Claims Complex Director - Healthcare Professional Liability (HPL) at AIG

Jersey City, New Jersey, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Insurance, HealthcareIndustries

Requirements

7+ years of medical malpractice / professional liability complex claims and/or complex litigation experience
Law Degree (J.D.) or equivalent preferred
Strong written and verbal communication skills
Strong negotiation, litigation management and interpersonal skills
Excellent organizational and computer skills
Ability and flexibility to work in a dynamic, challenging and fast-paced environment
Demonstrated analytical and investigative mindset with critical thinking skills
Ability to make sound business decisions and effectively evaluate and resolve ambiguous, complex and challenging business issues

Responsibilities

Manage an active claims portfolio of the most complex and high exposure medical malpractice (and some GL) claims at primary and excess coverage layers
Apply best claims handling practices and follow company protocols to manage and oversee all aspects of claims handling, including coverage determinations, investigations, and trial and resolution strategies
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
Drive resolution of claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, including management of timely and adequate reserves, negotiating complex settlements, and partnering with insureds and counsel to manage complex litigation
Determine the scope and extent of available coverage and vet/report complex coverage issues when conflicts arise or are conceivable, requiring increased internal coordination with the corporate legal team
Achieve quality standards by effectively managing each claim to ensure all company protocols are followed, work is accurate and timely, all files are properly documented, and claims are resolved and paid timely
Report large losses and potential challenges anticipated in a given claim early and often to senior leadership
Prepare and present high profile, complex information to senior leadership, customers, counsel, insureds, brokers, and others by identifying high profile matters, developing executive loss summaries, coordinating and communicating resolution strategies, and sharing relevant current events and case law
Maintain full compliance with NPDB and state medical malpractice reporting requirements
Participate in mediations, attend trials, and occasionally conduct outside claim audits
Obtain appropriate authority to independently negotiate multi-million dollar claims with premier plaintiffs’ counsel nationwide and utilize ADR when necessary
Strategize and coordinate 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
Keep abreast of significant changes in the law, claims and industry trends (not limited to medical malpractice), and regulatory changes
Some travel will be required

Skills

Claims Management

Medical Malpractice

Healthcare Professional Liability

Coverage Determination

Claims Investigation

Litigation Strategy

Reserve Management

Settlement Negotiation

Defense Counsel Management

Risk Assessment

AIG

Global insurance provider for individuals and businesses

About AIG

AIG provides a variety of insurance products and services aimed at individuals, families, and businesses. Their offerings include life insurance, retirement planning, and commercial insurance, which help clients manage risk and protect their assets. AIG operates by underwriting insurance policies and managing risk, while also investing the premiums collected to generate income. This company stands out from competitors by not only focusing on traditional insurance but also emphasizing cybersecurity and data protection to keep clients' information safe. AIG's goal is to help clients achieve financial security and peace of mind through comprehensive insurance solutions.

New York City, New YorkHeadquarters

1919Year Founded

IPOCompany Stage

Cybersecurity, Financial ServicesIndustries

10,001+Employees

Benefits

Health, dental, & vision coverage

Flexible Spending Accounts (FSA)

401(k)

PTO

Commuter Expense Reimbursement Account

Risks

Sale of personal travel business may reduce AIG's market presence in travel insurance.

Expansion in Atlanta could pose financial risks if expected growth does not materialize.

Deconsolidation of Corebridge Financial might lead to loss of synergies and increased costs.

Differentiation

AIG offers a wide range of insurance products globally, serving diverse client needs.

Corebridge Financial, a subsidiary, enhances AIG's offerings in retirement planning and financial futures.

AIG emphasizes cybersecurity and data protection, ensuring clients' information remains secure.

Upsides

AI adoption in underwriting and claims processing enhances efficiency and reduces costs for AIG.

InsurTech partnerships offer AIG opportunities to enhance digital capabilities and drive innovation.

Telematics and usage-based insurance allow AIG to offer personalized and flexible products.

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