Senior Medical Malpractice Claims Leader

InterMed Cost Containment Services; Fully; On-site; CHF 107,000 - 124,000; Full time

Benefits offered by this job

Medical, dental, and vision benefits

HSA/FSA contributions

Employer-paid life and disability

401(k) with company match

PTO and company holidays

Wellbeing resources

Job summary

AvonRisk seeks a Senior Medical Malpractice Claims Counsel to lead a high-impact portfolio of medical malpractice and general liability claims, driving coverage analysis, strategy, and resolution with insureds, defense counsel, and clinical stakeholders.

The role requires a JD and 7+ years of experience in a TPA, carrier, or healthcare risk setting; strong policy interpretation, litigation management, and client communication skills; travel required.

Qualifications

• JD required; RN, NP, or other clinical licensure strongly valued.
• Minimum 7+ years of medical malpractice claims experience, with significant litigation management and coverage expertise.
• Strong proficiency in interpreting policies, statutes, legal opinions, and medical records.
• Demonstrated ability to manage high-severity, complex claims requiring strategic judgment and legal/clinical analysis.
• Experience working in a TPA, carrier, risk management, or healthcare liability environment.
• Excellent written and verbal communication skills; ability to translate complex legal and medical concepts for clients.
• Must hold (or obtain) all required adjuster licenses.
• Proficiency in MS Office, RMIS platforms, and remote collaboration tools (Teams, Zoom, WebEx, etc.).

Responsibilities

• Lead the end-to-end management of complex medical malpractice and general liability claims, including high-severity, catastrophic, and legally intricate matters.
• Conduct comprehensive and timely coverage analysis, identify issues, and draft detailed coverage position letters.
• Direct and oversee litigation strategy for assigned cases, including evaluation of exposure, negotiation strategy, settlement recommendations, and trial readiness.
• Manage outside counsel performance, litigation budgets, and expert/consultant engagement.
• Maintain an active 30–45-day diary and implement action plans designed to drive timely, defensible outcomes.
• Evaluate potential liability, damages, indemnity exposure, and risk transfer opportunities (including contribution and apportionment).
• Ensure all claim activity complies with statutes, service contracts, and client reporting requirements.
• Apply advanced knowledge of medical terminology, clinical procedures, and standards of care to assess liability and causation.
• Engage medical experts early to evaluate clinical issues and strengthen case strategy.
• Translate complex medical information into clear risk evaluations for clients and stakeholders.
• Serve as a trusted advisor to clients, building strong, collaborative relationships.
• Provide timely, clear, and professional communication—including written reports, presentations, and case evaluations.
• Participate in client meetings, mediations, trials, and industry conferences as needed.
• Model Intercare’s core values and contribute to a supportive, account-able culture.
• Mentor colleagues and contribute to team development, collaboration, and continuous improvement initiatives.
• Promote a solutions-driven mindset, encouraging innovation, service excellence, and operational discipline.

Skills

JD

Medical malpractice claims

Litigation management

Coverage analysis

Policy interpretation

TPA / carrier experience

Communication skills

Travel readiness

MS Office

RMIS platforms

Remote collaboration tools

Education

Juris Doctor (JD)

Tools

MS Office

RMIS platforms

Teams/Zoom/WebEx

Job description

AvonRisk seeks a Senior Medical Malpractice Claims Counsel to lead a high-impact portfolio of medical malpractice and general liability claims, driving coverage analysis, strategy, and resolution with insureds, defense counsel, and clinical stakeholders.

The role requires a JD and 7+ years of experience in a TPA, carrier, or healthcare risk setting; strong policy interpretation, litigation management, and client communication skills; travel required.