Senior Litigation Specialist

TransRe

7d•Hybrid

About The Position

As a member of the Professional Risk Management Services (PRMS) Claims unit, the Senior Litigation Specialist will investigate, evaluate, negotiate, and resolve claims as assigned. This individual will be responsible for the overall accuracy, promptness, and efficiency of technical outcomes on medical professional liability claim files which involve advanced complexity and exposure. Responsibilities include, but are not limited to: Evaluating insurance contracts and making coverage decisions Developing, coordinating, and documenting claims and litigation strategies Managing reserves and overall loss costs on assigned files Negotiating high-value claims and resolving complex cases Managing defense and panel counsel, ensuring adherence to PRMS's Litigation Guidelines Maintaining compliance with all internal, legal, and regulatory requirements Upholding customer service quality standards in accordance with operating guidelines and internal procedures Collaborating across PRMS and FAIRCO to provide timely claims analysis, guidance, and direction Identifying, analyzing, and assessing risks and trends in clinical practice areas Meeting with insureds, defense counsel, and plaintiff attorneys to address claim issues, negotiate settlements, and attend mediations and trials Traveling to meet with client program principals and attend client functions, as needed Participating in special projects and initiatives, as assigned

Requirements

4+ years evaluating or investigating medical malpractice claims with a major insurance carrier or TPA
JD strongly preferred
Technical knowledge of insurance coverage and policies, insurance law, tort law, and claims handling practices
Highly developed skills in negotiation, analysis, problem-solving, and decision-making
Ability to perform effectively under pressure in high-complexity, high-risk situations and adapt rapidly to changing conditions
Excellent written and verbal communication skills

Nice To Haves

Adjuster's and P&C licenses are a plus
Insurance designations (AIC, ARM, CPCU, ALCM) are a plus

Responsibilities

Investigate, evaluate, negotiate, and resolve claims as assigned.
Responsible for the overall accuracy, promptness, and efficiency of technical outcomes on medical professional liability claim files which involve advanced complexity and exposure.
Evaluating insurance contracts and making coverage decisions.
Developing, coordinating, and documenting claims and litigation strategies.
Managing reserves and overall loss costs on assigned files.
Negotiating high-value claims and resolving complex cases.
Managing defense and panel counsel, ensuring adherence to PRMS's Litigation Guidelines.
Maintaining compliance with all internal, legal, and regulatory requirements.
Upholding customer service quality standards in accordance with operating guidelines and internal procedures.
Collaborating across PRMS and FAIRCO to provide timely claims analysis, guidance, and direction.
Identifying, analyzing, and assessing risks and trends in clinical practice areas.
Meeting with insureds, defense counsel, and plaintiff attorneys to address claim issues, negotiate settlements, and attend mediations and trials.
Traveling to meet with client program principals and attend client functions, as needed.
Participating in special projects and initiatives, as assigned.