Senior Claims Specialist - Healthcare Liability

Job Summary

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

Key responsibilities

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

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 be appropriately licensed or able to obtain necessary licenses/certifications
• Knowledge of industry standards and practices related to claims processing
• Experience with claims and business software