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Analyze and Adapt: How to Thrive in a Hardening Insurance Market

ASHRM  On-Demand Webinar
Member: $39.00
Non-Member: $99.00

ASHRM CE Credit: 1.0

Domain: Claims & Litigation

Level: Practitioner

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This session instructs experienced risk professionals on ways they can stay ahead of the hardening insurance market by examining how excess pricing is determined and teaching them about the use of alternative program structures to mitigate the increased cost.

This session begins with an exercise on excess medical malpractice trend development, including what factors are analyzed and how they are applied, to predict how the cost of insurance may continue to rise. Next, we examine several alternative program structures that can be implemented to help mitigate the increased cost of insurance to health care organizations. Lastly, we analyze case studies to evaluate the effectiveness of the alternative risk programs.


  • • Identify how excess medical malpractice trends are developed, including what factors are analyzed and how they are applied.
  • • Evaluate internal claims and risk management programs for opportunities to mitigate insurance costs.
  • • Examine three insurance programs and invite the participants to help select the best structure.


Speakers: Kristen Kenst, Jeremy Johnson, Rob Bartolone, and Jane Sharpe


Product Code322004OD22
ASHRM CE Credits1.0
CNE Credits1.0
DomainClaims & Litigation
Level - Foundational (F), Practitioner (P), Advanced (A)P
Publication Date2/23/22
Next Review7/1/24
Credit Expires7/1/25

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Speaker Bios

Kristen Kenst joined the Berkley Healthcare team in October 2020 as Vice President of Underwriting. She has spent her entire career in the health care field, beginning as a health care attorney before moving over to the health care delivery side where she managed the risk services department for a regional hospital system in Southwest Ohio. While working as a risk manager, she obtained her Certified Professional in Health Care Risk Management (CPHRM) designation. Ten years ago, Kristen left the health care delivery side and began underwriting medical professional liability insurance for large health care systems, regional and specialty hospitals, outpatient facilities, and physician groups.

Jeremy Johnson is senior vice president at Berkley Healthcare is responsible for all aspects of pricing and reserving. He is actively involved in pricing insurance for hospitals, health systems, physician groups, and medical facilities. Prior to joining Berkley, Jeremy served as a consulting actuary, with a focus on the health care professional liability field. He has provided consulting services for a number of large academic hospitals and health systems, including work done for their self-insurance trusts as well as domestic and offshore captives. His work centered on designing statistical models to help health care providers better understand and manage their risks.

Jeremy graduated with a BA from Northwestern University and has an MBA from Northwestern University – Kellogg School of Management. He is also a Fellow of the Casualty Actuarial Society (FCAS) and a Member of the American Academy of Actuaries (MAAA).

Rob Bartolone is a Vice-President with BerkleyMed and has over 25 years of experience managing excess hospital professional liability claims. Rob was the National Director of Healthcare claims for a global insurer. He is a licensed attorney in Illinois and practiced insurance defense and appellate law for several years prior to entering the health care claims arena. Rob is a graduate of Marquette University and The John Marshall School of Law.

Jane Sharpe manages the design and implementation of enterprise risk and patient safety resources for hospital and health system clients of Berkley Healthcare, an excess liability insurance company. Specifically, she provides patient safety and loss control reviews, education, and support for clients across the country and has been with Berkley Healthcare for 15 years. Prior to this position, she served for 13 years as the Director of Risk Management for Saint Francis Health System in Tulsa, Oklahoma. Ms. Sharpe began her health care career as a staff nurse and then became nurse manager for the Pediatric Intensive Care Unit at Saint Francis for 13 years. Jane received her B.S. in Nursing from the University of Central Oklahoma and an M.S. in Healthcare Administration from Oklahoma State University. She has the Associate in Risk Management designation and is certified in risk management and patient safety. She is a community volunteer for the Ronald McDonald House in Tulsa.



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