Senior Claims Consultant (Remote)

Company: Physicians Insurance A Mutual Company
Location: Seattle
Posted on: March 29, 2025

Job Description:

About Physicians InsurancePhysicians Insurance was founded in 1981 under the auspices of the Washington State Medical Association. Physicians believed then, as they do now, that they would get better service and outcomes from a company that they owned, rather than from a giant, national firm with no local presence.Since then, other insurance carriers have entered and left the market, but Physicians Insurance has remained the stable, committed, and local insurer for physicians, clinics, facilities, and hospitals. For more than 40 years, the company has experienced steady growth and has built a strong financial base by delivering unwavering protection, empathetic expertise, financial strength, and guidance to our Members when they need it most.Today, Physicians Insurance serves more than 8,500 both in its home region of the Pacific Northwest and across the country, providing MPL coverage, risk-management consulting, continuing medical education, and claims support. The company is rated A- (Excellent) by A.M. Best Company*.Physicians Insurance maintains corporate headquarters in Seattle with remote offices in additional states. We are proud to have a long history of excellent operating results and are dedicated to living our values of expertise, commitment, and putting people first.*A.M. Best's ratings are on a scale from A++ (superior) down to D (poor), with even lower ratings for companies under regulatory supervision or in liquidation.Position Summary:

This Senior Claims Consultant is responsible for national medical malpractice claim services. This includes performing claims investigation, evaluation, negotiation, settlement; retaining and coordinating work of defense attorneys and expert witnesses; representing Physicians Insurance Member Services and Physicians Insurance clients; and maintaining claims-related relationships with physicians, other insurance companies, and other organizations. This position will include national claims handling on behalf of Physicians Insurance and Physicians Insurance RRG through Physicians Insurance Member Services.Key Functions:Responsibilities include but are not limited to the following:

• Reviewing claims report, medical records, strategizing, and developing investigation priorities and schedules while initiating and maintaining communications with physicians, administrators, attorneys, expert witnesses, and other insurance companies.
• Coordinating and performing claim investigations, negotiations, legal defense, and settlement activities. This includes handling incident reporting, reserving, research, and evaluation.
• Presenting claim investigations at Claims Committee meetings.
• Planning and implementing defense and litigation strategies. This includes pre-trial and trial preparations and attending meetings, depositions, and mediations via videoconferencing or in person as determined by location, needs of account, and/or Court requirements.
• Analyzing claims, defense counsel, settlements, and other results.
• Facilitating and developing relationships with defense counsel, consulting physicians, expert witnesses, co-defendants, other insurance companies, and legal defense specialists.Requirements / Qualifications:
  • A 4-year college degree or equivalent work experience
  • State adjuster licensure or ability to become licensed
  • Five plus years of professional medical liability claims experience with a history of increasing claims responsibility and authority
  • Ability to travel as determined by location, needs of member, and/or Court requirements as necessary. Travel destinations include the company office for in-person events and meetings.
  • Excellent analytical, writing, and detail-oriented skills
  • Excellent investigation, research, and negotiation skills
  • Demonstrated time management and prioritization skills
  • Demonstrated knowledge of insurance policies and coverages
  • Strong commitment to customer service, quality, and working in a collaborative team environment
  • Excellent interpersonal, verbal, and written communication skills. Ability to present effectively to large or small groups.
  • Demonstrated technical ability to work with Microsoft Office, ShareFile and Adobe Acrobat ProThe salary range for this position is $97,200 to $156,200. The range displayed on each job posting reflects the minimum and maximum for new hire salaries for the position. Starting salary is determined by several factors, including job-related skills, experience, and relevant education or training. This position is also eligible for an annual company bonus at an incentive target level of 10%.We also offer a comprehensive benefits program, including a generous retirement program and Paid Time Off. Please visit for detailed benefit descriptions.At Physicians Insurance, you'll find an exceptional hybrid work environment, and the opportunity to work for an industry leader whose programs have a positive impact on insurance and healthcare.OUR PURPOSETo protect, defend, and support our Members.OUR VALUESPeople-First - we treat everyone with respect and empathy.Expertise - we strive to be the best at what we do.Commitment - as a mutual company, we are accountable and dedicated to our Members and to each other.
    #J-18808-Ljbffr

Keywords: Physicians Insurance A Mutual Company, Seattle , Senior Claims Consultant (Remote), Professions , Seattle, Washington