Healthcare Professional Liability Claims Specialist

Job Summary

Managing moderately complex Healthcare Professional Liability claims in a fully remote capacity, the Senior Claims Specialist will handle the full claim life cycle, including coverage analysis, investigation, evaluation, and resolution, ensuring compliance with client expectations and regulatory requirements.

Key responsibilities

• Analyze coverage and settle moderately complex Healthcare Professional Liability claims
• Conduct thorough investigations to determine claims exposure and recommend settlement strategies
• Negotiate settlements with clients, attorneys, and Public Adjusters while preparing reserve and settlement authority requests

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 for claims handling
• Knowledge of industry standards and practices related to claims processing
• Computer experience with claims and business software