AVP, US Healthcare Claims

About the role

Sompo has a unique opportunity for an Assistant Vice President, US Healthcare Claims in our North America Claims team. This role will manage claims arising from or involving policies issued from Sompo’s US Healthcare team. This position handles US Healthcare claims and provides legal review and policy drafting support to Underwriting.

Responsibilities

• Manage U.S. Healthcare claims, related systems, and core processes
• Evaluate exposures and make substantive claim decisions on complex healthcare claims and, as needed, other lines of business
• Provide sophisticated coverage, liability, and damages analysis, while identifying trends and emerging exposures affecting the portfolio
• Support underwriting through legal review, policy drafting, and timely, accurate exposure reporting to underwriting and management
• Ensure clear, timely preparation and distribution of narrative and financial claim reports
• Contribute to the Global Claims Team by partnering across regions and functions on strategic projects, industry engagement, complex claims, and other management-directed responsibilities, including travel as needed

Requirements

Minimum of 10 years’ experience required in handling claims involving Healthcare Liability with a career history of increasing responsibility.

Law degree required, preference will be given if experience was at both a law firm and with an insurance carrier.

Adjusters license required.

Strong preference for candidate who has pursued or is in the process of pursuing an insurance related designation, e.g., RPLU or CPCU.

Demonstrated ability to establish close working relationship with other departments including underwriting & actuarial.

Strong negotiating, analytical, written, and organizational skills.

Qualifications

Not specified.

Skills

Not specified.

Benefits

Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution

Pharmacy benefits with mail order options

Dental benefits including orthodontia benefits for adults and children

Vision benefits

Health Care & Dependent Care Flexible Spending Accounts

Company-paid Life & AD&D benefits, including the option to purchase Supplemental life coverage for employee, spouse & children

Company-paid Disability benefits with very competitive salary continuation payments

401(k) Retirement Savings Plan with competitive employer contributions

Competitive paid-time-off programs, including company-paid holidays

Competitive Parental Leave Benefits & Adoption Assistance program

Employee Assistance Program

Tax-Free Commuter Benefit

Tuition Reimbursement & Professional Qualification benefits

Pay

$145,000 – $195,000

Schedule

Not specified.