Senior Claims Specialist - Texas Licensed

Job Summary

Managing moderately complex Healthcare Professional Liability - Medical Malpractice claims, the fully remote Senior Claims Specialist - Texas Licensed 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 claims in Healthcare Professional Liability
• Conducts thorough investigations to determine claims exposure and recommends appropriate settlement strategies
• Negotiates settlements with clients, client 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 the applicable specialty claims area or ability to handle unique claims issues
• Appropriately licensed or able to obtain necessary licenses/certifications for claims handling
• Knowledge of accepted industry standards and practices
• Computer experience with related claims and business software