{"id":3119776,"url":"https://alion.io/job/phyins-senior-claims-consultant-remote","title":"Senior Claims Consultant (Remote)","company":{"id":2046708,"name":"Phyins","domain":"phyins.com","url":"https://alion.io/company/phyins","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Breezy","truth_index":null},"role":"Legal","role_family":"Legal","seniority":"senior","employment_type":"full_time","work_mode":"hybrid","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Seattle, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":97200,"max":156200,"currency":"USD","period":"year","gross":null,"usd_annual":156200},"salary_estimate":null,"experience_years_min":5,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Microsoft Office","optional":false}],"status":"live","first_seen_at":"2026-10-22T19:39:21Z","employer_posted_date":"2026-10-22","last_verified_at":"2026-10-26T23:13:44Z","board_verified":true,"closed_at":null,"days_open":4,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":4},"description":"Position Summary:\nThis Senior Claims Consultant independently manages complex medical professional liability claims across multiple jurisdictions, exercising sound judgement in investigation, exposure evaluation, reserving, litigation management, and resolution. The successful candidate takes ownership of an assigned caseload, develops and executes proactive claim strategies, critically evaluates defense counsel’s recommendations, and provides clear, well supported recommendations to management. This role combines technical expertise, disciplined follow-through, and responsive, high touch service to our Members.\n\nKey Functions:\nResponsibilities include but are not limited to the following:\nIndependently manage complex medical professional liability claims from investigation through resolution, within delegated authority.\nProvide proactive personalized Member service through regular communications and meetings at key claim stages, including initial assessment, strategy development, depositions, expert reviews, mediations, and trials.\nCollaborate with internal departments, defense counsel, experts, and other insurers and respond promptly to broker inquiries, as necessary.\nInvestigate claims through medical record review, expert consultation and evaluation of liability causation, damages, and venue.\nDevelop and execute proactive claim strategies, identify priorities, and complete timely follow up.\nDirect defense counsel and critically evaluate litigation strategy, recommendations and progress, expenses, and progress.\nEstablish and reassess reserves, documenting basis for exposure evaluations and changes.\nDevelop settlement strategies, obtain necessary consent and authority, and negotiate resolutions.\nIdentify and promptly escalate coverage concerns, significant exposure changes, settlement demands and critical deadlines.\nMaintain current concise file documentation explaining analysis, decisions, and next steps.\nPrepare clear reports and Claims Committee presentations with supported recommendations.\nMaintain responsive, collaborative relationships with Members, counsel, experts, other insurers, and co-defendants.\n\nRequirements / Qualifications:\nBachelor’s degree or equivalent experience.\nMulti-state adjuster’s licenses preferred or ability to procure as requested.\nFive plus years of professional medical liability including hospital professional liability claims experience with strong knowledge of claim evaluation, litigation management, coverage, reserving, negotiation, settlement strategy, and regulatory requirements.\nDemonstrated ability to independently assess complex claims, develop supported recommendations, manage competing priorities, and follow through on commitments.\nExcellent interpersonal, verbal, and written communication skills. Ability to present effectively to large or small groups.\nAbility to travel as determined by location, needs of member, and/or Court requirements, as necessary. Travel destinations include the company office for in-person events twice a year.\nStrong commitment to customer service, quality, and working in a collaborative team environment.\nDemonstrated technical ability to work with Microsoft Office, ShareFile, and Adobe Acrobat Pro.\nThe salary range for this position is $97,200 to $156,200. The range displayed on each job posting reflects the minimum and maximum for new hire salaries for the position. Starting salary is determined by several factors, including job-related skills, experience, and relevant education or training. This position is also eligible for an annual company bonus at an incentive target level of 10%.\nWe also offer a comprehensive benefits program, including a generous retirement program and Paid Time Off. Please visit Physicians Insurance - A Mutual Company for detailed benefit descriptions.\nAt Physicians Insurance, you’ll find an exceptional hybrid work environment, and the opportunity to work for an industry leader whose programs have a positive impact on insurance and healthcare.\nOUR PURPOSE\n To protect, defend, and support our Members\nOUR VALUES\nPeople-First - we treat everyone with respect and empathy\nExpertise - we strive to be the best at what we do\nCommitment - as a mutual company, we are accountable and dedicated to our Members and to each other","description_format":"text","description_chars":4285,"description_truncated":false,"requirements":{"experience_years_min":5,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["Hybrid work"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":[],"lifecycle":[{"event":"open","at":"2026-10-22T23:56:57Z"}],"visa":[],"liveness":{"score":86,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.86,"p_room":1,"age_days":3,"expected_fill_days":28,"reasons":["conf:1","win:early"],"computed_at":"2026-10-26T05:57:25Z"},"pay":{"stated_usd_annual":156200,"is_top_pay":false},"html_url":"https://alion.io/job/phyins-senior-claims-consultant-remote","json_url":"https://alion.io/job/phyins-senior-claims-consultant-remote.json","meta":{"generated_at":"2026-10-26T23:52:34Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":32733,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-27T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":2046708},"rest":"https://alion.io/mcp/rest/get_company?id=2046708"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fphyins-senior-claims-consultant-remote"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fphyins-senior-claims-consultant-remote"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fphyins-senior-claims-consultant-remote"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/phyins-senior-claims-consultant-remote\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fphyins-senior-claims-consultant-remote"}]}