State Licensed Complex Loss Specialist

Job Summary

Specializing in complex Allied Health claims, the full-time State Licensed Complex Loss Specialist will manage high exposure losses, conduct thorough investigations, and provide strategic analysis and presentations to senior executives while working remotely.

Key responsibilities

• Investigate and evaluate complex healthcare liability claims, including medical malpractice and professional liability exposures
• Build and maintain productive relationships with internal and external stakeholders, ensuring effective communication throughout the claims process
• Draft reservation of rights letters and coverage denial communications for supervisor review, while documenting all activities in claim files

Required qualifications

• Minimum of 10 years of claims experience, with a focus on complex Allied Health claims
• College degree or equivalent claims management experience required
• Active individual adjusting license for a designated home State
• Proficient in Microsoft Outlook, Word, and Excel
• Minimum of 10 years of litigation management experience preferred