DIRECTOR, CLAIM SERVICES
UW Medicine - Northwest Hospital & Medical Center in Seattle, WA
- Industry: Financial Services - Insurance - Claim Adjuster
- Type: Full Time
- Compensation: $92,120.00 - 179,160.00 / Year*
UW faculty and staff also enjoy outstanding benefits, professional growth opportunities and unique resources in an environment noted for diversity, intellectual excitement, artistic pursuits and natural beauty. All of which has allowed the UW to be nationally.
Claim Services is a part of the Universitys Compliance and Risk Services (CRS) unit. Claim Services works on behalf of the University to protect against financial impacts of accidental loss. Claims Services, as part of Compliance and Risk Services, provides support to all University schools, colleges, and administrative units in the areas of claims management, workers compensation, claims recovery, and strategic loss control. As such, it plays a critical role in supporting the University mission for teaching, research, and public service.
Claims occur most frequently in the areas of, professional liability, automobile liability, general liability, employment practices, and, workers compensation with lower frequency in marine protection and indemnity and first party property claims. The Claim Services staff manage claims in accordance with applicable laws and regulations and pursuant to the delegations granted to the department through the Standing Orders of the Board of Regents.
We have an outstanding opportunity for a Director, Claim Services .
Under the general direction of the Executive Compliance and Risk Officer, the Director, Claim Services provides leadership and expertise in claim and litigation management and provides analytical services which allow the schools, colleges, and administrative units to effectively minimize losses. The Director will provide strategic leadership and operational management for the Claims Services staff and interact routinely with other members of Compliance and Risk Services to optimize support for University programs.
Demanding aspects of this position include setting case reserves, managing litigation strategy, assessing chances in litigation and advising regarding settlements, determining insurance coverage, and developing new strategies for loss control.
Duties and Responsibilities
Management and Operations: (80%)
Manage the operational, planning and personnel activities of the claims program, including assignment of claims, supervision and training of claims staff, managing individual caseload, and management of the liability and workers compensation programs.
Develop and execute communication strategies with internal clients, insurers, adjusters, and service providers so that information needs are met and claims outcomes are optimized.
Develop and implement best practices for claims programs, with special attention to the compliance responsibilities of a public entity. Stay abreast of national and local trends and analyze pertinent state and national legislation.
Develop and maintain optimal claims management and recovery tracking systems. Ensure data integrity and sufficiency, and establish electronic links with key partners. Develop and implement procedures necessary for the data and document collection, communication, and retention necessary for Portage Bay Insurance, underwriters, actuaries, auditors, and regulators. Ensure that data and work processes are compliant with state and federal privacy laws.
Ensure pursuit of recoveries from available sources and compliance with all contractual requirements necessary to ensure recoveries. Direct the work of coverage counsel when required.
Maintain an effective return-to-work program and develop strategies to reduce disability associated with on-the-job injuries. Ensure business services such as the Universitys stay at work and sick leave buy-back programs and claim related job modifications are appropriate and efficiently carried out. Participate in active review of UW policies related to worker injury and return-to-work such that policies are current, appropriate, and effective.
Analyze losses and recommend strategies to reduce losses. Prepare and present regular and special reports as needed by internal clients. Consult with Executive Compliance and Risk Officer and others on optimal risk transfer strategies based on loss experience.
Supervise staff including: Assistant Director, Claim Specialist, Claims Operations Analyst, Senior Return to Work Specialist, Return to Work Specialist, and Program Coordinators.
Oversee work of third-party administrators and adjusters. Work with insurance brokers and other advisors to manage claims program effectively and efficiently.
Participate in the leadership of the Compliance and Risk Services with attention to integration of selected management techniques into the claims program and operations.
Special Projects and Outreach: (20%)
Serve on University committees and task forces at the Executive Compliance and Risk Officers request.
Continue development and support for a culture of accountability, compliance, and customer service across Claims Services.
Maintain effective, positive communication with the Attorney Generals Office, University Division, the Department of Labor and Industries, the Vice Dean of Clinical Affairs and other UW Medicine partners, Health Sciences Risk Management, Human Resources, and other strategic partners.
Develop and sustain effective working relationships with units across the University, emphasizing proactive, productive partnerships that support excellence.
Bachelors degree and ten years experience in multi-line, complex claim and litigation management;
Knowledge of relevant federal and state laws, regulations, and case law;
Experience with sophisticated risk analysis and loss reduction techniques;
Knowledge of regulatory requirements and insurance industry standards;
Demonstrated skill in oral and written communications;
Experience in supervision of claims staff;
Excellent interpersonal skills in interactions with clients and co-workers, and a history of positive participation in team efforts;
Knowledge of and experience with relational databases and other computing systems;
Demonstrated attention to excellent client service.
Must have strong judgment and decision-making skills and be able to prioritize work with limited supervision.
Must have strong abilities to multi-task and to work in a stressful environment with constantly changing deadlines.
Equivalent education/experience will substitute for all minimum qualifications except when there are legal requirements, such as a license/certification/registration.
Juris Doctor degree;
Extensive experience with medical malpractice and/or employment practices liability claims;
Experience working with public entities.
As a UW employee, you will enjoy generous benefits and work/life programs. For a complete description of our benefits for this position, please visit our website, click here.
The application process for UW positions may include completion of a variety of online assessments to obtain additional information that will be used in the evaluation process. These may include Work Authorization, Cover Letter and/or others. Any assessments that you need to complete will appear on your screen as soon as you select Apply to this position. Once you begin an assessment, it must be completed at that time; if you do not complete the assessment, you will be prompted to do so the next time you access your My Jobs page. If you select to take it later, it will appear on your "My Jobs" page to take when you are ready. Please note that your application will not be reviewed, and you will not be considered for this position until all required assessments have been completed.
Associated topics: administrative assistant, administrative staff, administrative support, assist, assistant, beverage, chief operations officer, document, front desk, records management
* Estimated salary
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