Senior Claims Consultant; Remote​/Hybrid

Physicians 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.

This Senior Claims Consultant is responsible for national medical malpractice claim services. This includesperformingclaimsinvestigation,evaluation,negotiation,settlement;retainingandcoordinating 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.

Responsibilitiesincludebutarenotlimitedtothefollowing:

• Reviewing claims report, medical records, strategizing, and developing investigation priorities and schedules while initiating andmaintainingcommunicationswithphysicians,administrators,attorneys,expertwitnesses,and other insurance companies.
• Coordinatingandperformingclaiminvestigations,negotiations,legaldefense,andsettlement activities. This includes handling incident reporting, reserving, research, and evaluation.
• Presentingclaiminvestigationsat Claims Committee meetings .
• Planning and implementing defense and litigation strategies.
  
  This includes pre-trial and trial preparationsandattendingmeetings,depositions,andmediationsviavideoconferencingorin person as determined by location, needs of account, and/or Court requirements.
• Analyzingclaims,defensecounsel,settlements,andotherresults.
• Facilitatinganddevelopingrelationshipswithdefensecounsel,consultingphysicians,expert witnesses, co-defendants, other insurance companies, and legal defense specialists.

• Stateadjusterlicensure or ability to become licensed
• Fiveplusyearsofprofessionalmedicalliabilityclaimsexperience withahistoryofincreasingclaims 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,anddetail-orientedskills
• Excellentinvestigation,research,andnegotiationskills
• Demonstratedtimemanagementandprioritizationskills
• Demonstratedknowledgeofinsurancepoliciesandcoverages
• Strongcommitmenttocustomerservice,quality,andworkinginacollaborativeteamenvironment
• Excellent interpersonal,verbal,andwrittencommunicationskills.
  
  Abilitytopresenteffectivelyto large or small groups.
• Demonstratedtechnicalabilitytoworkwith Microsoft Office ,Share Fileand Adobe Acrobat Pro

The 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.

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.

To protect, defend, and support our Members.

People-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.