Senior Director, Insurance & Claims
About The Position
A major academic health system is seeking an experienced Senior Director, Insurance & Claims to oversee enterprise -wide insurance programs, captive management, and litigation across all lines of coverage. This position partners closely with the Chief Financial Officer, Chief Quality Officer, and other senior leaders to develop proactive risk mitigation strategies and ensure comprehensive protection of organizational assets. This is a full -time onsite leadership role based in Boston, MA. The Senior Director, Insurance & Claims serves as the system’s primary advisor on insurance strategy, claims management, and risk financing. This role directs the day -to -day operations of captive insurance companies, manages external counsel and administrators, and ensures regulatory compliance for malpractice and liability reporting. The ideal candidate brings deep experience in healthcare risk management, litigation oversight, and financial strategy for complex health systems.
Requirements
- Bachelor’s degree required.
- 10+ years of progressive experience in healthcare risk management, insurance, or claims administration.
- Demonstrated experience in litigation management, insurance coverage analysis, and risk financing.
- Proven success collaborating with executive leadership and cross -functional teams.
- Strong communication, analytical, and organizational skills, with the ability to manage complex priorities.
Nice To Haves
- Advanced degree in business, law, or health professions preferred.
- Experience managing or advising captive insurance programs a plus.
Responsibilities
- Oversee captive insurance company operations, including communication with the Board of Directors, actuarial analysis, and funding decisions.
- Direct all insurance claims and litigation for self -insured and commercial risks (medical professional, general liability, property, auto, and more).
- Supervise a team managing medical professional and general liability claims, ensuring timely reporting, reserve setting, and documentation.
- Select and oversee external legal counsel and third -party administrators; approve payment of related legal fees and settlements.
- Collaborate with the Chief Financial Officer on enterprise -wide risk financing and renewal strategies for all insurance lines.
- Collect, analyze, and maintain enterprise risk and claims data to inform leadership decisions and Board reporting.
- Partner with Quality & Patient Safety teams to drive loss prevention, regulatory compliance, and provider reporting to the National Practitioner Data Bank.
- Lead or participate in committees such as the Claims Committee and Underwriting Committee, ensuring timely communication of risk and claims activity.
- Provide strategic input on insurance requirements in contracts, leases, and vendor agreements.
- Support system -wide education and quality initiatives related to claims prevention and mitigation.
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What This Job Offers
Job Type
Full-time
Career Level
Director
