Director of Claims – Senior Counsel

The University of Kansas Health System

. Identify, prevent, and mitigate actual and potential risk to TUKHS, including UKHA facilities and providers .

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

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive experience in claims management within a healthcare environment, with a strong focus on risk mitigation, regulatory compliance, and effective communication with various stakeholders. Proficient in analyzing claims data and formulating strategic defense strategies while maintaining relationships with legal and insurance professionals.

Highest-signal resume keywords

Claims ManagementRisk MitigationHIPAA ComplianceStrategic PlanningLitigation Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AdministrationRegulatory ComplianceRisk AnalysisNegotiationIncident Reporting

Soft Skills

Effective CommunicationStress ManagementIndependent WorkCreative Problem SolvingPersuasive Presentation

Certifications & Qualifications

Juris DoctorLicense to Practice LawCPHRMCPCURPLUARMAIC

Industry Keywords

Healthcare LawProfessional LiabilityPatient SafetyCrisis ManagementClaims Resolution

About the role

Key responsibilities & impact

Identify, prevent, and mitigate actual and potential risk to TUKHS, including UKHA 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 coordinate clinical risk management programs
Advise on potential liability, regulatory exposures, risk sources, and mitigation strategies
Collaborate with compliance, risk, regulatory, patient safety, quality, patient relations, medical staff, governmental agencies, and regulatory agencies
Monitor and analyze patient safety events and educate practitioners on claims and risk mitigation
Report, respond to, review, investigate, track, and resolve claims under TUKHS’s Communication and Resolution Program
Participate in crisis management teams and claims committees
Formulate defense strategies with senior leadership and legal counsel
Maintain relationships with brokers, captive managers, third-party administrators, carriers, reinsurers, the HCSF, and defense firms
Support root cause analysis meetings and investigations
Assist with licensure and credentialing applications, patient warning letters, discharge and termination letters, complaints, demands, and incident reports
Collaborate with Human Resources on documentation and corrective actions
Notify the HCSF of potentially compensable events, claims, or lawsuits
Assist with trial preparation, litigation holds, discovery, mediations, and trials
Request medical records and bills; request bill holds and recommend bill waivers
Provide pre-claim assistance to practitioners and investigate potential risk issues
Assist with responses to regulatory findings, licensure board complaints, insurance grievances, peer review issues, information requests, and subpoenas
Review 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)
Ability to manage and direct claims from start to finish, including confirming coverage, timely reporting, assessing liability, negotiating settlements, attending mediations, and working toward prompt and fair resolution
In-depth knowledge and expertise in HIPAA
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 persuasive communication
Ability to work independently with little supervision
Ability to manage stress while under pressure
Ability to interface with Board members, medical staff, senior leadership, attorneys, accountants, actuaries, brokers, and underwriters
Demonstrated skills in strategic planning, implementing, and evaluating programs
Knowledge of clinical and non-clinical loss control and claims administration
Ability to prioritize tasks and see the big picture
Ability to delegate and know when to ask for assistance
Ability to offer creative, innovative solutions to prevent or reduce risk
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
CPHRM, CPCU, RPLU, ARM, and/or AIC certifications listed as preferred
Litigation experience preferred

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