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About the Role

The Senior Associate General Counsel – Insurance and Litigation Management will support the Senior Vice President, Chief Legal Officer in managing the Hospital-sponsored captive insurance company, Medical Indemnity Assurance Company (“MIAC”). This role also oversees hospital-wide litigation and the insurance program, including strategy for placements and renewals, reporting to the captive Board.

Responsibilities

• Provide day-to-day oversight of the MIAC captive insurance company, reporting to the MIAC Board.
• Serve as the primary contact for external stakeholders, including insurance managers, auditors, and actuaries.
• Prepare and lead bi-annual offshore captive Board meetings.
• Prepare all audit-related documents for MIAC, collaborating with the finance department.
• Set initial case reserves and adjust them throughout litigation based on developments, in conjunction with the Chief Legal Officer.
• Prepare quarterly Loss Runs for submission to actuaries and excess markets.
• Chair bi-annual Claims Committee meetings of the MIAC Board.
• Oversee the Insurance Department and the Director of Insurance.
• Collaborate with external brokers on renewal applications, insurance strategy, and placements.
• Manage the placement of all other lines of insurance across the organization (e.g., EPL, D&O, Property, Cyber).
• Manage all malpractice and general liability litigation with the AVP of Risk Management.
• Oversee outside counsel, review case reports, and set case strategy.
• Attend mediations and settlement conferences.
• Negotiate cases directly with plaintiff’s counsel.
• Attend and monitor trials.
• Navigate the post-Covid increase in litigation and worsening malpractice environment while maintaining strong captive financials.
• Build strong trust and relationships across the Medical Staff to foster confidence in the management of complex malpractice litigation.
• Manage the placement of all excess malpractice and general liability insurance layers and the Workers Compensation insurance program, working with the broker.
• Engage in multiple meetings with excess underwriters annually to discuss HSS proactive risk and litigation management processes for successful excess placements.
• Report to the Audit and Corporate Compliance Committee of the Board at least twice annually regarding Litigation Risk (financial and reputational).
• Work directly with business leaders to prepare for renewals.
• Report on insurance to the Chair of the Board Finance Committee annually.
• Report all insurance claims to the broker (Alliant) and carriers as warranted.
• Assist Senior Leadership and Board Leadership as requested in managing challenging situations, including those related to Medical Staff quality issues with reputational risk, reporting directly to Board members where applicable.
• Coordinate with the AVP of Risk Management regarding Employee Safety and Workers’ Compensation programs and day-to-day clinical risk issues.

Requirements

• Advanced degree (JD).
• Minimum of 15 years in practice.
• Experience managing and directing the handling of medical malpractice and general liability insurance, either in-house or with a top insurance company.
• Knowledge and experience of captive insurance programs is preferred.
• Knowledge and experience with other lines of insurance is preferred.
• Experience managing outside counsel, reviewing legal billing, and managing other external stakeholders is preferred.
• Demonstrate excellent communication skills.
• Demonstrate exceptional presence and judgment.
• Possess the intellect, vision, and judgment to contribute across the organization.
• Thrive in a highly collaborative, collegial, immediate, results-oriented, and mission-driven culture.
• Comfortable managing numerous projects and competing priorities.
• Share a passion and commitment to the overall mission and values of HSS.
• Excel at building relationships and using influence to work effectively with others across the organization.
• Demonstrate a positive, professional, and collaborative demeanor.
• Possess strong business acumen to gain the confidence, trust, and reliance of colleagues at HSS.

Skills

• Litigation experience
• Medical malpractice insurance management
• General liability insurance management
• Captive insurance programs
• Other lines of insurance
• Outside counsel management
• Legal billing review
• External stakeholder management
• Communication skills
• Judgment
• Collaboration
• Relationship building
• Influence
• Business acumen

Location

• NY, NY

Work Type

• Regular Full time
• Hybrid

Experience Level

• Senior
• 15 years in practice

Education Level

• Advanced degree (JD)

Salary/Compensations

• $223,500.00 - $340,500.00

Benefits

• Eligible for additional benefits consistent with the role.

About the Company

• HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report.
• HSS was the first hospital in New York City to receive the distinguished Magnet Award for Nursing Excellence.
• HSS provides an innovative, supportive, and inclusive environment for all career stages.
• HSS is driven by a mission to help people get back to what they need and love to do.

Equal Opportunity

• Hospital for Special Surgery is committed to providing high quality care and skilled, compassionate, reliable service to our community in a safe and healing environment.
• Hospital for Special Surgery provides care, admits, and treats patients and provides all services without regard to age, race, color, creed, ethnicity, religion, national origin, culture, language, physical or mental disability, socioeconomic status, veteran or military status, marital status, sex, sexual orientation, gender identity or expression, or any other basis prohibited by federal, state, or local law or by accreditation standards.