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ChristianaCare · 1 day ago

Director Claims Management

Wilmington, DE

Full-time

Onsite

Director/Executive

$121K/yr - $194K/yr

7+ years exp

ChristianaCare is among the nation’s most dynamic health systems, dedicated to improving health outcomes and making high-quality care more accessible. The Director of Claims Management will oversee the claims lifecycle and manage litigation, while ensuring collaboration with external defense counsel and insurance partners.

Health CareHospitalNon Profit

Responsibilities

Manage the claims lifecycle from intake through resolution for all claims, including professional and general liability matters

Supervise claims staff and litigation coordinator to ensure timely investigation, case tracking, and reporting

Handle routine communication with outside defense lawyers, guaranteeing a streamlined litigation plan and budget oversight

Coordinate the health system’s insurance program, including renewals, policy review, coverage assessments, and COI management

Serve as primary liaison with outside defense counsel, liability consultants, insurance brokers and carriers; bring up strategic issues and renewal negotiations to VP of Risk Management

Collaborate with the Liability Consultant to maintain the claims management database, reserves, and metrics; prepare reports for leadership and Board committees

Collaborate with Clinical Risk Management team on cases advancing from events/incidents into formal claims, including working together on litigation support and case preparation

Work together with the Liability Consultant on reserve recommendations and case strategy

Work closely with Finance and external actuaries on loss projections, reserve analyses, and funding allocations

Coordinate System’s Claims Advisory Committee and related management and reporting of reserves and case resolution

Establish relationships with plaintiff counsel to address claims pre-suit and to mitigate claims costs

Collaborating with clinical risk and Liability Consultant, provide oversight and assistance on pro se matters and adverse event matters involving disclosure

Ensure compliance with insurance reporting requirements and contractual obligations

Provide training and mentorship to Legal/Risk Management Department on insurance, litigation, and claims management processes

Qualification

Claims managementLitigation managementInsurance program managementHealthcare experienceRisk management certificationsLeadershipCommunicationCollaboration

Required

Bachelor's degree required; JD or advanced degree strongly preferred

7+ years of experience in claims management, litigation, or insurance, with at least 3 years in a healthcare setting

Experience managing outside counsel and insurance broker/carrier relationships

Demonstrated ability to lead professional staff and coordinate complex caseloads

Preferred

CPCU, ARM, or other risk/insurance certifications

Experience working with captives or reinsurance programs

Familiarity with London insurance market placements

Benefits

Health insurance

Paid time off

Retirement

An employee assistance program

Company

ChristianaCare

Glassdoor3.5

Headquartered in Wilmington, Delaware, ChristianaCare is one of the country’s most dynamic health care organizations, centered on improving health outcomes, making high-quality care more accessible and lowering health care costs.

Founded in 1888

Wilmington, Delaware, USA

10001+ employees