Ida Murguia
VP of Claims at Texas Hospital Insurance Exchange- Claim this Profile
Click to upgrade to our gold package
for the full feature experience.
Topline Score
Bio
Credentials
-
Attorney
State Bar of TexasSep, 1996- Oct, 2024
Experience
-
Texas Hospital Insurance Exchange
-
United States
-
Hospitals and Health Care
-
1 - 100 Employee
-
VP of Claims
-
Feb 2020 - Present
Leadership and management of THIE Claims operations. Participate in reinsurance negotiations, reporting and settlements. Coordinate efforts with THIE Risk Management and Underwriting departments to best serve subscribers. Report quarterly to the Claims Committee and Board of Directors. Work closely with subscribers to manage risk before a claim occurs by advising a course of action to address issues and specific concerns. Works with subscribers before Board of Nursing and Medical Board matters that could impact a claim, give advice on preservation of evidence, and work with subscribers regarding questions and concerns related to insurance issues and claims. Responsible for the Claims Department operations and personnel, including evaluation, coaching, discipline and termination of employees. Oversees regular updates and adherence to policies and procedures to ensure timely, fair and equitable management of claims. Develops and manages the claims budget. Assure compliance with reinsurance contracts, Medicare and Medicaid subrogation requirements and other government programs. Show less
-
-
-
CNA Insurance
-
United States
-
Insurance
-
700 & Above Employee
-
Healthcare Programs Claims Specialist
-
Sep 2017 - Jan 2020
Claim and litigation management on cases involving nurses, counselors, therapists, and other health care professionals working with insureds, attorneys, account representatives and agents regarding the handling and/or disposition of complex claims. Duties include managing a pending between 130-150 files in multi-state jurisdictions and investigating claims, coordinating discovery and team with defense counsel on litigation strategy. Additional duties and responsibilities include utilizing claims policies and guidelines, reviewing coverage, determining liability and damages, setting financial reserves, and securing information to negotiate and settle claims. Show less
-
-
-
Advocate Condell Medical Center
-
United States
-
Hospitals and Health Care
-
700 & Above Employee
-
Staff Attorney
-
Sep 2012 - May 2017
Provided legal services in following areas: medical malpractice, health law (including Emergency Medical Treatment and Active Labor Act (EMTALA), medical consent, mental health, physician credentialing, hospital bylaws, fair hearing proceedings, professional (medical/nursing) licensing and disciplinary actions, and medical/legal ethics), employment law, and general civil litigation. Provided legal services in following areas: medical malpractice, health law (including Emergency Medical Treatment and Active Labor Act (EMTALA), medical consent, mental health, physician credentialing, hospital bylaws, fair hearing proceedings, professional (medical/nursing) licensing and disciplinary actions, and medical/legal ethics), employment law, and general civil litigation.
-
-
-
Gonzales & Gonzales, P.C.
-
Austin, Texas Metropolitan Area
-
Associate Attorney
-
May 2012 - Sep 2012
Primary areas of practice involved insurance defense and personal injury. Primary areas of practice involved insurance defense and personal injury.
-
-
-
Scott & White Hospital
-
United States
-
Assistant General Counsel & Director of Claims, Legal Department
-
Apr 2001 - Jan 2011
Provided risk management legal services to hospital and clinic staff. Primary areas of practice involved: - Defense of medical malpractice claims and litigation management - Medicare/Medicaid compliance - State and Federal licensing - investigative legal support, defense of medical malpractice claims - Litigation management - Credentialing, and medical peer review - Risk management legal services to hospital and clinic staff. Provided risk management legal services to hospital and clinic staff. Primary areas of practice involved: - Defense of medical malpractice claims and litigation management - Medicare/Medicaid compliance - State and Federal licensing - investigative legal support, defense of medical malpractice claims - Litigation management - Credentialing, and medical peer review - Risk management legal services to hospital and clinic staff.
-
-
-
Wintroub, McCreary, Luz & Jersey
-
Austin, Texas, United States
-
Associate Attorney
-
Dec 2000 - Apr 2001
Represented clients in health care matters with an emphasis on medical malpractice, hospital liability, pharmaceutical malpractice, personal injury, regulatory and general insurance defense litigation. Represented clients in health care matters with an emphasis on medical malpractice, hospital liability, pharmaceutical malpractice, personal injury, regulatory and general insurance defense litigation.
-
-
-
Black & Connally, L.L.P.
-
Austin, Texas Metropolitan Area
-
Associate Attorney
-
Jul 2000 - Dec 2000
Represented clients in health care matters with an emphasis on regulatory and general insurance defense litigation. Primary area of practice involved defense of nursing homes. Represented clients in health care matters with an emphasis on regulatory and general insurance defense litigation. Primary area of practice involved defense of nursing homes.
-
-
-
GarloWard, P.C.
-
Legal Services
-
Associate Attorney
-
Oct 1999 - Jul 2000
Represented nursing homes with an emphasis on regulatory law. Represented doctors and nurses before their respective professional boards. Represented nursing homes with an emphasis on regulatory law. Represented doctors and nurses before their respective professional boards.
-
-
-
Supreme Court of Texas
-
Administration of Justice
-
1 - 100 Employee
-
Judicial Intern
-
May 1995 - Aug 1995
Evaluated applications for writ of error. Drafted briefs recommending or denying applications for writ of error based on extensive research, contract law, tort law, constitutional law, secured transactions. Evaluated applications for writ of error. Drafted briefs recommending or denying applications for writ of error based on extensive research, contract law, tort law, constitutional law, secured transactions.
-
-
-
St. David's HealthCare
-
United States
-
Hospitals and Health Care
-
700 & Above Employee
-
Staff Nurse
-
May 1990 - May 1993
Provided primary care of patients on medical-surgical unit, oncology unit, and diabetic unit. Administered oral and intravenous medications, blood products and chemotherapy. Supervised Licensed Vocational Nurses, GN’s, and temporary personnel. Provided primary care of patients on medical-surgical unit, oncology unit, and diabetic unit. Administered oral and intravenous medications, blood products and chemotherapy. Supervised Licensed Vocational Nurses, GN’s, and temporary personnel.
-
-
Education
-
South Texas College of Law Houston
Doctor of Law - JD -
The University of Texas at Austin
Bachelor of Science - BS, Family Practice Nurse/Nursing
Community
