: Director, Claims Management

Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at ChristianaCare!

We seek a Claims Management leader responsible for handling all claims, such as professional and general liability claims. This role includes managing litigation and administering the health system's insurance program. It ensures collaboration with outside defense counsel, insurance carriers, and brokers. The leader directs internal claims staff to progress cases from intake to resolution. The position also assists with managing insurance program activities like renewals, coverage evaluation, and carrier partnerships.

• Manage the claims lifecycle from intake through resolution for all claims, including professional and general liability matters.

• Supervise claims staff and litigation coordinator to ensure timely investigation, case tracking, and reporting.

• Handle routine communication with outside defense lawyers, guaranteeing a streamlined litigation plan and budget oversight.

• Coordinate the health system's insurance program, including renewals, policy review, coverage assessments, and COI management.

• Serve as primary liaison with outside defense counsel, liability consultants, insurance brokers and carriers; bring up strategic issues and renewal negotiations to VP of Risk Management.

• Collaborate with the Liability Consultant to maintain the claims management database, reserves, and metrics; prepare reports for leadership and Board committees.

• Collaborate with Clinical Risk Management team on cases advancing from events/incidents into formal claims, including working together on litigation support and case preparation.

• Work together with the Liability Consultant on reserve recommendations and case strategy.

• Work closely with Finance and external actuaries on loss projections, reserve analyses, and funding allocations.

• Coordinate System's Claims Advisory Committee and related management and reporting of reserves and case resolution.

• Establish relationships with plaintiff counsel to address claims pre-suit and to mitigate claims costs.

• Collaborating with clinical risk and Liability Consultant, provide oversight and assistance on pro se matters and adverse event matters involving disclosure.

• Ensure compliance with insurance reporting requirements and contractual obligations.

• Provide training and mentorship to Legal/Risk Management Department on insurance, litigation, and claims management processes.

• Bachelor's degree required; JD or advanced degree strongly preferred.

• 7+ years of experience in claims management, litigation, or insurance, with at least 3 years in a healthcare setting.

• Experience managing outside counsel and insurance broker/carrier relationships.

• Demonstrated ability to lead professional staff and coordinate complex caseloads.

• CPCU, ARM, or other risk/insurance certifications.

• Experience working with captives or reinsurance programs.

• Familiarity with London insurance market placements.

ChristianaCare, headquartered in Wilmington, Delaware, is among the nation's most dynamic health systems. It is dedicated to improving health outcomes, making high-quality care more accessible, and lowering health care costs. The system includes extensive outpatient services, home health care, medical aid units, two hospitals with 1,227 beds, a Level I trauma center, a Level III neonatal intensive care unit, a comprehensive stroke center, and regional centers of excellence for heart, vascular, cancer, and women's health care. ChristianaCare is a not-for-profit teaching health system with over 260 residents and fellows. It is regularly ranked as a Best Hospital by US News & World Report. Through its outstanding data-driven care coordination and emphasis on population health and value-based care, ChristianaCare is crafting the future of health care.

Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.

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EEO Posting Statement

ChristianaCare offers a competitive suite of employee benefits to maximize the wellness of you and your family, including health insurance, paid time off, retirement, an employee assistance program. To learn more about our benefits for eligible positions visit https://careers.christianacare.org/benefits-compensation/