Senior Claims Counsel

h3Job Type /h3 pFull-time /p h3Description /h3 pThe Senior Medical Malpractice Claims Counsel is a high-impact legal and claims leadership role responsible for managing a complex portfolio of medical professional and general liability claims through resolution. This position involves sophisticated coverage analysis, litigation strategy, and direct engagement with insureds, defense counsel, and clinical stakeholders. /p pThis role requires a JD and extensive experience handling high-severity, medically complex claims within a TPA, carrier, or healthcare risk environment. /p pThis position operates in alignment with Intercare’s Core Values—Integrity, Collaboration, Accountability, Respect, and Excellence—and plays a central role in maintaining our culture, representing our clients, and advancing our mission to deliver proactive, technically superior claims and risk solutions. /p h3Claims Legal Management /h3 ul liLead the end-to-end management of complex medical malpractice and general liability claims, including high-severity, catastrophic, and legally intricate matters. /li liConduct comprehensive and timely coverage analysis, identify issues, and draft detailed coverage position letters. /li liDirect and oversee litigation strategy for assigned cases, including evaluation of exposure, negotiation strategy, settlement recommendations, and trial readiness. /li liManage outside counsel performance, litigation budgets, and expert/consultant engagement. /li liMaintain an active 30–45-day diary and implement action plans designed to drive timely, defensible outcomes. /li liEvaluate potential liability, damages, indemnity exposure, and risk transfer opportunities (including contribution and apportionment). /li liEnsure all claim activity complies with statutes, service contracts, and client reporting requirements. /li /ul h3Clinical and Medical Analysis /h3 ul liApply advanced knowledge of medical terminology, clinical procedures, and standards of care to assess liability and causation. /li liEngage medical experts early to evaluate clinical issues and strengthen case strategy. /li liTranslate complex medical information into clear risk evaluations for clients and stakeholders. /li /ul h3Client Engagement Communication /h3 ul liServe as a trusted advisor to clients, building strong, collaborative, and enduring relationships. /li liProvide timely, clear, and professional communication—including written reports, presentations, and case evaluations. /li liParticipate in client meetings, mediations, trials, and industry conferences as needed. /li /ul h3Leadership Culture /h3 ul liModel Intercare’s core values and contribute to a supportive, accountable, and excellence-driven culture. /li liMentor colleagues and contribute to team development, collaboration, and continuous improvement initiatives. /li liPromote a solutions-driven mindset, encouraging innovation, service excellence, and operational discipline. /li /ul h3Requirements /h3 h3Required Qualifications /h3 ul liJD required; RN, NP, or other clinical licensure strongly valued. /li liMinimum 7+ years of medical malpractice claims experience, with significant litigation management and coverage expertise. /li liStrong proficiency in interpreting policies, statutes, legal opinions, and medical records. /li liDemonstrated ability to manage high-severity, complex claims requiring strategic judgment and legal/clinical analysis. /li liExperience working in a TPA, carrier, risk management, or healthcare liability environment. /li liExcellent written and verbal communication skills; ability to translate complex legal and medical concepts for clients. /li liMust hold (or obtain) all required NY adjuster licenses. /li liProficiency in MS Office, RMIS platforms, and remote collaboration tools (Teams, Zoom, WebEx, etc.). /li liAbility to travel for mediations, trials, client meetings, and conferences. /li /ul h3Competencies /h3 ul liLegal and analytical excellence /li liClinical literacy and strong investigative skills /li liStrategic litigation and negotiation expertise /li liHigh emotional intelligence, professionalism, and client service orientation /li liLeadership presence with the ability to influence and collaborate /li liStrong judgment, accountability, and execution discipline /li liAdaptability and ability to manage competing priorities /li /ul h3Physical Work Environment Requirements /h3 ul liPrimarily sedentary work with periods of standing, walking, and light lifting (up to 10 lbs) /li liTravel by car, train, or air required; may involve overnight stays. /li /ul h3Compensation /h3 pSalary Range: $130,000-$150,000 annually /p pThe salary range listed is an estimate. Actual compensation will be determined based on several factors such as a candidate’s experience, qualifications, skill set, and work location. Position is eligible for AvonRisk’s full benefits package. /p h3Benefits /h3 ul liComprehensive medical, dental, and vision benefits /li liCompany contributions to HSA and FSA plans /li liEmployer-paid life and disability insurance /li li401(k) with company match /li liPaid time off (PTO) and company-paid holidays /li liEmployee assistance resources and a supportive culture that values balance and wellbeing /li /ul h3Equal Opportunity Employer /h3 pAvonRisk is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. /p pPursuant to the Los Angeles and San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest or conviction records. /p #J-18808-Ljbffr