Senior Claims Supervisor

This position is one of the professional staff positions in the HCI Claims Department and the larger Risk & Insurance Department reporting to a Director of Claims.

About the Role

As the Senior Claims Supervisor, you are responsible for directly managing a caseload of the Company’s professional liability. This includes retaining and supervising external and internal claims investigators, defense counsel, and regularly interacting with various facility representatives and leaders. Ideally, this individual has experience managing physician practice and hospital claims and litigation management, is familiar with physician practice and hospital operations (including medical staff issues), state malpractice laws, possesses strong negotiation skills, and has demonstrated ability to independently problem solve and proactively manage and resolve claims.

Responsibilities

• Handle professional medical malpractice liability cases with a designated caseload, including strategic thinking towards resolution, collaborating, directing, and managing outside counsel and other vendors as appropriate.
• Engage in the department and company strategy and philosophy of proactive, efficient, and effective claims management.
• Continuous and appropriate documentation within, and maintenance of, the electronic claims system for caseload, including reviewing daily diaries of files to track progress and items needed for updates.
• Identify appropriate cases and prepare those for presentation to the AVP, VP, and Claims Committee for settlement authority and to excess and reinsurers as needed.
• Maintain performance against department-established metrics.
• Evaluate the efficiency of outside defense counsel based on audits and metrics provided by HCI and firms.
• Manage a segment of the Company’s liability claims to achieve fair, efficient, timely exposure assessment, strategy development, and ultimate resolution of matters.
• Attend mediations and trials as the Company representative with authority to resolve the claim.
• Maintain current licensure needed to perform duties as required in territory assigned.
• Oversight and administration of special projects as assigned by the Claims Director, HCI President, and VP of Claims.
• Apply strong experience in coverage evaluation process and coverage issues pertinent to medical professional liability claims.
• Demonstrate a strong understanding of risk transfer strategies, including additional insured standing, contractual indemnity, and collateral sources.
• Maintain current knowledge of relevant industry trends, changes in laws, and rules affecting liability claims management decisions.
• Work collaboratively with the entire HCI Claims team, as well as other HCI departments such as Finance, Business Intelligence, and Insurance.
• Assist in evaluation and management of outside defense counsel and claim investigators within established guidelines.
• Develop and maintain effective, efficient, and respectful working relationships with the organization’s Risk Managers, Patient Safety Directors, C-suite colleagues, and Division leaders.
• Conduct division and facility reviews highlighting specific claims and trends to support collaboration and quality of care.
• Build and maintain strategic alliances and collaborative partnerships with the HCI Risk Management team, HCA Legal Department, Clinical and Physician’s Services Group, and other corporate departments that will mutually benefit the Claims Department and the organization.
• Lead and/or participate in committees or task forces, as assigned.
• Set appropriate reserves at the opening of a file and continually maintain that reserve ensuring it is aligned with the exposure for the Company throughout the lifetime of the claim.
• Adhere to meaningful metrics to measure individual performance of management of designated caseload.
• Monitor ongoing expenses and litigation fees.
• Review and payment of law firm legal invoices through an electronic platform.
• Responsible for efficient, effective, and accurate loss adjustment expenses and indemnity payments.

Requirements

• Bachelor’s degree required.
• 5+ years of experience in claims management, preferably in healthcare and preferably in a multi-state environment; knowledge of hospital and healthcare operations required.
• JD preferred.
• Defense and trial experience preferred.
• Certification in risk management or insurance (e.g., CPHRM, ARM, CPCU) preferred.
• Adjuster’s license in states in which HCI operates, especially Florida, preferred.
• Must be eligible to apply for and obtain adjuster’s license(s) in assigned jurisdictions.
• Proficient computer skills with word processing and database competency.
• Possess critical thinking, analytical, and problem-solving skills.

Benefits

HCA Healthcare offers a total rewards package that supports the health, life, career, and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health, and telemedicine services.
• Wellbeing support, including free counseling and referral services.
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage, and leaves of absence.
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support, and financial wellbeing counseling.
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing.
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection, and consumer discounts.

Note: Eligibility for benefits may vary by location.