Senior Litigation Specialist

Responsibilities

• Evaluating insurance contracts and making coverage decisions
• Developing, coordinating, and documenting claims and litigation strategies
• Managing reserves and overall loss costs on assigned files
• Negotiating high-value claims and resolving complex cases
• Managing defense and panel counsel, ensuring adherence to PRMS's Litigation Guidelines
• Maintaining compliance with all internal, legal, and regulatory requirements
• Upholding customer service quality standards in accordance with operating guidelines and internal procedures
• Collaborating across PRMS and FAIRCO to provide timely claims analysis, guidance, and direction
• Identifying, analyzing, and assessing risks and trends in clinical practice areas
• Meting with insureds, defense counsel, and plaintiff attorneys to address claim issues, negotiate settlements, and attend mediations and trials
• Traveling to meet with client program principals and attend client functions, as needed
• Participating in special projects and initiatives, as assigned

Requirements

• 4+ years evaluating or investigating medical malpractice claims with a major insurance carrier or TPA
• JD strongly preferred
• Technical knowledge of insurance coverage and policies, insurance law, tort law, and claims handling practices
• Highly developed skills in negotiation, analysis, problem-solving, and decision-making
• Ability to perform effectively under pressure in high-complexity, high-risk situations and adapt rapidly to changing conditions
• Excellent written and verbal communication skills
• Adjuster's and P&C licenses are a plus
• Insurance designations (AIC, ARM, CPCU, ALCM) are a plus

Pay

Compensation is commensurate with experience.

Schedule

This position is eligible for a hybrid work schedule with 4 days in the office per week, and 1 day remote.