About the position
This position is one of the professional staff positions in the HCI Claims Department and in the larger Risk & Insurance Department reporting to a Director of Claims. The Senior Claims Supervisor is 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 liability cases with a designated caseload, including strategic thinking towards resolution and managing outside counsel.
- Engage in the department and company strategy for proactive, efficient and effective claims management.
- Maintain continuous and appropriate documentation within the electronic claims system for caseload.
- Evaluate the efficiency of outside defense counsel based on audits and metrics.
- Manage a segment of the Company's liability claims to achieve fair, efficient, timely exposure assessment and resolution.
- Maintain current licensure needed to perform duties as required in territory assigned.
- Oversee and administer special projects as assigned by the Claims Director, HCI President and VP of Claims.
- Assist in evaluation and management of outside defense counsel and claim investigators.
- Develop and maintain effective working relationships with Risk Managers, Patient Safety Directors, C-suite colleagues and Division leaders.
- Lead and/or participate in committees or task forces as assigned.
- Monitor expenses and litigation fees.
- Identify appropriate cases for presentation to the AVP, VP and Claims Committee for settlement authority.
Requirements
- Bachelor's degree required.
- 5+ years of experience in claims' management, preferably in healthcare and 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 where 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 required.
- Possess critical thinking, analytical and problem-solving skills required.
Benefits
- Comprehensive medical coverage with low copay options.
- Additional options for dental and vision benefits, life and disability coverage.
- 401(k) Plan with a 100% match on 3% to 9% of pay.
- Employee Stock Purchase Plan with 10% off HCA Healthcare stock.
- Family support through fertility and family building benefits.
- Referral services for child, elder and pet care.
- Consumer discounts through Abenity.
- Education assistance including tuition and student loan support.
- Colleague recognition program.
- Time Away From Work Program including paid time off and family leave.
