Claims Manager

Medical Protection Society; City of Edinburgh; Hybrid; GBP 50,000 - 75,000; Full time

Benefits offered by this job

Discretionary bonus

Pension contribution

Private medical cover

Career development

Job summary

Medical Protection Society (MPS) in Edinburgh seeks a dynamic Claims Manager to lead an active clinical negligence portfolio within the Claims Handling team. You will shape strategy, manage files to high standards, and collaborate with panel firms to deliver positive outcomes for our members.

Join a multidisciplinary team and work with internal stakeholders while developing your claims portfolio across varying disciplines and jurisdictions.

Qualifications

• Experience in clinical negligence, personal injury, or professional negligence claims.
• Strong analytical, communication and negotiation abilities.
• Ability to manage high-volume claims independently and strategically.

Responsibilities

• Direct end-to-end management of a caseload of claims with appropriate complexity.
• Assess facts, law, and costs; devise case management strategies.
• Prepare and maintain accurate claim estimates; draft responses and documentation.
• Coordinate with external solicitors and panel firms to drive resolution.
• Use ADR and negotiation to achieve favorable outcomes for members.

Skills

Claims management

Clinical negligence

Negotiation

Analytical skills

Communication skills

Education

Solicitor qualification

Job description

Location: Edinburgh

Contract: Permanent

Working Pattern: Full time, 37.5 hours per week

We are on the lookout for a dynamic, proven and experienced Claims Manager to join our Claims Handling team in the Member, Cases and Claims division.

As our new Claims Manager, you will proactively manage an active clinical negligence claims portfolio, maximising your strategic thinking, whilst handling files efficiently to the highest standards to achieve positive member and business outcomes.

Whether you're a qualified solicitor eager to explore in-house opportunities or an experienced Claims Handler seeking a refreshing change, this role offers a varied range of responsibilities in managing both medical and dental claims. You'll have the chance to engage with a diverse range of claims, provide insights to our members, and collaborate closely with panel firms. This is more than just a job; it's a chance to thrive in your career while making a meaningful impact.

Working as part of a multi-disciplinary team, your success is dependent on how you build trusting relationships with those around you. You will work closely with internal stakeholders including Claims Assistants, Claims Managers and Technical Consultants alongside other departments of the business. In addition, relationships are built and maintained with Panel firms ensuring our third parties also meet expectations in their service delivery and claims performance. Therefore, the ability to collaborate effectively is crucial. Key to this role is the ability to prioritise well and work proactively across your caseload.

Supported through a technical development framework, you will have the opportunity to develop your claims portfolio across a range of complexity, value, disciplines and jurisdictions. You will also coach, develop and support other Colleagues as part of your role.

About the Team/Day in the life

The Claims Team handles all claims from inception through to resolution. Our services include Our services also include instructing external solicitor firms where that type of representation is required. Our Medicolegal and Dentolegal Consultants also provide clinical input into our Claims Handling teams.

Main Responsibilities

As our new Claims Manager, you will also:

• Directly managing a caseload of claims on an end-to-end basis with value and complexity appropriate to the level of experience
• Assess the facts, law, apportionment issues, quantum and likely costs to devise and implement a case management and investigative strategy proportionate to the claim
• Ensure accurate claims estimates are created & maintained
• Address & resolve of apportionment issues effectively
• Obtain relevant documentation and factual evidence as required from the member(s) and other witnesses
• Commission expert reports and counsel input as required
• Draft and serving the Letter of Response
• Draft documentation as required to adhere with relevant protocols.
• Proactively initiate and engage in settlement negotiations where appropriate
• Utilise Alternative Dispute Resolution (ADR) and mediation where appropriate.
• Ensure a smooth transition to in-house solicitors where required
• Collaborate with external litigation solicitors (MPS Panel) to provide ongoing strategic direction and input until resolution.

The Ideal Candidate:

• An individual with proven understanding of Clinical Negligence law/claims along with the ability to take a strategic approach to claims management.
• Claims management or litigation experience with a background in clinical negligence, personal injury, or professional negligence litigation and excellent analytical, communication and negotiation skills.
• Claimant and/or defendant experience with experience handling a high volume of claims independently, demonstrating a proven ability to assess claims effectively and implement strategic resolutions.
• Utilise your excellent negotiating & interpersonal skills with the ability to demonstrate tact and empathy in your communications.
• Work closely with and challenge the advice of panel where appropriate is essential in order to drive the best results for our members.
• Ambition to develop, grow and expand their knowledge across multi jurisdictions
• An individual comfortable having a caseload of both Dental and Medical claims of varying complexity and be able to balance conflicting priorities.

In return, we can offer you:

Alongside a competitive salary as stated above, you will also receive:

• Up to 15% discretionary annual bonus
• Annual performance-related pay review
• 11% pension contribution (3% from you, 8% from us – optional additional matched 3% contributions, e.g. 6% from you, 11% from us)
• 25 days annual leave plus flexible bank holidays (option to buy/sell additional 5 days)
• Private Medical Cover
• Career development and progression opportunities – 22% of our vacancies in 2023 were filled internally
• A truly flexible hybrid-working arrangement (take a look at below to find out more about how we work)
• A culture that promotes inclusivity, wellbeing and rewards hard work
• Car Salary Sacrifice scheme
• 6x salary death in service
• A personal GP service enabling you to get a video consultation with a NHS-registered private GP
• Employee Assistance Programme
• A range of shopping discounts from major high-street retailers

Who We Are

Medical Protection Society (MPS) is the world’s leading protection organisation for Doctors, Dentists and healthcare professionals. We protect and support the professional interests of almost 300,000 Members around the world.

We are a not-for-profit organisation, meaning our Members’ premiums are kept safe should our Members require support for complaints or claims arising from professional practice, or invested into bettering the organisation, our colleagues and our products.

Our philosophy is to support safe practice in medicine and dentistry by helping to avert problems in the first place. We also actively campaign for regulatory and legal reforms that benefit Members and the wider healthcare professions.

To do this, we need colleagues who are trusted and supported to deliver their best work, whether that be through leadership development, fully-funded training courses or peer-to-peer support. We want our colleagues to feel empowered enough to deliver positive change, display ambition to push themselves and are determined when faced with a challenge, whilst ensuring our Member’s best interests are at the core.

Our Talent Acquisition team are always on hand should you have any questions, are having any technical issues or wish to understand how MPS can support you with your application and interview. You can contact our friendly Talent Acquisition team by emailing [e-mail]