Claims Complex Director - Healthcare Professional Liability (HPL)
Join us as a Claims Complex Director to take on key responsibilities within a world-class claims function.
Make your mark in Claims
Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency.
How you will create an impact
- This position will ensure high quality claims handling within the Healthcare Professional Liability (“HPL”) Claims Department of General Insurance (AIG Claims, Inc.).
- Manages an active claims portfolio of the most complex and high exposure medical malpractice (and some GL) claims at primary and excess coverage layers, applying best claims handling practices and following company protocols to manage and oversee all aspects of claims handling, including coverage determinations, investigations, and trial and resolution strategies.
- The analyst will investigate losses, orchestrate defense strategies for healthcare provider insureds, conduct independent assessments as to exposures and develop/implement effective litigation and action plans, including opportunities for contribution.
- Drives resolution of claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, negotiating complex settlements, and partnering with insureds and counsel to manage complex litigation.
- Determines the scope and extent of available coverage and vets/reports complex coverage issues when conflicts arise or are conceivable which may require increased internal coordination with the corporate legal team.
- Achieves quality standards by effectively managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are properly documented and claims are resolved and paid timely.
- Reports large losses and potential challenges anticipated in a given claim early and often to senior leadership.
- Prepares and presents high profile, complex information to senior leadership, customers, counsel, insureds, brokers, and others by effectively identifying high profile matters, developing executive loss summaries, coordinating and communicating resolution strategies and sharing relevant current events and case law.
- Maintains full compliance with NPDB and state medical malpractice reporting requirements.
- Participates in mediations, attend trials and occasionally conduct outside claim audits.
- Obtains appropriate authority to independently negotiate multi-million dollar claims with premier plaintiffs’ counsel nationwide. Utilize ADR when necessary.
- Effectively strategizes and coordinates litigation budgets with counsel, insureds and third party vendors. Establish clear ground rules with defense and coverage counsel to maintain budget and work product expectations.
- Keeps abreast of significant changes in the law, claims and industry trends (not limited to medical malpractice), and regulatory changes.
- Some travel will be required.
What you’ll need to succeed
- 7+ years of medical malpractice / professional liability complex claims and/or complex litigation experience.
- Law Degree (J.D.) or equivalent preferred.
- Strong written and verbal communication skills along with strong negotiation, litigation management and interpersonal skills.
- Excellent organizational and computer skills combined with the ability and flexibility to work in a dynamic, challenging and fast-paced environment.
- Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems.
- Extensive experience in leading complex negotiations, as well as developing and implementing resolution strategies.
- Ability to lead multiple and shifting priorities in a fast-paced and challenging environment.
- Must be willing and able to travel occasionally.
Ready to take your career to the next level? We would love to hear from you.
For positions based in San Francisco, the base salary range for this position is $97,000-$134,000 and the position is eligible for a bonus in accordance with the terms of the applicable incentive plan. In addition, we’re proud to offer a range of competitive benefits, a summary of which can be viewed here: US Benefits Overview.
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