Job Summary: Seeking a Senior Claims Specialist to manage a complex caseload of medical malpractice claims, supervise junior claims specialists, and contribute to ongoing training efforts.

Key Responsibilities:

• Manage medical malpractice claims, including assigning and directing defense counsel, following Claims Technical Manual, Defense Attorney Guidelines, and MPT Agreement.


• Handle increasingly complex claims with significant financial exposure.


• Investigate claim files by interviewing members, reviewing medical records, and corresponding with plaintiff attorneys.


• Obtain preliminary expert evaluations and prepare detailed interview summaries.


• Prepare case evaluation reports for review boards and discretionary authority.


• Manage litigation activities including discovery planning, mediation, mandatory settlement conferences, and negotiation under...