HCA Healthcare

Senior Claims Supervisor

HCA Healthcare • $85K — $110K *
Nashville, TN 37211In-Person
Healthcare
5 - 7 years of experience
Today
Be an Early Applicant
Job Overview by Ladders

Qualifications

  • Bachelor's degree required
  • 5+ years in claims management, preferably in healthcare
  • JD preferred, along with defense and trial experience
  • Certification in risk management or insurance preferred
  • Adjuster's license in relevant states preferred
  • Critical thinking and analytical skills mandatory
  • Proficient in word processing and database software

Responsibilities

  • Manage a caseload of professional medical malpractice liability cases
  • Collaborate with outside counsel and vendors for claims resolution
  • Document and maintain electronic claims system diligently
  • Prepare cases for settlement authority presentation
  • Evaluate performance of outside defense counsel based on audits
  • Attend mediations and trials to represent the company
  • Manage reserve setting and ongoing expenses for claims

Benefits

  • Comprehensive medical, dental, vision, and telemedicine services
  • Free counseling and referral services for wellbeing
  • Paid time off, family leave, disability coverage, and absences
  • 401(k) Plan with matching, Employee Stock Purchase Plan, financial counseling
  • Tuition assistance and support for certifications and scholarships
  • Additional benefits for family building, life insurance, legal counseling
Full Job Description
Job Summary and Qualifications

This position is one of the professional staff positions in the HCI Claims Department and in the larger Risk & Insurance Department reporting to a Director of Claims. As the Senior Claims Supervisor, you are responsible for directly managing a caseload of the Company's professional liability. This includes retaining and supervising external and internal claims investigators, defense counsel and regularly interacting with various facility representatives and leaders. Ideally, this individual has experience managing physician practice and hospital claims and litigation management, is familiar with physician practice and hospital operations (including medical staff issues), state malpractice laws, possesses strong negotiation skills and has demonstrated ability to independently problem solve and proactively manage and resolve claims.

Job Responsibilities:

Quality

  • Handle professional medical malpractice liability cases with a designated caseload. This includes strategic thinking towards resolution, as well as collaborating, directing and managing outside counsel and other vendors as appropriate.
  • Engage in the department and company strategy and philosophy of proactive, efficient and effective claims management.
  • Continuous and appropriate documentation within, and maintenance of, the electronic claims system for caseload, including reviewing daily diaries of files to track progress and items needed for updates.
  • Identify appropriate cases and prepare those for presentation to the AVP, VP and Claims Committee for settlement authority and to excess and reinsurers as needed.
  • Maintain performance against department established metrics.
  • Evaluate the efficiency of outside defense counsel based on audits and metrics provided by HCI and firms.


Service

  • Manage a segment of the Company's liability claims to achieve fair, efficient, timely exposure assessment, strategy development and ultimate resolution of matters.
  • Attend mediations and trials as the Company representatives with authority to resolve the claim.
  • Maintain current licensure needed to perform duties as required in territory assigned.
  • Oversight and administration of special projects as assigned by the Claims Director, HCI President and VP of Claims.
  • Have strong experience in coverage evaluation process and coverage issues pertinent to medical professional liability claims.
  • Have a strong understanding of risk transfer strategies, to include additional insured standing, contractual indemnity and collateral sources.
  • Maintain current knowledge of relevant industry trends, changes in laws and rules affecting liability claims management decisions.


People

  • Work collaboratively with entire HCI Claims team, as well as other HCI departments such as Finance, Business Intelligence and Insurance.
  • Assist in evaluation and management of outside defense counsel and claim investigators within established guidelines.
  • Develop and maintain effective, efficient and respectful working relationships with the organization's Risk Managers, Patient Safety Directors, C-suite colleagues and Division leaders.
  • Conduct division and facility reviews highlighting specific claims and trends in order to support collaboration and quality of care.
  • Build and maintain strategic alliances and collaborative partnerships with the HCI Risk Management team, HCA Legal Department, Clinical and Physician's Services Group and other corporate departments that will mutually benefit the Claims Department and the organization.
  • Lead and/or participate in committees or task forces, as assigned.


