Director Claims Management

Christiana Care, headquartered in Wilmington, Delaware, is among the nation’s most dynamic health systems. It is dedicated to improving health outcomes, making high-quality care more accessible, and lowering health care costs. The system includes extensive outpatient services, home health care, medical aid units, two hospitals with 1,227 beds, a Level I trauma center, a Level III neonatal intensive care unit, a comprehensive stroke center, and regional centers of excellence for heart, vascular, cancer, and women’s health care.

Christiana Care is a not-for-profit teaching health system with over 260 residents and fellows. It is regularly ranked as a Best Hospital by US News & World Report. Through its outstanding data-driven care coordination and emphasis on population health and value-based care, Christiana Care is crafting the future of health care.

Do you want to work at one of the Top 100 Hospital s in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at Christiana Care!

• Manage the claims lifecycle from intake through resolution for all claims, including professional and general liability matters.
• Supervise claims staff and litigation coordinator to ensure timely investigation, case tracking, and reporting.
• Handle routine communication with outside defense lawyers, guaranteeing a streamlined litigation plan and budget oversight.
• Coordinate the health system’s insurance program, including renewals, policy review, coverage assessments, and COI management.
• Serve as primary liaison with outside defense counsel, liability consultants, insurance brokers and carriers; bring up strategic issues and renewal negotiations to VP of Risk Management.
• Collaborate with the Liability Consultant to maintain the claims management database, reserves, and metrics; prepare reports for leadership and Board committees.
• Collaborate with Clinical Risk Management team on cases advancing from events/incidents into formal claims, including working together on litigation support and case preparation.
• Work together with the Liability Consultant on reserve recommendations and case strategy.
• Work closely with Finance and external actuaries on loss projections, reserve analyses, and funding allocations.
• Coordinate System’s Claims Advisory Committee and related management and reporting of reserves and case resolution.
• Establish relationships with plaintiff counsel to address claims pre-suit and to mitigate claims costs.
• Collaborate with clinical risk and Liability Consultant, provide oversight and assistance on pro se matters and adverse event matters involving disclosure.
• Ensure compliance with insurance reporting requirements and contractual obligations.
• Provide training and mentorship to Legal/Risk Management Department on insurance, litigation, and claims management processes.

Bachelor’s degree required; JD or advanced degree strongly preferred.

7+ years of experience in claims management, litigation, or insurance, with at least 3 years in a healthcare setting.

Experience managing outside counsel and insurance broker/carrier relationships.

Demonstrated ability to lead professional staff and coordinate complex caseloads.

• CPCU, ARM, or other risk/insurance certifications.
• Experience working with captives or reinsurance programs.
• Familiarity with London insurance market placements.