Claim Counsel – Healthcare Professional Liability

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🏈 Alabama – Remote

🏈 Alabama – Remote

💵 $110k - $135k / year

⏰ Full Time

🟠 Senior

🔴 Lead

⚖️ Legal Counsel / General Counsel

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MDD Forensic Accountants

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1933

💸 Finance

Finance • Insurance • Consulting

MDD Forensic Accountants is a forensic accounting firm specializing in business valuations, shareholder disputes, and economic damage quantification. With over 40 offices globally, MDD provides expertise across a wide range of industries, delivering services to insurance companies, law firms, governments, and individuals. Their services include business interruption, lost profits, fraud investigations, and more, making them a trusted advisor for sound financial decision-making.

📋 Description

• Review and interpret Medical Malpractice (MPL), Healthcare Professional Liability, GL, and package policies, including claims-made and occurrence forms. • Analyze coverage issues related to medical negligence, failure to provide appropriate care, medication errors, misdiagnosis, and failure to monitor patients/residents. • Evaluate coverage for facility-based exposures, including resident injuries, abuse allegations, and premises liability under GL. • Address complex issues involving policy triggers, retroactive dates, allocation between GL and PL, and multiple insureds. • Draft and issue coverage position letters, including reservations of rights and denial letters. • Oversee and manage complex claims involving nursing homes, assisted living facilities, memory care, and allied healthcare providers. • Investigate allegations including falls, pressure ulcers, failure to supervise or transfer residents, abuse or neglect claims, and medication errors or treatment failures. • Coordinate with medical experts, nurses, facility administrators, and defense counsel to evaluate liability, causation, and damages. • Analyze damages including medical costs, pain and suffering, wrongful death, and long-term care needs. • Develop and execute strategic plans for claim resolution, including oversight of litigation and multi-party claims. • Evaluate exposure and develop settlement strategies considering both professional liability and general liability components of package policies. • Recommend and manage reserves reflecting high-severity healthcare exposures. • Negotiate settlements and participate in mediations, settlement conferences, and complex litigation proceedings. • Ensure compliance with Department of Insurance requirements and healthcare-related regulatory considerations. • Maintain clear documentation of coverage analyses, claim strategy, and clinical/legal evaluations in the claims system. • Serve as a trusted advisor to carriers and internal teams on healthcare liability trends and claim strategy. • Act as the primary liaison with coverage counsel, defense counsel, healthcare providers, administrators, and brokers. • Provide clear reporting on coverage positions, exposure, and resolution strategies.

🎯 Requirements

• Juris Doctor (JD) with active bar membership in good standing, or 7–10+ years of senior-level experience handling medical malpractice, healthcare liability, or complex professional liability claims. • Active adjuster licenses and willingness to obtain and maintain additional licenses, as needed. • Demonstrated expertise in medical malpractice and healthcare professional liability coverage analysis. • Experience handling claims involving long-term care facilities, nursing homes, and assisted living providers. • Strong understanding of clinical exposures, standards of care, and healthcare-related damages. • Experience managing claims involving combined GL and professional liability (package) policies. • Experience issuing or advising on coverage positions. • Excellent analytical, negotiation, and communication skills. • Ability to manage multiple high-severity claims independently. • Background in long-term care programs, senior living, or allied healthcare claim programs (preferred). • Experience managing high-frequency, moderate-to-high severity healthcare claims portfolios (preferred). • Familiarity with defense counsel management, litigation strategy, and expert coordination in medical cases (preferred). • Experience working in program business or specialty healthcare liability environments (preferred).

🏖️ Benefits

• Medical, dental, and vision plans to support your health and that of your family • A 401(k) plan with employer matching • Time‑off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non‑exempt employees • Paid holidays • Life insurance and short‑term and long‑term disability coverage • Paid sick leave, paid family and parental leave, and other mandated benefits in accordance with applicable state and local requirements