Senior Claims Counsel

This is a fully remote position, open to applicants in New York.

📋 Description

• Oversee a diverse portfolio of medical malpractice and general liability claims until resolution.

• Perform coverage analysis, identify issues, and draft letters regarding coverage positions.

• Lead litigation strategies, including exposure assessments, negotiation strategies, settlement advice, and trial preparedness.

• Supervise the performance of outside counsel, manage litigation budgets, and engage experts/consultants.

• Maintain an active diary spanning 30–45 days and implement action plans to achieve timely, defensible results.

• Assess liability, damages, indemnity exposure, and opportunities for risk transfer.

• Ensure that claim activities adhere to statutes, service agreements, and client reporting obligations.

• Utilize medical terminology, clinical procedures, and standards of care to evaluate liability and causation.

• Collaborate with medical experts and translate intricate medical information into risk assessments.

• Provide guidance to clients and foster collaborative relationships.

• Deliver written reports, presentations, and case evaluations.

• Engage in client meetings, mediations, trials, and industry conferences.

• Exemplify company core values and contribute to team development and continuous improvement.

• Mentor colleagues while promoting innovation, service excellence, and operational discipline.

⛳️ Requirements

• Juris Doctor (JD) degree required.

• RN, NP, or other clinical licensure is highly valued.

• At least 7+ years of experience in medical malpractice claims.

• Extensive expertise in litigation management and coverage issues.

• Strong ability to interpret policies, statutes, legal opinions, and medical records.

• Capability to manage high-severity, complex claims that necessitate strategic judgment and legal/clinical analysis.

• Experience in a TPA, carrier, risk management, or healthcare liability setting.

• Excellent written and verbal communication abilities.

• Proficient in translating complex legal and medical concepts for clients.

• Must possess (or be able to obtain) all necessary NY adjuster licenses.

• Proficiency in MS Office, RMIS platforms, and remote collaboration tools such as Teams, Zoom, and WebEx.

• Willingness to travel for mediations, trials, client meetings, and conferences.

• Ability to perform primarily sedentary work, with periods of standing, walking, and light lifting of up to 10 lbs.

• Capable of traveling by car, train, or air, which may involve overnight stays.

🏝️ Benefits

• Comprehensive medical, dental, and vision benefits.

• Company contributions to Health Savings Account (HSA) and Flexible Spending Account (FSA) plans.

• Employer-funded life and disability insurance.

• 401(k) plan with company matching.

• Paid time off (PTO).

• Company-observed holidays.

• Employee assistance resources.

• A supportive culture that prioritizes balance and well-being.

• Remote work options available.