Senior Medical Malpractice Litigation Claims Specialist

Our client is seeking an experienced Senior Medical Malpractice Litigation Claims Specialist in the Northern Virginia region to oversee complex Medical Professional Liability claims involving significant litigation and financial exposure. This position requires a strong background in medical malpractice claims, with the ability to evaluate liability, develop effective resolution strategies, and manage challenging cases from initial review through final settlement. 

The ideal candidate will have experience working with insurance carriers or TPAs, strong litigation management skills, and the ability to collaborate with legal counsel and other professionals to achieve favorable claim outcomes. This is an excellent opportunity for a seasoned claims professional looking to further their career in a specialized area of professional liability insurance.

Responsibilities

• Oversee complex Medical Professional Liability claims, including litigated matters involving significant financial exposure.
• Review policy provisions, assess coverage applicability, and determine appropriate claim handling approaches.
• Establish and execute effective litigation plans in partnership with outside legal counsel.
• Monitor claim developments, evaluate potential outcomes, and establish appropriate financial reserves.
• Direct settlement discussions and negotiate resolutions on challenging, high-value claims.
• Coordinate with defense attorneys to monitor litigation progress, legal expenses, and case strategy.
• Evaluate liability, damages, and potential financial exposure throughout the claims process.
• Participate in mediations, settlement conferences, and court proceedings when necessary.
• Maintain thorough claim documentation while ensuring adherence to applicable insurance regulations and established procedures.

Requirements

• Minimum of 5+ years of experience handling or investigating Medical Malpractice / Medical Professional Liability claims within an insurance carrier setting
• Juris Doctor (JD) degree strongly preferred
• Strong understanding of professional liability insurance policies, coverage interpretation, and litigation management
• Working knowledge of insurance regulations, liability principles, and legal procedures involving malpractice claims
• Demonstrated experience evaluating complex claims, assessing exposure, and negotiating settlements
• Ability to effectively oversee outside counsel and manage multiple litigated files
• Active Property & Casualty or Claims Adjuster licensing is a plus
• Professional insurance designations such as AIC, CPCU, ARM, or ALCM are preferred but not required

Salary & Benefits

• $150,000 to $175,000+ depending on experience plus 10-15% Target Bonus
• Comprehensive employee benefits package.
• Lucrative 401k employer match
• Hybrid work schedule offering a combination of in-office collaboration and remote flexibility