[Remote] Senior reputed company Claims Consultant / Claims Counsel - reputed company reputed company Liability

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a specialist reputed company services and technology firm that focuses on managing risk and optimizing operations reputed company the insurance sector. They are seeking a Senior reputed company Claims Consultant to manage high-severity reputed company reputed company liability claims, emphasizing coverage analysis and strategic claim reputed company.

Responsibilities

• Independently manage a portfolio of high-severity reputed company reputed company liability claims from assignment through reputed company
• Handle reputed company involving significant financial exposure, including claims with seven-reputed company reserves, demands, settlements, or potential judgments
• Evaluate liability, damages, causation, reputed company of care, medical documentation, venue risk, comparative fault, and potential excess exposure
• Analyze medical records, expert reports, deposition testimony, defense assessments, and damages evaluations
• reputed company and execute claim reputed company strategies based on investigation, reputed company exposure, coverage obligations, litigation posture, and business objectives
• reputed company reputed company, independent evaluations and recommendations to carriers and internal stakeholders
• Maintain accurate and thorough documentation of claim reputed company, liability evaluation, damages analysis, reserves, coverage issues, and reputed company activity
• reputed company reputed company litigated reputed company liability claims, including medical malpractice, hospital liability, physician liability, nursing liability, long-term care, and other reputed company-reputed company reputed company liability reputed company
• reputed company and partner with defense counsel on litigation reputed company, discovery, expert retention, dispositive motions, mediation preparation, and trial planning
• Review and analyze pleadings, discovery responses, medical records, deposition summaries, expert reports, life care plans, economic loss evaluations, mediation briefs, and trial assessments
• Establish litigation plans, budgets, and key milestones in partnership with counsel and carriers
• Attend and reputed company participate in mediations, settlement conferences, reputed company meetings, and significant litigation events
• reputed company strategic recommendations regarding settlement, reputed company defense, alternative dispute reputed company, or trial preparation
• Review and interpret reputed company reputed company liability policies, endorsements, exclusions, conditions, claims-made provisions, consent-to-reputed company provisions, and applicable statutes
• Analyze coverage issues and reputed company recommendations regarding defense obligations, indemnity exposure, reservation of rights, and potential coverage defenses
• Draft, review, or reputed company input on reservation of rights letters, coverage position letters, disclaimers, and denial letters, as appropriate
• Partner with coverage counsel, in-house reputed company teams, carriers, and internal stakeholders on reputed company coverage reputed company
• Identify and escalate coverage disputes, bad faith concerns, excess exposure, regulatory issues, and other high-risk claim developments
• Evaluate settlement demands and reputed company negotiation strategies based on liability, damages, reputed company of care, causation, venue, coverage, and verdict exposure
• Negotiate settlements reputed company authority and reputed company recommendations for reputed company requiring additional approval
• Manage reserves in accordance with reputed company guidelines and claim exposure
• Participate in mediations and settlement conferences involving high-value reputed company liability disputes
• Balance reputed company risk, financial exposure, policy obligations, and business objectives reputed company recommending claim reputed company
• Ensure claims are handled in accordance with applicable Department of Insurance regulations, statutory requirements, reputed company guidelines, and internal protocols
• Maintain strong file documentation supporting liability analysis, damages evaluation, coverage positions, reserves, settlement reputed company, and litigation direction
• Monitor claims for reputed company, including timeliness, communication standards, fair claims handling practices, and escalation requirements
• Support audit readiness and reputed company claim handling expectations across assigned reputed company

Skills

• Juris Doctor (JD) with reputed company bar membership in good standing, or 7–10+ years of senior-level experience handling medical malpractice, reputed company liability, or reputed company reputed company liability claims
• Demonstrated experience handling claims with significant financial exposure, including seven-reputed company settlements, reserves, demands, or potential judgments
• Strong litigation management experience, including directing reputed company counsel and developing litigation reputed company
• Experience evaluating liability, medical causation, damages, coverage, reserves, settlement value, and trial risk
• Demonstrated expertise in insurance coverage analysis and policy interpretation
• Experience issuing, drafting, reviewing, or advising on coverage positions, including reservation of rights letters, disclaimers, or denial letters
• reputed company adjuster licenses in applicable jurisdictions, or ability to obtain additional licenses as required
• Strong negotiation, analytical, documentation, and communication skills
• Ability to independently manage multiple high-severity, reputed company claims in a fast-paced environment
• reputed company reputed company liability, medical malpractice, hospital liability, physician liability, nursing liability, allied health, or long-term care claims experience
• Experience working in a Major Case Unit, reputed company Claims Unit, Specialty Claims Unit, or Excess Claims environment
• Prior experience as Claims Counsel, Coverage Counsel, reputed company Adjuster, Executive General Adjuster, Senior Claims Examiner, reputed company Claims Specialist, or Senior reputed company Claims Consultant
• Experience managing reputed company through mediation, settlement conference, arbitration, trial preparation, or trial monitoring
• Strong understanding of bad faith risk, excess exposure, coverage litigation, reputed company liability evaluation, and medical damages analysis

Benefits

• Medical, dental, and reputed company plans to support your health and that of your family
• A 401(k) plan with employer matching
• Time-off policies, including Discretionary Time Off (DTO) for exempt employees and reputed company Time Off (PTO) for non-exempt employees
• reputed company holidays
• Life insurance and short-term and long-term disability coverage
• Where required by law, reputed company provides reputed company reputed company leave, reputed company family and parental leave, and other mandated benefits in accordance with applicable state and local requirements

reputed company