California Licensed Senior Claims Specialist

Job Summary

Managing moderately complex Healthcare Professional Liability - Medical Malpractice claims, the full-time California Licensed Senior Claims Specialist will handle the full claim life cycle, including coverage analysis, investigation, evaluation, and resolution, while working remotely from the West Coast.

Key responsibilities

• Analyzes coverage and settles claims in Healthcare Professional Liability
• Conducts thorough investigations to determine claims exposure and recommends settlement strategies
• Negotiates settlements with clients, attorneys, and Public Adjusters while preparing necessary documentation for approvals

Required qualifications

• Bachelor's Degree and 5+ years of related claims experience
• Prior experience in specialty claims or ability to handle unique claims issues
• Must obtain all required licenses and/or certifications for handling claims
• Knowledge of industry standards and practices related to claims processing
• Computer proficiency with claims and business software