Senior Claims Counsel

Job not on LinkedIn

🔥 14 hours ago

🗽 New York – Remote

🗽 New York – Remote

💵 $130k - $150k / year

⏰ Full Time

🟠 Senior

⚖️ Legal Counsel / General Counsel

👻 Ghost score 1%

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Intercare Holdings Insurance Services

WebsiteLinkedInAll Job Openings

201 - 500 employees

🛡️ Insurance

Insurance • Risk Management

Intercare Holdings Insurance Services is a privately held company that specializes in workers' compensation and liability claims administration, managed care services, and risk management solutions. Known for their client care and responsive service, Intercare integrates advanced technology and has an in-house Special Investigations Unit (SIU) to handle claims efficiently and reduce fraudulent activities. Their unique approach combines the depth and capacity of a large organization with the flexibility of a smaller firm, ensuring customized risk management and cost control solutions for clients. With a strong emphasis on customer satisfaction, Intercare is a trusted partner in reducing risk and maintaining fiscal stability for their clients.

📋 Description

• Manage a complex portfolio of medical malpractice and general liability claims through resolution • Conduct coverage analysis, identify issues, and draft coverage position letters • Direct litigation strategy, including exposure evaluation, 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 for timely, defensible outcomes • Evaluate liability, damages, indemnity exposure, and risk transfer opportunities • Ensure claim activity complies with statutes, service contracts, and client reporting requirements • Apply medical terminology, clinical procedures, and standards of care to assess liability and causation • Engage medical experts and translate complex medical information into risk evaluations • Advise clients and build collaborative relationships • Provide written reports, presentations, and case evaluations • Participate in client meetings, mediations, trials, and industry conferences • Model company core values and contribute to team development and continuous improvement • Mentor colleagues and promote innovation, service excellence, and operational discipline

🎯 Requirements

• JD required • RN, NP, or other clinical licensure strongly valued • Minimum 7+ years of medical malpractice claims experience • Significant litigation management and coverage expertise • Strong proficiency in interpreting policies, statutes, legal opinions, and medical records • 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 including Teams, Zoom, and WebEx • Ability to travel for mediations, trials, client meetings, and conferences • Ability to perform primarily sedentary work with periods of standing, walking, and light lifting up to 10 lbs • Travel by car, train, or air, potentially involving overnight stays

🏖️ Benefits

• Comprehensive medical, dental, and vision benefits • Company contributions to HSA and FSA plans • Employer-paid life and disability insurance • 401(k) with company match • Paid time off (PTO) • Company-paid holidays • Employee assistance resources • Supportive culture that values balance and wellbeing • Remote work arrangement