Senior Medical Liability Claims Strategist

Physicians Insurance A Mutual Company; Seattle (WA); Hybrid; USD 97,000 - 156,000; Full time

Benefits offered by this job

Retirement program

Paid Time Off

Hybrid work environment

Job summary

Physicians Insurance A Mutual Company in Seattle is seeking a Senior Claims Consultant to independently manage complex medical professional liability claims across jurisdictions, guiding investigation, exposure evaluation, reserving, and litigation management with a client-focused approach.

The role requires ownership of caseloads, proactive claim strategies, and collaboration with defense counsel and experts.

Qualifications

• Bachelor's degree or equivalent experience.
• Five plus years of professional medical liability including hospital professional liability claims experience.
• Multi-state adjuster’s licenses preferred or ability to procure as requested.

Responsibilities

• Independently manage complex medical professional liability claims from investigation through resolution, within delegated authority.
• Provide proactive personalized Member service through regular communications and meetings at key claim stages.
• Collaborate with internal departments, defense counsel, experts, and other insurers and respond promptly to broker inquiries as necessary.
• Investigate claims through medical record review, expert consultation and evaluation of liability causation, damages, and venue.
• Develop and execute proactive claim strategies, identify priorities, and complete timely follow up.
• Direct defense counsel and critically evaluate litigation strategy, recommendations and progress.
• Establish and reassess reserves, documenting basis for exposure evaluations and changes.
• Develop settlement strategies, obtain necessary consent and authority, and negotiate resolutions.

Skills

Medical liability claims

Litigation management

Reserving and negotiation

Regulatory knowledge

Communication skills

Education

Bachelor's degree

Tools

Microsoft Office

ShareFile

Adobe Acrobat Pro

Job description

Physicians Insurance A Mutual Company in Seattle is seeking a Senior Claims Consultant to independently manage complex medical professional liability claims across jurisdictions, guiding investigation, exposure evaluation, reserving, and litigation management with a client-focused approach.

The role requires ownership of caseloads, proactive claim strategies, and collaboration with defense counsel and experts.