Director of Claims – Senior Counsel

The University of Kansas Health System

. Identify, prevent, and mitigate actual and potential risk to The University of Kansas Health System and its facilities and providers .

Posted 10/9/2026full-timeOlathe • Kansas • United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in claims management within a healthcare environment, including risk identification, mitigation strategies, and regulatory compliance. Proficient in legal aspects of healthcare risk management, with strong communication and strategic planning skills.

Highest-signal resume keywords

Claims ManagementHealthcare Risk ManagementJuris DoctorCertified Professional in Healthcare Risk Management (CPHRM)HIPAA Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AdministrationRisk Mitigation StrategiesRegulatory ComplianceLitigation ExperienceIncident ReportingData AnalysisNegotiating SettlementsMedical Staff InvestigationsCrisis ManagementRoot Cause Analysis

Soft Skills

Effective Presentation SkillsPersuasive CommunicationStress ManagementIndependent WorkCreative Problem Solving

Certifications & Qualifications

License to Practice LawCPCURPLUARMAIC

Industry Keywords

Healthcare LawPatient SafetyProfessional LiabilityRisk Retention GroupHealth Care Stabilization FundRegulatory AgenciesBoard of DirectorsClaims CommitteesCredentialingCompliance

About the role

Key responsibilities & impact

Identify, prevent, and mitigate actual and potential risk to The University of Kansas Health System and its facilities and providers
Manage professional and general liability claims across the Kansas City, Southwest Kansas City, Great Bend, and Liberty markets, with priority responsibility for community hospital markets
Support the Office of the General Counsel and assist with clinical risk management programs
Provide guidance on potential sources of loss or risk, mitigation strategies, liability, and regulatory exposures
Collaborate with compliance, risk, regulatory, patient safety, quality, patient relations, medical staff, governmental, and regulatory stakeholders
Monitor and analyze patient safety events and educate practitioners on claims and risk mitigation strategies
Advise leadership on promoting a culture of safety
Investigate, respond to, review, track, and resolve claims under the Communication and Resolution Program
Participate in facility or enterprise crisis management teams
Facilitate medical staff investigations and preserve applicable privileges and protections
Present claims to Claims Committees for the Risk Retention Group and Captive
Formulate defense strategies with senior leadership and legal counsel
Maintain relationships with brokers, captive managers, third-party claim administrators, the Health Care Stabilization Fund, carriers, reinsurers, and defense law firms
Counsel practitioners on root cause analysis meetings and investigations
Assist practitioners with licensure and credentialing applications
Review patient warning letters, discharge outpatient care, and termination letters
Collaborate with Human Resources on documentation and corrective actions
Notify the Health Care Stabilization Fund of potentially compensable events, claims, or lawsuits
Assist with trial preparation, litigation holds, discovery, mediations, and trials
Request medical records and billing documentation for complaints, demands, and claims
Provide independent pre-claim assistance and investigate potential risk issues
Review patient and family complaints, demand letters, and incident reports; recommend dispositions
Assist providers in responding to patient complaints
Support compliance with patient-care laws, regulations, incident reporting, and investigations
Request bill holds, recommend bill waivers, and attend bill-hold meetings
Coordinate counsel, attorney interviews, depositions, and witness preparation
Facilitate responses and corrective actions to regulatory and enforcement agencies, including OIG, OCR, KDHE, FDA, FBI, and CMS
Assist practitioners with licensure board complaints, insurance grievances, and peer review issues
Respond to agency information requests and subpoenas
Review proposed policies, programs, agreements, and relationships from a risk perspective
Analyze accident, incident, claim, and occurrence data; prepare reports and recommend corrective actions to leadership and the Board of Directors

Requirements

What you’ll need

5 or more years of experience as a claims manager in a health care environment or for medical professional liability insurance company(ies)
Juris Doctor preferred
10 or more years of experience in claims management for integrated health system(s) or medical professional liability insurance company(ies) preferred
License to Practice Law - State Bar Association preferred
Active bar membership in KS and/or MO a plus
Certified Professional in Healthcare Risk Management (CPHRM) preferred
CPCU, RPLU, ARM, and/or AIC preferred
Ability to manage and direct claims from start to finish, including confirming coverage, timely reporting, assessing liability, negotiating settlements, attending mediations, and achieving prompt and fair resolution
In-depth HIPAA knowledge and expertise
Read, write, and speak English
Knowledge of regulatory codes, legal requirements, and health care law issues impacting enterprise and practitioner risk
Effective presentation skills and articulate, persuasive communication
Ability to work independently with little supervision
Ability to manage stress under pressure
Ability to interface with Board members, medical staff, senior leadership, attorneys, accountants, actuaries, brokers, and underwriters
Demonstrated strategic planning, program implementation, and evaluation skills
Knowledge of clinical and non-clinical loss control and claims administration
Ability to prioritize tasks and understand the big picture
Ability to delegate and recognize when to ask for assistance
Demonstrated ability to offer creative, innovative solutions to prevent or reduce risk
Litigation experience preferred
Must be able to perform the professional, clinical, and/or technical competencies of the assigned unit or department

Benefits

Comp & perks

Equal employment opportunity employer
Reasonable accommodations for qualified individuals with disabilities
Employment contingent upon participation in the health-system dispute resolution program