Healthcare Claims Specialist

Job Summary

A company is looking for a Senior Claim Specialist - Hospital / Physician Claims.

Key Responsibilities

• Manage moderately complex Healthcare Professional Liability claims, focusing on Hospital and Physician Medical Malpractice
• Conduct thorough analysis and investigations to determine claims exposure and recommend settlement strategies
• Negotiate settlements with clients, attorneys, and Public Adjusters while ensuring compliance with policies and regulations

Required Qualifications

• Bachelor's Degree and 5+ years of related claims experience
• Prior experience in specialty claims or ability to handle unique claims issues
• Appropriately licensed or able to obtain necessary licenses/certifications
• Knowledge of industry standards and practices
• Experience with claims and business software