As a UW employee, you have a unique opportunity to change lives on our campuses, in our state and around the world. UW employees offer their boundless energy, creative problem solving skills and dedication to build stronger minds and a healthier world.
UW faculty and staff also enjoy outstanding benefits, professional growth opportunities and unique resources in an environment noted for diversity, intellectual excitement, artistic pursuits and natural beauty. All of which has allowed the UW to be nationally recognized as a “Great College to Work For” for six consecutive years.
Claim Services is a part of the University’s Compliance and Risk Services (CRS) unit. Claim Services works on behalf of the University to protect against financial impacts of accidental loss. Claims Services, as part of Compliance and Risk Services, provides support to all University schools, colleges, and administrative units in the areas of claims management, workers’ compensation, claims recovery, and strategic loss control. As such, it plays a critical role in supporting the University mission for teaching, research, and public service.
Claims occur most frequently in the areas of, professional liability, automobile liability, general liability, employment practices, and, workers’ compensation with lower frequency in marine protection and indemnity and first party property claims. The Claim Services staff manage claims in accordance with applicable laws and regulations and pursuant to the delegations granted to the department through the Standing Orders of the Board of Regents.
We have an outstanding opportunity for an Assistant Director, Claim Services.
Duties & Responsibilities
Management and Operations (75%)
Manages complex professional healthcare liability claims and lawsuits according to industry best practices, including but not limited to:
•Investigating, evaluating, and reserving claims and lawsuits; •Assisting with institutional efforts toward early disclosure, apology and resolution of adverse events as appropriate; •Determining appropriate coverage source for entities and individuals named in claims and lawsuits; •Collaborating with affiliates within legal privileges and constraints of insurance program; •Consulting with experts, attorneys and others; •Developing and implementing claims/defense action plans and evaluating performance of defense counsel; •Developing creative resolution approaches and resolving cases within delegated authority; obtaining authority for amounts in excess of delegation; •Negotiating settlements and executing settlement releases/agreements; •Managing Financial Expenditures for claims and lawsuits; •Managing discovery process for lawsuits; •Preparing and monitoring cases through trial; •Communicating lessons learned from claims and lawsuits. •Following best practices in regulatory requirements including those related to reports to the State Disciplinary Boards, the National Practitioner Data Bank, Office of the Insurance Commissioner, Medicare, and other regulatory bodies as required for medical malpractice claims. •Providing information to and support for providers against whom a claim or lawsuit has been made ensuring that appropriate peer support is in place.
Special Projects (25%)
•Developing and presenting select healthcare professional liability claims to Claims Review Committee as required. •Making presentations to audiences of various sizes on claim trends and risk management. Initiating meetings with key departments to discuss claims trends and information needs. Communicating with Chief Medical Officer, Medical Directors, Chief Nursing Officers, clinical Chairs and Chiefs, Health Sciences Risk Management, the Attorney General’s Office, Special Assistant Attorneys General, University schools, colleges and divisions, consulting healthcare professionals, and many others. •Developing and fulfilling communication needs for routine captive claims reporting and annual reinsurance renewal claims reporting. •Meeting or exceeding expectations/requirements of 1) reinsurer annual audit and 2) captive annual audit. •Partnering with clinical leadership in reviewing claims lessons and trends and generating ways to improve knowledge, feedback, and claims/litigation processes. •Providing training, knowledge transfer, and mentoring to key University partners as appropriate. •Working on special projects or teams at the request of the Director of Claim Services.
Minimum of 6 years professional experience, including:
-Medical Malpractice Claims and/or Litigation Experience and Expertise. -Extensive experience managing complex medical malpractice claims (investigating, evaluating and reserving) or litigating complex medical malpractice cases, preferably in the State of Washington. -Demonstrable knowledge of Washington employment law. -Comprehensive knowledge of medical terminology and medical malpractice law. -Excellent written and oral communication skill, with ability to communicate effectively with diverse audiences and make presentations to large groups. -Ability to analyze, interpret, and apply complex rules and regulations toward effective problem solving and claim evaluations. -Ability to interpret and analyze medical reports and records, and communicate using medical terminology effectively with medical providers. -Ability to effectively and efficiently use computer systems and relational databases. -Demonstrated customer service skills. -Superior negotiation skills. -Strong planning and organizational skills. -Demonstrated commitment to continuing education and skill development.
Equivalent education/experience will substitute for all minimum qualifications except when there are legal requirements, such as a license/certification/registration.
JD, RN, Physician’s Assistant (PA), Advanced Registered Nurse Practitioner (ARNP), or Master’s in Business, Public Health or other healthcare-related fields.
Certifications: One or more of the following: Associate in Claims (AIC), Associate in Claims – Management (AIC-M), Certified Professional in Healthcare Risk Management (CPHRM), Certified Professional in Healthcare Quality (CPHQ), or similar healthcare, insurance, or litigation related certification.
Clinical experience and/or comprehensive knowledge of clinical practice and/or significant experience managing clinical based claims.
Knowledge of healthcare regulatory law and practice.
Medical training and/or licensure.
Public entity claims experience.
As a UW employee, you will enjoy generous benefits and work/life programs. For a complete description of our benefits for this position, please visit our website, click here.
The application process for UW positions may include completion of a variety of online assessments to obtain additional information that will be used in the evaluation process. These may include Work Authorization, Cover Letter and/or others. Any assessments that you need to complete will appear on your screen as soon as you select “Apply to this position”. Once you begin an assessment, it must be completed at that time; if you do not complete the assessment, you will be prompted to do so the next time you access your “My Jobs” page. If you select to take it later, it will appear on your "My Jobs" page to take when you are ready. Please note that your application will not be reviewed, and you will not be considered for this position until all required assessments have been completed.
Founded in 1861, the University of Washington is one of the oldest public institutions in the west coast and one of the preeminent research universities in the world. The University of Washington is a multi-campus university comprised of three different campuses: Seattle, Tacoma, and Bothell. The Seattle campus is made up of sixteen schools and colleges that serve students ranging from an undergraduate level to a doctoral level. The university is home to world-class libraries, arts, music, drama, and sports, as well as the highest quality medical care in Washington State and a world-class academic medical center. The teaching and research of the University’s many professional schools provide undergraduate and graduate students the education necessary toward achieving an excellence that will serve the state, the region, and the nation. As part of a large and diverse community, the University of Washington serves more students than any other institution in the Northwest.