Senior Claims Consultant (Remote)

Physicians Insurance A Mutual Company•Seattle, WA

3d•Hybrid

About The Position

The Senior Claims Consultant independently manages complex medical professional liability claims across multiple jurisdictions, using sound judgment in investigation, exposure evaluation, reserving, litigation management, and resolution. The role owns an assigned caseload, develops and executes proactive claim strategies, critically evaluates defense counsel recommendations, and provides clear, well-supported recommendations to management. It combines technical expertise, disciplined follow-through, and responsive, high-touch service to Members. The position involves regular communication and meetings with Members at key claim stages, collaboration with internal departments and external partners, and preparation of claim reports and Claims Committee presentations. Travel may be required based on location, Member needs, or Court requirements, including travel to the company office for in-person events twice a year. The salary range is $97,200 to $156,200. Starting salary depends on job-related skills, experience, and relevant education or training. The role is eligible for an annual company bonus with a 10% incentive target. The company describes its work environment as exceptional and hybrid, and offers a comprehensive benefits program including a generous retirement program and Paid Time Off.

Requirements

Bachelor’s degree or equivalent experience.
Five or more years of professional medical liability claims experience, including hospital professional liability claims experience.
Strong knowledge of claim evaluation, litigation management, coverage, reserving, negotiation, settlement strategy, and regulatory requirements.
Demonstrated ability to independently assess complex claims, develop supported recommendations, manage competing priorities, and follow through on commitments.
Excellent interpersonal, verbal, and written communication skills.
Ability to present effectively to large or small groups.
Ability to travel as determined by location, Member needs, and/or Court requirements, as necessary.
Strong commitment to customer service, quality, and working in a collaborative team environment.
Demonstrated technical ability to work with Microsoft Office, ShareFile, and Adobe Acrobat Pro.

Nice To Haves

Multi-state adjuster’s licenses, or ability to procure them 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, including initial assessment, strategy development, depositions, expert reviews, mediations, and trials.
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, progress, and expenses.
Establish and reassess reserves, documenting the basis for exposure evaluations and changes.
Develop settlement strategies, obtain necessary consent and authority, and negotiate resolutions.
Identify and promptly escalate coverage concerns, significant exposure changes, settlement demands, and critical deadlines.
Maintain current, concise file documentation explaining analysis, decisions, and next steps.
Prepare clear reports and Claims Committee presentations with supported recommendations.
Maintain responsive, collaborative relationships with Members, counsel, experts, other insurers, and co-defendants.