Responsibilities:

Responsible for the day-to-day operations of captive insurance companies, insurance programs and communication and coordination with the captive’s Board of Directors and service providers. Advises in management and decision-making of captive insurance program company funding, actuarial analysis. Directs the claims and litigation program for all lines of insurance coverage, including, but not limited to, self-insured risks and commercially insured risks including medical professional liability general liability, property, auto among others. Manages the Claims team who are responsible for handling of medical professional and general liability claims brought against the health system’s self-insurance program. Supervises insurance and claims staff, conducts periodic performance appraisals, and recommends personnel actions. Ensures the timely reporting of claims; sets and monitors reserves; selects, appoints, and directs legal counsel for insurance claims and third-party claim administrators and oversees defense strategies; maintains appropriate file documentation; and serves as a liaison with insurers on specific claims. Monitors payment of fees for legal counsel for insurance claims and payment of their expenses. Approves payment of legal fees related to covered and non-covered expenses. Directs all aspects of insurance management, including collaborating with the Chief Financial Officer on risk financing strategies for all lines of coverage, collecting information for insurance renewals and actuarial analyses for self-insured retentions, and working with insurance brokers, consultants, underwriters, and actuaries. Develops and implements systems, policies, and procedures to identify, collect, and analyze claims data. Collaborates with Quality & Patient Safety, and participates in clinical, operational, and administrative committees as needed, to provide advice on risk mitigation strategies. Directs and supervises claims (loss) history process and requests for certificates of insurance, and evaluates and approves other requests for insurance coverage for providers. Advises management of risk and required insurance levels in contracts, agreements, leases and other legal documents. Actively communicates with health care providers involved in insurance claims on the status of the claim and potential malpractice/professional liability reporting obligations. Qualifications: Bachelor’s Degree 10 years of experience in healthcare risk management, litigation and claims management, and insurance coverage issues. Experience with collection, analysis, and reporting of data; or equivalent combination of education and experience. Healthcare risk management, claims management, and managing insurance coverage issues. If interested, please reach out to jalercio@kbwfinancial.com

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