Avp, US Healthcare Claims

Job Description

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 claims and provides legal review and policy drafting support to Underwriting. The successful candidate will be able to provide insight and analysis on US Healthcare claims across various product lines, including primary medical liability, excess and surplus lines, and allied healthcare.

Location: This position maybe based out of 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:

• Manage U.S. Healthcare claims, related systems, and core processes
• Evaluate exposures and make substantive claim decisions on complex healthcare claims and, as needed, other lines of business
• Provide sophisticated coverage, liability, and damages analysis, while identifying trends and emerging exposures affecting the portfolio
• Support underwriting through legal review, policy drafting, and timely, accurate exposure reporting to underwriting and management
• Ensure clear, timely preparation and distribution of narrative and financial claim reports
• Contribute to the Global Claims Team by partnering across regions and functions on strategic projects, industry engagement, complex claims, and other management-directed responsibilities, including travel as needed

What you'll bring:

• Minimum of 10 years' experience required in handling claims involving Healthcare Liability 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: $145,000 - $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

Who we are and what we stand for:

At Sompo, our shared purpose is to create meaningful value for clients, communities, and each other. We strive to foster a workplace where everyone feels respected, included, and empowered to excel. As a global organization, we embrace diversity and champion equal opportunity. Guided by our core values-Accountability, Agility, Collaboration, Development, and Integrity-we build trust and support one another to achieve our goals worldwide. Life at Sompo page

Our values come to life in how we hire and grow talent. Employment decisions are based on qualifications, merit, and organizational need, and we strive to ensure equitable access to opportunities so everyone can do their best work. If you need an accommodation for any part of the application process, please contact the recruiter in charge.