Finance

  • Setting appropriate reserves at the opening of a file and continually maintaining that reserve insuring it is aligned with the exposure for the Company throughout the lifetime of the claim.
  • Adhere to meaningful metrics to measure individual performance of management of designated caseload.
  • Ongoing monitoring of expenses and litigation fees.
  • Reviewing and payment of law firm legal invoices through an electronic platform.
  • Responsible for efficient, effective and accurate loss adjustment expenses and indemnity payments.


Education & Experience

  • Bachelor's degree required
  • 5+ years of experience in claims' management, preferably in healthcare and preferably in a multi-state environment; knowledge of hospital and healthcare operations required
  • JD preferred
  • Defense and trial experience preferred
  • Certification in risk management or insurance, i.e. CPHRM, ARM, CPCU, etc. preferred
  • Adjuster's license in states in which HCI operates, especially Florida preferred
  • Must be eligible to apply for and obtain adjuster's license(s) in assigned jurisdictions required
  • Proficient computer skills with word processing and database competency required
  • Possess critical thinking, analytical and problem skills required


Benefits

HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
  • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • Wellbeing support, including free counseling and referral services
  • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
  • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
  • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
  • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

About HCA Healthcare

HCA Healthcare Careers

Join the dedicated team at HCA Healthcare, a leading provider in the medical field, and be part of a company known for its exceptional care and commitment to innovation. At HCA Healthcare, we offer a variety of job opportunities that allow professionals to grow their careers in a supportive and diverse environment.

Work You’ll Do

At HCA Healthcare, you will contribute to a culture that values patient care above all. Our team members are equipped with the skills and resources needed to provide outstanding healthcare services. With positions ranging from nursing to administrative roles, HCA Healthcare is actively hiring and offers a dynamic workplace where leadership and professional growth are encouraged.

Innovate and Lead

Join a team where innovation is at the heart of everything we do. HCA Healthcare is a place where you can lead efforts to improve patient outcomes using the latest technologies and practices in the healthcare industry. Our leadership is committed to fostering a culture of diversity and inclusion, ensuring all team members can thrive.

Professional Growth and Development

HCA Healthcare believes in nurturing the growth of its employees through robust professional development and training programs. Whether you are just starting your career or are a seasoned professional, we provide the tools and training necessary to advance your skills and take on new challenges. Explore our wide range of career paths and find the position that best suits your skills and passions.

Benefits and Culture

Our employees enjoy a range of benefits designed to support their physical, financial, and emotional well-being. From comprehensive health insurance to retirement plans and employee wellness programs, HCA Healthcare takes care of its team. Our inclusive culture and commitment to work-life balance make HCA Healthcare a desirable place to work.

Internship and Networking Opportunities

For those new to the healthcare field, HCA Healthcare offers internship programs that provide real-world experience and a pathway to full-time employment. Additionally, our extensive professional network allows for endless networking opportunities, helping you to build relationships and advance your career.

Join Our Team

Search open positions that match your skills and interests. We look for passionate, curious, creative, and solution-driven team players. Ready to start your journey with HCA Healthcare? Prepare your resume, sharpen your interview skills, and apply today to become part of a team that’s dedicated to improving lives.

Stay Connected

Keep up to date with career tips, insider perspectives, and industry-leading insights you can put to use today—all from the people who work at HCA Healthcare.

Job Alert Emails

Personalize your subscription to receive job alerts, latest news, and insider tips tailored to your preferences. Discover the exciting and rewarding career opportunities that await at HCA Healthcare. Explore the possibilities with HCA Healthcare, where your career is nurtured, and your contributions are valued. Join us in our mission to deliver high-quality patient care through innovative practices and a compassionate approach.
Learn more about HCA Healthcare
Size
204,000 employees
Market Cap
$67.9 billion
Industry
Healthcare
Net Income
$3.7 billion
Founded
1968
5 Year Trend
+7.2%
Revenue
$51.5 billion
NASDAQ
HCA
* Ladders Estimates

Similar Jobs

Ad banner background

Get Ready For Your
Next Interview

More Jobs at HCA Healthcare

More Healthcare Jobs

Find similar Senior Claims Supervisor jobs:

NationwideNashville, TN