VP, Claims

Overview

Jackson Healthcare and our family of companies provide healthcare systems hospitals and medical facilities of all sizes with the skilled and specialized labor and technologies they need to deliver high quality patient care and achieve the best possible outcomes while connecting healthcare professionals to the temporary engagements contract assignments and permanent placement employment opportunities they desire.

Headquartered in metro Atlanta were powered by more than 2600 associates and over 20000 clinician providers covering all 50 U.S. states.

Our mission is to improve the delivery of patient care and the lives of everyone we touch. This includes the patients clinicians and healthcare executives we work with through our companies every day as well as our communities the nonprofit organizations we support and each associate who is part of our family.

Were always looking to add new talent to our teams. We value diverse professionals at all levels and across multiple disciplines and areas of expertise who have strong leadership skills align with our culture and are committed to excellence.

• 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 aligning claims philosophy with business clinical and reputational priorities across the operating companies.

• Serve as Jackson Healthcares senior internal expert on healthcare professional liability providing direct counsel to executive leadership and operating-company presidents on significant exposures jurisdictional dynamics and emerging risks across our national workforce.

• Advance our claims function from incident administration toward integrated risk intelligence leveraging the Risk Teams investment in Origami (RMIS) and analytics to identify patterns inform actuarial and insurance-purchasing decisions and close the feedback loop with operating companies and recruiting teams.

• Bring a forward-leaning posture toward technology data and emerging AI comfortable consuming and challenging analytic output championing tools that improve claim outcomes and partnering with the Risk Teams data and Origami specialists to translate insight into action. (You will not be expected to build the dashboards but you should be eager to use them and engaged in the design and insights delivery.)

Building the Future-State Operation

• Design and lead the end-to-end claims lifecycle: intake FNOL investigation reserving litigation strategy settlement and closure with governance decision rights and escalation pathways that scale across decentralized operating companies.

• Champion the continued maturation of Origami as the authoritative system of record partnering with the Risk Teams analytics resources to advance severity scoring workflow automation integrated data feeds and the evaluation of emerging AI applications for triage document review summarization and predictive insight.

• Develop and codify SOPs role-delineation frameworks and reporting cadences that bring discipline and clarity to a function operating across more than 20 companies.

• Lead defense counsel selection litigation strategy and legal-spend management across multi-jurisdictional matters spanning the country.

Team and Partnerships

• Lead and develop our two in-house claims professionals both deeply experienced committed and integral to Jackson Healthcare into a high-performing strategic team and thoughtfully grow the function as the operation scales.

• Manage the transition and ongoing relationship with our external claims administrator ensuring continuity knowledge transfer and a smooth respectful 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 our captive insurance partners.

Performance and Accountability

• Establish and report on the metrics that matter 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 across the program.

• 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 builders mindset the willingness to question to simplify to design rather than maintain.

Preferred Experience

• 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.