VP, Claims

Jackson Healthcare • Alpharetta, GA

2d

About The Position

Jackson Healthcare and its family of companies provide healthcare systems, hospitals, and medical facilities with the skilled labor and technologies needed to deliver high-quality patient care. Headquartered in metro Atlanta, the company has over 2,600 associates and more than 20,000 clinician providers across all 50 U.S. states. Their mission is to improve patient care and the lives of everyone they touch, including patients, clinicians, healthcare executives, communities, and their associates. They are seeking diverse professionals with strong leadership skills who align with their culture and are committed to excellence.

The VP, Claims will be responsible for the strategy and execution of the claims function across 22 operating companies. This role encompasses medical professional liability for various healthcare professionals, as well as general liability, automobile, and cyber claims across the enterprise.

Requirements

• Significant senior leadership experience in healthcare medical professional liability claims, including direct litigation oversight and complex, multi-jurisdictional matters.
• Undergraduate degree in a related field.
• 10 – 15 years of demonstrated success leading claims teams, managing third-party administrators and defense counsel, and partnering with executive leadership on high exposure decisions.
• Deep working knowledge of reserving practices, captive and/or self-insured retention program economics, and the regulatory landscape governing healthcare claims.
• Comfort and curiosity with data, analytics, and technology — including the willingness to challenge analytic output, sponsor better tools, and lead a function in which insight from Origami and emerging AI is part of the daily fabric.
• A builder’s mindset — the willingness to question, to simplify, to design rather than maintain.

Nice To Haves

• A Juris Doctor (JD) — bringing the legal acumen to engage substantively with defense counsel and shape litigation strategy across jurisdictions.
• A Registered Nurse (RN) or comparable clinical credential — bringing the clinical fluency to engage credibly with physicians, advanced practice providers, and operating company leaders.
• Experience standing up or substantially reimagining a self-administered claims function, including the transition from a third-party-administered model.
• Working familiarity with Origami or comparable RMIS platforms, and fluency with claims analytics and emerging AI applications in claims operations and litigation support.
• Healthcare staffing, locum tenens, or multi-state delivery-model exposure.
• Industry credentials such as CPCU, ARM, AIC, or RPLU.

Responsibilities

• Partner closely with the Chief Risk Officer to set and execute the enterprise claims strategy across Medical Professional Liability (MPL), general liability, workers compensation, automobile, and cyber lines.
• Serve as Jackson Healthcare’s senior internal expert on healthcare professional liability, providing counsel to executive leadership and operating-company presidents on significant exposures, jurisdictional dynamics, and emerging risks.
• Advance the claims function from incident administration toward integrated risk intelligence, leveraging RMIS and analytics to identify patterns, inform actuarial and insurance-purchasing decisions, and close the feedback loop with operating companies and recruiting teams.
• Champion the use of technology, data, and emerging AI in claims operations, consuming and challenging analytic output, championing tools that improve claim outcomes, and partnering with data and RMIS specialists.
• Design and lead the end-to-end claims lifecycle: intake, FNOL, investigation, reserving, litigation strategy, settlement, and closure.
• Champion the continued maturation of Origami as the authoritative system of record, advancing severity scoring, workflow automation, integrated data feeds, and the evaluation of emerging AI applications.
• Develop and codify SOPs, role-delineation frameworks, and reporting cadences for a function operating across more than 20 companies.
• Lead defense counsel selection, litigation strategy, and legal-spend management across multi-jurisdictional matters.
• Lead and develop in-house claims professionals into a high-performing strategic team.
• Manage the transition and ongoing relationship with the external claims administrator, ensuring continuity, knowledge transfer, and a smooth evolution toward a mostly self-administered model.
• Build constructive working relationships with operating-company presidents, medical staff services and HR leaders, defense counsel, brokers, and captive insurance partners.
• Establish and report on key metrics (cycle time, severity, indemnity leakage, litigation outcomes, expense management, vendor performance) at the executive and Board levels.
• Own the financial performance of the claims program, including reserve adequacy, loss forecasting, and total cost of risk.
• Strengthen audit readiness, regulatory reporting (NPDB, MMSEA Section 111, state specific requirements), and compliance discipline.

Benefits

• Smoking/vaping and the use of tobacco products are prohibited on all Company premises, including indoor and outdoor areas, parking lots, and Company-owned vehicles.
• Candidates who receive a conditional offer may be required to undergo pre-employment drug testing.
• Equal Opportunity Employer and do not discriminate based on race, color, religion, sex, national origin, age, disability, veteran status, or any other protected status under the law.

What This Job Offers

• Job Type: Full-time
• Career Level: Executive