AVP, US Healthcare Claims
About The Position
Sompo has a unique opportunity for an Assistant Vice President, US Healthcare Claims in our North America Claims team. This role will manage claims arising from or involving policies issued from Sompo’s US Healthcare team. This position handles US Healthcare claims and provides legal review and policy drafting support to Underwriting. The successful candidate will be able to provide insight and analysis on US Healthcare claims across various product lines, including primary medical liability, excess and surplus lines, and allied healthcare. This position maybe based out of any of our Sompo US office locations. We strive for collaboration which is why we offer a work environment where our employees thrive and develop long lasting careers.
Requirements
- Minimum of 10 years’ experience required in handling claims involving Healthcare Liability with a career history of increasing responsibility.
- Law degree required
- Adjusters license required.
- Demonstrated ability to establish close working relationship with other departments including underwriting & actuarial.
- Strong negotiating, analytical, written, and organizational skills.
Nice To Haves
- preference will be given if experience was at both a law firm and with an insurance carrier.
- Strong preference for candidate who has pursued or is in the process of pursuing an insurance related designation, e.g., RPLU or CPCU.
Responsibilities
- Manage U.S. Healthcare claims, related systems, and core processes
- Evaluate exposures and make substantive claim decisions on complex healthcare claims and, as needed, other lines of business
- Provide sophisticated coverage, liability, and damages analysis, while identifying trends and emerging exposures affecting the portfolio
- Support underwriting through legal review, policy drafting, and timely, accurate exposure reporting to underwriting and management
- Ensure clear, timely preparation and distribution of narrative and financial claim reports
- Contribute to the Global Claims Team by partnering across regions and functions on strategic projects, industry engagement, complex claims, and other management-directed responsibilities, including travel as needed
Benefits
- Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution
- Pharmacy benefits with mail order options
- Dental benefits including orthodontia benefits for adults and children
- Vision benefits
- Health Care & Dependent Care Flexible Spending Accounts
- Company-paid Life & AD&D benefits, including the option to purchase Supplemental life coverage for employee, spouse & children
- Company-paid Disability benefits with very competitive salary continuation payments
- 401(k) Retirement Savings Plan with competitive employer contributions
- Competitive paid-time-off programs, including company-paid holidays
- Competitive Parental Leave Benefits & Adoption Assistance program
- Employee Assistance Program
- Tax-Free Commuter Benefit
- Tuition Reimbursement & Professional Qualification benefits
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
Ph.D. or professional degree
