Senior Claims Counsel

Senior Medical Malpractice Claims Counsel

Intercare Liability - New York New York, NY

Description

Position Summary 

The Senior Medical Malpractice Claims Counsel is a high-impact legal and claims leadership role responsible for managing a complex portfolio of medical professional and general liability claims through resolution. This position involves sophisticated coverage analysis, litigation strategy, and direct engagement with insureds, defense counsel, and clinical stakeholders.

This role requires a JD and extensive experience handling high-severity, medically complex claims within a TPA, carrier, or healthcare risk environment.

This position operates in alignment with Intercare’s Core Values—Integrity, Collaboration, Accountability, Respect, and Excellence—and plays a central role in maintaining our culture, representing our clients, and advancing our mission to deliver proactive, technically superior claims and risk solutions. 

Claims & Legal Management

• Lead      the end-to-end management of complex medical malpractice and general      liability claims, including high-severity, catastrophic, and legally      intricate matters.
• Conduct      comprehensive and timely coverage analysis, identify issues, and draft      detailed coverage position letters.
• Direct      and oversee litigation strategy for assigned cases, including evaluation      of exposure, negotiation strategy, settlement recommendations, and trial      readiness.
• Manage      outside counsel performance, litigation budgets, and expert/consultant      engagement.
• Maintain      an active 30–45-day diary and implement action plans designed to drive      timely, defensible outcomes.
• Evaluate      potential liability, damages, indemnity exposure, and risk transfer      opportunities (including contribution and apportionment).
• Ensure      all claim activity complies with statutes, service contracts, and client      reporting requirements.

Clinical and Medical Analysis

• Apply      advanced knowledge of medical terminology, clinical procedures, and      standards of care to assess liability and causation.
• Engage      medical experts early to evaluate clinical issues and strengthen case      strategy.
• Translate      complex medical information into clear risk evaluations for clients and      stakeholders.

Client Engagement & Communication

• Serve      as a trusted advisor to clients, building strong, collaborative, and      enduring relationships.
• Provide      timely, clear, and professional communication—including written reports,      presentations, and case evaluations.
• Participate      in client meetings, mediations, trials, and industry conferences as      needed.

Leadership & Culture

• Model      Intercare’s core values and contribute to a supportive, accountable, and      excellence-driven culture.
• Mentor      colleagues and contribute to team development, collaboration, and      continuous improvement initiatives.
• Promote      a solutions-driven mindset, encouraging innovation, service excellence,      and operational discipline.

Requirements

Required Qualifications

• JD      required; RN, NP, or other clinical licensure strongly valued.
• Minimum      7+ years of medical malpractice claims experience, with significant      litigation management and coverage expertise.
• Strong      proficiency in interpreting policies, statutes, legal opinions, and      medical records.
• Demonstrated      ability to manage high-severity, complex claims requiring strategic      judgment and legal/clinical analysis.
• Experience      working in a TPA, carrier, risk management, or healthcare liability      environment.
• Excellent      written and verbal communication skills; ability to translate complex      legal and medical concepts for clients.
• Must      hold (or obtain) all required NY adjuster licenses.
• Proficiency      in MS Office, RMIS platforms, and remote collaboration tools (Teams, Zoom,      WebEx, etc.).
• Ability      to travel for mediations, trials, client meetings, and conferences.

Competencies

• Legal      and analytical excellence
• Clinical      literacy and strong investigative skills
• Strategic      litigation and negotiation expertise
• High      emotional intelligence, professionalism, and client service orientation
• Leadership      presence with the ability to influence and collaborate
• Strong      judgment, accountability, and execution discipline
• Adaptability      and ability to manage competing priorities

Physical & Work Environment Requirements 

• Primarily      sedentary work with periods of standing, walking, and light lifting (up to      10 lbs).

Travel by car, train, or air required; may involve overnight stays. 

Senior Medical Malpractice Claims Counsel

Intercare Liability - New York New York, NY

Description

Position Summary 

The Senior Medical Malpractice Claims Counsel is a high-impact legal and claims leadership role responsible for managing a complex portfolio of medical professional and general liability claims through resolution. This position involves sophisticated coverage analysis, litigation strategy, and direct engagement with insureds, defense counsel, and clinical stakeholders.

This role requires a JD and extensive experience handling high-severity, medically complex claims within a TPA, carrier, or healthcare risk environment.

This position operates in alignment with Intercare’s Core Values—Integrity, Collaboration, Accountability, Respect, and Excellence—and plays a central role in maintaining our culture, representing our clients, and advancing our mission to deliver proactive, technically superior claims and risk solutions. 

Claims & Legal Management

• Lead      the end-to-end management of complex medical malpractice and general      liability claims, including high-severity, catastrophic, and legally      intricate matters.
• Conduct      comprehensive and timely coverage analysis, identify issues, and draft      detailed coverage position letters.
• Direct      and oversee litigation strategy for assigned cases, including evaluation      of exposure, negotiation strategy, settlement recommendations, and trial      readiness.
• Manage      outside counsel performance, litigation budgets, and expert/consultant      engagement.
• Maintain      an active 30–45-day diary and implement action plans designed to drive      timely, defensible outcomes.
• Evaluate      potential liability, damages, indemnity exposure, and risk transfer      opportunities (including contribution and apportionment).
• Ensure      all claim activity complies with statutes, service contracts, and client      reporting requirements.

Clinical and Medical Analysis

• Apply      advanced knowledge of medical terminology, clinical procedures, and      standards of care to assess liability and causation.
• Engage      medical experts early to evaluate clinical issues and strengthen case      strategy.
• Translate      complex medical information into clear risk evaluations for clients and      stakeholders.

Client Engagement & Communication

• Serve      as a trusted advisor to clients, building strong, collaborative, and      enduring relationships.
• Provide      timely, clear, and professional communication—including written reports,      presentations, and case evaluations.
• Participate      in client meetings, mediations, trials, and industry conferences as      needed.

Leadership & Culture

• Model      Intercare’s core values and contribute to a supportive, accountable, and      excellence-driven culture.
• Mentor      colleagues and contribute to team development, collaboration, and      continuous improvement initiatives.
• Promote      a solutions-driven mindset, encouraging innovation, service excellence,      and operational discipline.

Requirements

Required Qualifications

• JD      required; RN, NP, or other clinical licensure strongly valued.
• Minimum      7+ years of medical malpractice claims experience, with significant      litigation management and coverage expertise.
• Strong      proficiency in interpreting policies, statutes, legal opinions, and      medical records.
• Demonstrated      ability to manage high-severity, complex claims requiring strategic      judgment and legal/clinical analysis.
• Experience      working in a TPA, carrier, risk management, or healthcare liability      environment.
• Excellent      written and verbal communication skills; ability to translate complex      legal and medical concepts for clients.
• Must      hold (or obtain) all required NY adjuster licenses.
• Proficiency      in MS Office, RMIS platforms, and remote collaboration tools (Teams, Zoom,      WebEx, etc.).
• Ability      to travel for mediations, trials, client meetings, and conferences.

Competencies

• Legal      and analytical excellence
• Clinical      literacy and strong investigative skills
• Strategic      litigation and negotiation expertise
• High      emotional intelligence, professionalism, and client service orientation
• Leadership      presence with the ability to influence and collaborate
• Strong      judgment, accountability, and execution discipline
• Adaptability      and ability to manage competing priorities

Physical & Work Environment Requirements 

• Primarily      sedentary work with periods of standing, walking, and light lifting (up to      10 lbs).

Travel by car, train, or air required; may involve overnight stays.