frame.
-Hybrid in office 3 days a week
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For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible.
$166,900 - $250,000/year