Senior Claims Supervisor

Do you want to join an organization that invests in you as a Senior Claims Supervisor? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Job Summary and Qualifications

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. 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.

Job Responsibilities:

Quality

• Handle professional medical malpractice liability cases with a designated caseload. This includes strategic thinking towards resolution, as well as 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.

Service

• 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 representatives 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.
• Have strong experience in coverage evaluation process and coverage issues pertinent to medical professional liability claims.
• Have a strong understanding of risk transfer strategies, to include 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.

People

• Work collaboratively with 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 in order 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.

Finance

• Setting appropriate reserves at the opening of a file and continually maintaining that reserve insuring 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.
• Ongoing monitoring of expenses and litigation fees.
• Reviewing and payment of law firm legal invoices through an electronic platform.
• Responsible for efficient, effective and accurate loss adjustment expenses and indemnity payments.

Education & Experience

• 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, i.e. CPHRM, ARM, CPCU, etc. 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 required
• Proficient computer skills with word processing and database competency required
• Possess critical thinking, analytical and problem skills required

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.

HCA Healthcare (Corporate), based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleled resources and opportunities to reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education and career advancement opportunities, every person has a solid foundation for success. Nashville is also home to our Executive Development Program, where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

CORP-AFHP

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Senior Claims Supervisor opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.