Senior Claims Consultant

Physicians Insurance A Mutual Company

. Independently manage complex medical professional liability claims from investigation through resolution within delegated authority .

Posted 10/22/2026full-timeSeattle • Washington • United StatesSenior💰 $97,200 - $156,200 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing complex medical professional liability claims, including investigation, evaluation, negotiation, and resolution. Proficient in developing claim strategies and maintaining collaborative relationships with stakeholders while ensuring compliance with regulatory requirements.

Highest-signal resume keywords

Medical Liability Claims ManagementClaim Evaluation and Litigation ManagementNegotiation and Settlement StrategyMulti-State Adjuster's LicenseMicrosoft Office Proficiency

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claim EvaluationLitigation ManagementNegotiationSettlement StrategyRegulatory RequirementsClaims InvestigationReserve EstablishmentFile DocumentationReport PreparationCausation Evaluation

Soft Skills

Interpersonal CommunicationVerbal CommunicationWritten CommunicationCustomer ServiceCollaboration

Tools & Technologies

Microsoft OfficeShareFileAdobe Acrobat Pro

Certifications & Qualifications

Bachelor's DegreeMulti-State Adjuster's License

Industry Keywords

Medical Professional LiabilityHospital Professional LiabilityClaims CommitteeExposure EvaluationDefense Counsel

About the role

Key responsibilities & impact

Independently manage complex medical professional liability claims from investigation through resolution within delegated authority
Provide proactive personalized Member service through regular communications and meetings at key claim stages
Collaborate with internal departments, defense counsel, experts, other insurers, and respond to broker inquiries
Investigate claims through medical record review, expert consultation, and evaluation of liability, causation, damages, and venue
Develop and execute proactive claim strategies, identify priorities, and complete timely follow-up
Direct defense counsel and evaluate litigation strategy, recommendations, progress, and expenses
Establish and reassess reserves, documenting exposure evaluations and changes
Develop settlement strategies, obtain necessary consent and authority, and negotiate resolutions
Identify and escalate coverage concerns, significant exposure changes, settlement demands, and critical deadlines
Maintain concise file documentation explaining analysis, decisions, and next steps
Prepare reports and Claims Committee presentations with supported recommendations
Maintain responsive, collaborative relationships with Members, counsel, experts, other insurers, and co-defendants

Requirements

What you’ll need

Bachelor’s degree or equivalent experience
Multi-state adjuster’s licenses preferred or ability to procure as requested
Five plus years of professional medical liability including hospital professional liability claims experience
Strong knowledge of claim evaluation, litigation management, coverage, reserving, negotiation, settlement strategy, and regulatory requirements
Ability to independently assess complex claims, develop supported recommendations, manage competing priorities, and follow through on commitments
Excellent interpersonal, verbal, and written communication skills
Ability to present effectively to large or small groups
Ability to travel as determined by location, needs of member, and/or Court requirements, as necessary
Strong commitment to customer service, quality, and working in a collaborative team environment
Demonstrated technical ability to work with Microsoft Office, ShareFile, and Adobe Acrobat Pro

Benefits

Comp & perks

Annual company bonus at an incentive target level of 10%
Comprehensive benefits program
Generous retirement program
Paid Time Off
Hybrid work environment
Opportunity to work for an industry leader whose programs have a positive impact on insurance and healthcare