Claims Manager

Medical Protection; City of Edinburgh; Hybrid; GBP 100,000 - GBP 125,000; Full time

Job summary

A leading protection organization for healthcare professionals is looking for an experienced Claims Manager to manage a clinical negligence claims portfolio. The ideal candidate will have a strong understanding of claims management and litigation, with excellent negotiation skills. This role involves collaboration with various teams and external lawyers to ensure positive outcomes for members. Alongside a competitive salary, benefits include a discretionary annual bonus and flexible working arrangements.

Benefits

Up to 15% discretionary annual bonus

Private Medical Cover

25 days annual leave

Career development opportunities

Flexible hybrid-working arrangement

Qualifications

• Proven understanding of Clinical Negligence law/claims.
• Claims management or litigation experience in clinical negligence.
• Ability to handle a high volume of claims independently.

Responsibilities

• Manage a caseload of claims from inception to resolution.
• Assess facts and devise case management strategies.
• Collaboration with external litigation solicitors.

Skills

Analytical skills

Communication skills

Negotiation skills

Job description

Location: Edinburgh, Leeds or London

Contract: Permanent

Working Pattern: Full time, 37.5 hours per week

We are on the lookout for a dynamic, proven and experienced Claims Manager to join our Claims Handling team in the Member, Cases and Claims division.

As our new Claims Manager, you will proactively manage an active clinical negligence claims portfolio, maximising your strategic thinking, whilst handling files efficiently to the highest standards to achieve positive member and business outcomes.

Whether you're a qualified solicitor eager to explore in‑house opportunities or an experienced Claims Handler seeking a refreshing change, this role offers a varied range of responsibilities in managing both medical and dental claims. You'll have the chance to engage with a diverse range of claims, provide insights to our members, and collaborate closely with panel firms. This is more than just a job; it's a chance to thrive in your career while making a meaningful impact.

Working as part of a multi‑disciplinary team, your success is dependent on how you build trusting relationships with those around you. You will work closely with internal stakeholders including Claims Assistants, Claims Managers and Technical Consultants alongside other departments of the business. In addition, relationships are built and maintained with Panel firms ensuring our third parties also meet expectations in their service delivery and claims performance. Therefore, the ability to collaborate effectively is crucial. Key to this role is the ability to prioritise well and work proactively across your caseload.

Supported through a technical development framework, you will have the opportunity to develop your claims portfolio across a range of complexity, value, disciplines and jurisdictions. You will also coach, develop and support other Colleagues as part of your role.

About the Team/Day in the life

The Claims Team handles all claims from inception through to resolution. Our services include instructing external solicitor firms where that type of representation is required. Our Medicolegal and Dentolegal Consultants also provide clinical input into our Claims Handling teams.

Main Responsibilities

As our new Claims Manager, you will also:

• Directly managing a caseload of claims on an end‑to‑end basis with value and complexity appropriate to the level of experience
• Assess the facts, law, apportionment issues, quantum and likely costs to devise and implement a case management and investigative strategy proportionate to the claim
• Ensure accurate claims estimates are created & maintained
• Address & resolve apportionment issues effectively
• Obtain relevant documentation and factual evidence as required from the member(s) and other witnesses
• Commission expert reports and counsel input as required
• Draft and serving the Letter of Response
• Draft documentation as required to adhere with relevant protocols.
• Proactively initiate and engage in settlement negotiations where appropriate
• Utilise Alternative Dispute Resolution (ADR) and mediation where appropriate.
• Ensure a smooth transition to in‑house solicitors where required
• Collaborate with external litigation solicitors (MPS Panel) to provide ongoing strategic direction and input until resolution.

The Ideal Candidate

• An individual with proven understanding of Clinical Negligence law/claims along with the ability to take a strategic approach to claims management.
• Claims management or litigation experience with a background in clinical negligence, personal injury, or professional negligence litigation and excellent analytical, communication and negotiation skills.
• Claimant and/or defendant experience with experience handling a high volume of claims independently, demonstrating a proven ability to assess claims effectively and implement strategic resolutions.
• Utilise your excellent negotiating & interpersonal skills with the ability to demonstrate tact and empathy in your communications.
• Work closely with and challenge the advice of panel where appropriate is essential in order to drive the best results for our members.
• Ambition to develop, grow and expand their knowledge across multi jurisdictions
• An individual comfortable having a caseload of both Dental and Medical claims of varying complexity and be able to balance conflicting priorities.

In return, we can offer you

Alongside a competitive salary as stated above, you will also receive:

• Up to 15% discretionary annual bonus
• Annual performance‑related pay review
• 11% pension contribution (3% from you, 8% from us – optional additional matched 3% contributions, e.g. 6% from you, 11% from us)
• 25 days annual leave plus flexible bank holidays (option to buy/sell additional 5 days)
• Private Medical Cover
• Career development and progression opportunities – 22% of our vacancies in 2023 were filled internally
• A truly flexible hybrid‑working arrangement (take a look at below to find out more about how we work)
• A culture that promotes inclusivity, wellbeing and rewards hard work
• Car Salary Sacrifice scheme
• 6x salary death in service
• A personal GP service enabling you to get a video consultation with a NHS-registered private GP
• Employee Assistance Programme
• A range of shopping discounts from major high‑street retailers

Who We Are

Medical Protection Society (MPS) is the world’s leading protection organisation for Doctors, Dentists and healthcare professionals. We protect and support the professional interests of almost 300,000 Members around the world.

We are a not-for-profit organisation, meaning our Members’ premiums are kept safe should our Members require support for complaints or claims arising from professional practice, or invested into bettering the organisation, our colleagues and our products.

Our philosophy is to support safe practice in medicine and dentistry by helping to avert problems in the first place. We also actively campaign for regulatory and legal reforms that benefit Members and the wider healthcare professions.

To do this, we need colleagues who are trusted and supported to deliver their best work, whether that be through leadership development, fully-funded training courses or peer‑to‑peer support. We want our colleagues to feel empowered enough to deliver positive change, display ambition to push themselves and are determined when faced with a challenge, whilst ensuring our Member’s best interests are at the core.

Next Steps

If you are interested in finding out more, looking for a new role and want to join an organisation that truly values its employees, take a look at the role profile to find out more about the role to apply.

Our Talent Acquisition team are always on hand should you have any questions, are having any technical issues or wish to understand how MPS can support you with your application and interview. You can contact our friendly Talent Acquisition team by emailing [e-mail]