Senior Claims Counsel

Overview

This full-time Senior Medical Malpractice Claims Counsel role involves managing a complex portfolio of medical professional and general liability claims through resolution. The position combines legal and claims leadership with sophisticated coverage analysis, litigation strategy, and direct engagement with insureds, defense counsel, and clinical stakeholders.

Responsibilities

• Lead end-to-end management of complex medical malpractice and general liability claims, including high-severity, catastrophic, and legally intricate matters.
• Conduct comprehensive and timely coverage analysis; identify issues and draft detailed coverage position letters.
• Direct and oversee litigation strategy for assigned cases, including evaluation of exposure, negotiation strategy, settlement recommendations, and trial readiness.
• Manage outside counsel performance, litigation budgets, and expert/consultant engagement.
• Maintain an active 30–45-day diary and implement action plans to drive timely, defensible outcomes.
• Evaluate potential liability, damages, indemnity exposure, and risk transfer opportunities (including contribution and apportionment).
• Ensure claim activity complies with statutes, service contracts, and client reporting requirements.

Clinical and Medical Analysis

• Apply advanced knowledge of medical terminology, clinical procedures, and standards of care to assess liability and causation.
• Engage medical experts early to evaluate clinical issues and strengthen case strategy.
• Translate complex medical information into clear risk evaluations for clients and stakeholders.

Client Engagement & Communication

• Serve as a trusted advisor to clients and build strong, collaborative relationships.
• Provide timely, clear, and professional communication, including written reports, presentations, and case evaluations.
• Participate in client meetings, mediations, trials, and industry conferences as needed.

Leadership

• Model core values and contribute to a supportive, accountable culture.
• Mentor colleagues and support team development, collaboration, and continuous improvement initiatives.
• Promote a solutions-driven mindset with an emphasis on service excellence and operational discipline.

Requirements

Required Qualifications

• JD required; RN, NP, or other clinical licensure strongly valued.
• Minimum 7+ years of medical malpractice claims experience, with significant litigation management and coverage expertise.
• Strong proficiency in interpreting policies, statutes, legal opinions, and medical records.
• Demonstrated ability to manage high-severity, complex claims requiring strategic judgment and legal/clinical analysis.
• Experience working in a TPA, carrier, risk management, or healthcare liability environment.
• Excellent written and verbal communication skills; ability to translate complex legal and medical concepts for clients.
• Must hold (or obtain) all required NY adjuster licenses.
• Proficiency in MS Office, RMIS platforms, and remote collaboration tools (Teams, Zoom, WebEx, etc.).
• Ability to travel for mediations, trials, client meetings, and conferences.

Competencies

• Legal and analytical excellence
• Clinical literacy and strong investigative skills
• Strategic litigation and negotiation expertise
• High emotional intelligence, professionalism, and client service orientation
• Leadership presence with the ability to influence and collaborate
• Strong judgment, accountability, and execution discipline
• Adaptability and ability to manage competing priorities

Compensation & Benefits

Full-time job type; compensation details were not provided in the source description.

Location

New York, New York, NY

Physical & Work Environment Requirements

• Primarily sedentary work with periods of standing, walking, and light lifting (up to 10 lbs).
• Travel by car, train, or air required; may involve overnight stays.