AVP, Claims Counsel, Healthcare

Are you looking for your next opportunity?

Sompo has a unique opportunity for an Assistant Vice President, US Healthcare Claims in our North America Claims team.

This role will manage claims arising from or involving policies issued from Sompo’s US Healthcare team.  This position handles US Healthcare high exposure claims and provides legal review and policy drafting support to Underwriting. The successful candidate will be able to provide insight and analysis on complex high profile/high exposure US Healthcare claims.

Location: This position may be based in any of our Sompo US office locations. We strive for collaboration which is why we offer a work environment where our employees thrive and develop long lasting careers.

Our business, your impact, our opportunity:

What you’ll be doing:

• Handle US Healthcare claims and related systems and processes

• Evaluate exposures and make substantive claim decisions for US Healthcare claims and as needed on other lines of business

• Proven ability to provide coverage, liability, and damages analysis for complex healthcare claims. Ability to proactively identify trends and exposures that may affect the US Healthcare portfolio

• Support underwriting with legal review and policy drafting

• Ensure timely and accurate reporting of exposure to underwriting and management.

• Ensure appropriate narrative and arithmetic reports are timely prepared and disseminated

• As part of the Global Claims Team you will be expected to contribute to the success of the team by working closely with your colleagues worldwide on various projects as directed by the management and other members of Executive Team. This may include attending various industry conferences, possibly as a speaker/presenter, publishing on current claim trends and issues and assisting other offices on complex claims.

• You will be asked to communicate with and support underwriting and other functional groups within the organization

• Other duties as required by management

• Some travel as required

What you’ll bring:

• Minimum of 10 years’ experience required in handling claims involving Healthcare Liability claims with a career history of increasing responsibility.

• Law degree required, preference will be given if experience was at both a law firm and with an insurance carrier. Adjusters license required.

• Strong preference for candidate who has pursued or is in the process of pursuing an insurance related designation, e.g., RPLU or CPCU.

• Demonstrated ability to establish close working relationship with other departments including underwriting & actuarial.

• Strong negotiating, analytical, written, and organizational skills.

Salary Range: $135,000 – $195,000 Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience.

At Sompo, we recognize that the talent, skills, and commitment of our employees drive our success. This is why we offer competitive, high-quality compensation and benefit programs to eligible employees.

Our compensation program is built on a foundation that promotes a pay-for-performance culture, resulting in higher incentive awards, on average, when the Company does well and lower incentive awards when the Company underperforms. The total compensation opportunity for all regular, full-time employees is a combination of base salary and incentives that gets adjusted upfront based on overall Company performance with final awards based on individual performance.

We continuously evaluate and update our benefit programs to ensure that our plans remain competitive and meet the needs of our employees and their dependents. Below is a summary of our current comprehensive U.S. benefit programs:

Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution

Pharmacy benefits with mail order options

Dental benefits including orthodontia benefits for adults and children

Vision benefits

Health Care & Dependent Care Flexible Spending Accounts

Company-paid Life & AD&D benefits, including the option to purchase Supplemental life coverage for employee, spouse & children

Company-paid Disability benefits with very competitive salary continuation payments

401(k) Retirement Savings Plan with competitive employer contributions

Competitive paid-time-off programs, including company-paid holidays

Competitive Parental Leave Benefits & Adoption Assistance program

Employee Assistance Program

Tax-Free Commuter Benefit

Tuition Reimbursement & Professional Qualification benefits

In today’s world, what do we stand for?

Ethics and integrity are the foundation of delivering on our commitment to you. We believe that core values drive success, and that when relationships are held in the highest regard, there is nothing that cannot be accomplished. At Sompo, our ring is more than a logo, it is a symbol of our promise. Click here to learn more about life at Sompo.

Sompo is an equal opportunity employer and we intentionally value inclusion and diversity. Above all, we want you to work in an environment that respects everyone’s unique contributions – we are passionately committed to equal opportunities. We do not discriminate based on race, color, religion, sex orientation, national origin, or age.