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Management Team

Joelle Hren, MBA
San Diego, CA
Tel: 858.509.6310
Matthew Siciliani, MBA
Sr. Vice President,
Underwriting & Business Development
San Diego, CA
Tel: 707.287.1038
George Brooker, MBA
Vice President, Chief Financial Officer
San Diego, CA
Tel: 858.509.6529
Mollie K. O’Brien, JD

Vice President of Claims and Litigation

Tel: 973.420-7018
Kate Boucher, CPA, ARM, ACI
Vice President of Regulatory and Compliance
Tel: 402.578.3040
Vice President, Risk & Quality
Tel: 919.455.3969
Ann Wozny, AAI
Vice President, Sales and Marketing
Tel: 402.578.3040
Joelle Hren assumed leadership of Premier’s insurance operations in July 2015. As President of Premier Insurance, she draws on her leadership background in hospital risk financing, captive insurance, and medical professional liability to direct the core insurance businesses which focus on improving health care quality by providing access to superior cost-effective insurance protection, liability mitigation, and risk management solutions.

Joelle’s main focus is to assist hospitals and health systems identify key industry issues and work to create innovative solutions, using meaningful data and benchmarks, to reduce the total cost of risk. Joelle has over 15 years of experience working with hospitals on alternative risk solutions, patient safety initiatives, quality collaboratives, and managing property and casualty exposures. She joined Premier in 1997 in Corporate Finance and has held multiple positions of increasing responsibility within the insurance subsidiary prior to being named President in 2015. A business graduate of the University of Southern California, Joelle earned her MBA in health care from the University of California, Irvine.

Matthew P. Siciliani, Jr. joined the American Excess Insurance Exchange (AEIX) in 2017 and is the Senior Vice President of Underwriting & Business Development. Matthew’s primary focus is to lead the underwriting, reinsurance and client management strategies for AEIX. In addition to his core functions, he serves on the executive leadership team with operational and project responsibilities in multiple departments including, Claims, Risk Management and Information Systems. Matthew has over 20 years in the healthcare professional liability industry working with physicians, outpatient medical facilities, community-based hospitals, health systems and academic medical institutions. Matthew brings together experience in strategic planning and team management as well as multiple lines of healthcare insurance products and distribution channels.

Prior to joining AEIX, Matthew held leadership positions with The Doctors Company for 16 years, including Vice President of Underwriting and Director of Custom Account Underwriting. He began his career with TIG Specialty with responsibilities in both claims and reinsurance. Matthew has been a guest speaker on healthcare technology at PLUS and a curriculum advisor for RPLU educational material.

He holds a Bachelor of Science Degree in Business Management (BSM) with an emphasis in Organizational Behavior from Pacific Union College and a Master of Business Administration degree (MBA) from the Lundquist College of Business at the University of Oregon.

George Brooker is the Chief Financial Officer of Premier Insurance Management Services, Inc. (PIMS), and American Excess Insurance Exchange (AEIX). George has been with PIMS since 2014. He began his career at Coopers & Lybrand (a predecessor to PWC) and has held a variety of financial leadership positions throughout his career. Prior to joining PIMS, George was the Chief Financial Officer of Evolution Fresh, Inc. and a Senior Vice President of Operations at Encore Capital Group, Inc. He brings a strong background in mergers and acquisitions, risk financing and is a forward-facing leader with the AEIX health system membership.

George received his Bachelor of Science Degree in Business Administration from San Diego State University and an MBA from Duke University.

