Cooperative of American Physicians, Inc. · 20 hours ago
Sr. Claims Specialist
Orange County, CA
Full-time
Onsite
Mid, Senior Level
$110K/yr - $130K/yr
5+ years expCooperative of American Physicians, Inc. is seeking a Senior Claims Specialist for its Orange County office. This role involves managing complex medical malpractice claims and overseeing the training of junior team members.
Financial ServicesHealth Care
Hiring Manager
Rachel Revilla Lagaras
Responsibilities
Manage medical malpractice claims, including the assignment, direction, and control of defense counsel, under supervision and in compliance with the Claims Technical Manual, the Defense Attorney Guidelines, and the MPT Agreement. Manage increasingly complex cases with larger financial exposure
Investigate and evaluate claim files including complying with the standards of performance, interviewing members, reviewing medical records, corresponding with plaintiff attorneys, obtaining preliminary expert evaluation/opinions, and preparing interview summaries
Prepare case evaluation reports for publication and presentation to the CRC and CSC
Prepare case evaluation reports for discretionary authority on selected cases
Manage and participate in all litigation activity, including discovery plan, mediation, MSC, and negotiation under supervision, as necessary
Monitor trials and arbitrations including daily progress reports, providing member and defense attorney with support
Qualification
Required
Bachelor's degree from four-year college or university
Relevant legal and/or medical education background or the equivalent
Minimum five years of medical malpractice claims management experience and/or three years CAP claims experience
Company
Cooperative of American Physicians, Inc.
Cooperative of American Physicians is an insurance company that offers malpractice protection, risk, and practice management services.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Sarah Scher
Chief Executive Officer
Recent News
Cooperative of American Physicians, Inc.
2025-10-02
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