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AIG · 2 months ago

Claims Complex Director - Healthcare Professional Liability (HPL)

Jersey City, NJ

Full-time

Hybrid

Director/Executive

$96K/yr - $129K/yr

7+ years exp

AIG is a global leader in commercial and personal insurance solutions, and they are seeking a Claims Complex Director to manage complex medical malpractice claims within the Healthcare Professional Liability Claims Department. The role involves overseeing claims handling, collaborating with internal and external partners, and ensuring compliance with legal requirements.

BankingFinancial ServicesInsurance

Responsibilities

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

Qualification

Medical malpractice claimsLitigation managementNegotiation skillsLaw Degree (J.D.)Analytical skillsCommunication skillsOrganizational skillsInterpersonal skillsCritical thinking

Required

7+ years of medical malpractice / professional liability complex claims and/or complex litigation experience

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

Preferred

Law Degree (J.D.) or equivalent preferred

Benefits

In addition, the position is eligible for a bonus in accordance with the terms of the applicable incentive plan.

We’re proud to offer a range of competitive benefits, a summary of which can be viewed here: US Benefits Overview

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.