Claims Complex Director Healthcare Professional Liability (HPL)

Job description

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: .

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Enjoy benefits that take care of what matters

At AIG, our people are our greatest asset.

We know how important it is to protect and invest in what’s most important to you.

That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security—as well as your professional development—to bring peace of mind to you and your family.

Reimagining insurance to make a bigger difference to the world

American International Group, Inc.

(AIG) is a global leader in commercial and personal insurance solutions; we are one of the world’s most far-reaching property casualty networks.

It is an exciting time to join us — across our operations, we are thinking in new and innovative ways to deliver ever-better solutions to our customers.

At AIG, you can go further to support individuals, businesses, and communities, helping them to manage risk, respond to times of uncertainty and discover new potential.

We invest in our largest asset, our people, through continuous learning and development, in a culture that celebrates everyone for who they are and what they want to become.

Welcome to a culture of belonging

We’re committed to creating a culture that truly respects and celebrates each other’s talents, backgrounds, cultures, opinions and goals.

We foster a culture of inclusion and belonging through our flexible work arrangements, diversity and inclusion learning, cultural awareness activities and Employee Resource Groups (ERGs).

With global chapters, ERGs are a cornerstone for our culture of inclusion.

The diversity of our people is one of AIG’s greatest assets, and we are honored that our drive for positive change has been recognized by numerous recent awards and accreditations.

AIG provides equal opportunity to all qualified individuals regardless of race, color, religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories.

Required Skill Profession

Business Operations Specialists