Mollie K. O’Brien, JD is the Vice President of Claims and Litigation for the American Excess Insurance Exchange, RRG (AEIX).  Mollie is an attorney with 25 years of legal experience in healthcare professional liability.  Mollie began her professional career as a trial attorney defending health care providers in the north eastern states.  After a decade, Mollie transitioned and advanced her professional focus to risk and claims management within the professional liability insurance market.  For 15 years she has worked side by side with physician groups, large health systems and their panel of defense attorneys to successfully defend and manage professional lability claims.  As a senior leader of AEIX, Mollie emphasizes trust, communication, consistency and strength in claims negotiation and corporate strategy.  Prior to joining AEIX, Mollie was Director of Claims for Coverys where she oversaw the strategic direction of high severity, complex medical liability matters across multiple jurisdictions.  Prior to Coverys, Mollie served as Senior Vice President / General Counsel for Emergency Medical Associates (“EMA”, now Envision) and Superior Insurance Company, RRG where she partnered with over 20 health system and the EMA physicians to reduce risk and manage claims in the face-paced, high severity emergency department setting.

Mollie obtained her juris doctor from Seton Hall University School of Law, and she earned her Bachelor of Arts degree from Fairfield University.  Mollie currently maintains a license to practice law in both New Jersey and Pennsylvania. 

Kathryn Boucher, is Vice President of Regulatory and Compliance and is responsible for all regulatory and compliance functions for both American Excess Insurance Exchange, Risk Retention Group (AEIX) and Premier Insurance Management Services, Inc. (PIMS). In addition, Kate is responsible for corporate governance and enterprise risk management as well as supporting the finance department and serving on the leadership team.

Kate began her career in captive insurance in 1990 working for Marsh in Burlington, Vermont, providing accounting and regulatory compliance services for a portfolio of captive insurance companies and risk retention groups as well as advisory services for the formation of new captives and risk retention groups. Kate joined PIMS in 2002.

Prior to working in captive insurance, Kate worked in public accounting in Boston. She received a Bachelor of Science in Business Administration with a concentration in accounting from Boston University. Kate is a Certified Public Accountant and has earned an Associate in Risk Management-ERM from the Insurance Institute of America, an Associate in Captive Insurance and the ICCIE Fellow Designation from the International Center for Captive Insurance Education. Kate currently serves on the Vermont Captive Insurance Association Finance Committee.

DOUGLAS J. BORG, MHA, ARM, CPHRM, DFASHRM joined American Excess Insurance Exchange (AEIX) in 2017 and is the Vice President of Risk Management. With broad experience in the fields of insurance, claims and risk management, Doug serves on the executive leadership team and is responsible for all operations and customized risk management services for AEIX members as well as strategic planning for annual improvement projects and collaboratives.

With more than 30 years of healthcare and clinical risk management experience, Doug has a strong history of leadership and has served on boards and committees at both the state and national level. He has been twice-elected president of the North Carolina Chapter of ASHRM and served as the President of the American Society for Healthcare Risk Management (ASHRM), in 2008. Additionally, Doug has presented nationally on various topics, continues to serve as faculty for industry educational courses, and has contributed to numerous publications, including a chapter in the fifth edition of ASHRM’s Risk Management Handbook.

Prior to joining AEIX, Doug was the Assistant VP, Risk Management for Duke University Health System, where he managed the day-to-day operations of the system’s captive insurance company including both risk financing and loss control activities. He holds a BS in Biology from Eastern Mennonite University, and earned his Master’s in Health Administration from the Medical College of Virginia (VCU).

Ann Wozny joined Premier Insurance Management Services as Vice President, Sales & Marketing. She previously worked as Vice President, Business Development & Agency Services at Preferred Professional Insurance Company (PPIC), a Coverys company. In her most recent role she was responsible for all aspects of sales and marketing to the leadership of health systems, Integrated Delivery Networks (IDNs) and physician groups. Her primary focus was the design and implementation of professional liability insurance programs with a focal point on alignment of physicians with the health systems mission, quality, patient safety and operational efficiency initiatives.

Ann has over 30 years of experience in the insurance industry, having previously served as an account executive for Alexander & Alexander, Inc. and AON Risk Services of NE. She is a licensed property and casualty agent and consultant, and has earned the Accredited Advisor in Insurance designation. She received a Certificate in Management from The University of NE at Omaha’s College of Business Administration. Ms. Wozny is a member of the American Marketing Association, Independent Insurance Agents, and the Institute for Career Advancement Needs (ICAN). Ann is based in Omaha, Nebraska.