Texas Licensed Claims Specialist

Job Summary

Managing moderately complex Healthcare Professional Liability claims with a focus on Correctional Medicine, the fully remote Senior Claims Specialist 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

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

Required qualifications

• Bachelor's degree required
• Minimum 2+ years of experience in handling professional liability claims
• Strong understanding of claims processes and insurance fundamentals
• Proficiency with claims systems and standard business software
• Must be able to obtain required adjuster licenses within designated timeframes