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About the Role

An independent claims handler responsible for managing the end-to-end claims process for healthcare professional liability policies. This role supports the company's vision of being a high-performing, sustainable specialty insurer by proactively managing claims at both individual and portfolio levels.

Responsibilities

• Proactively manage a diverse portfolio of healthcare professional liability claims from first notice of loss through resolution.
• Evaluate policy coverage, draft coverage position letters, and communicate determinations to stakeholders.
• Manage medium to high severity claims, including those exceeding $500,000.
• Maintain accurate claims records and ensure compliance with regulatory and internal standards.
• Establish and maintain timely case reserves according to authority protocols.
• Develop and execute claims strategies considering uncertainties and potential costs.
• Communicate material claims to Reinsurance and Finance departments.
• Collaborate with underwriters to share market information, identify trends, and improve policy wordings.
• Participate in client meetings to represent the company's claims philosophy.
• Manage third-party professionals and administrators, including conducting audits and file reviews.
• Develop and maintain strong relationships with key brokers and insureds.
• Adhere to internal policies regarding conflicts of interest and conduct risk.

Requirements

• College degree.
• Five or more years of experience handling professional liability claims, preferably in medical malpractice.
• Ability to obtain required adjuster licenses within the first 90 days of employment.
• Legal training or claims experience, including assessing liability and negotiating settlements.
• Knowledge of US and international insurance markets and regulatory frameworks.

Skills

• Analytical and problem-solving skills
• Financial statement analysis
• Data analysis and decision-making
• Time and workload management
• Influencing and negotiation skills
• Client and broker management
• Purposeful communication
• Active listening
• Attention to detail

Location

• United States

Work Type

• Full-time

Experience Level

• 5+ years of experience

Education Level

• College degree
• J.D. preferred

Salary/Compensations

• $130,000 - $160,000 per year plus discretionary annual bonus

Benefits

• Discretionary performance-related bonus
• Medical, dental, and vision insurance
• Company-paid life, short-term, and long-term disability insurance
• 401(k) plan with 5% company match and immediate vesting
• 22 days PTO plus 11 paid holidays
• Up to $700 home office setup reimbursement
• Free in-office lunch and travel reimbursement
• Monthly lifestyle allowance
• Up to 26 weeks of fully paid parental leave
• Up to 2.5 days paid annually for volunteering
• Professional development programs including mentorship, tuition reimbursement, and internal pathways

About the Company

• Specialist insurance company with over 30 years of experience managing global risk.
• Offers a wide range of products including cyber, tech, marine, healthcare, and financial institution insurance.
• Operates with a family-feel culture that emphasizes collaboration, diversity, and personal accountability.
• Core values include being bold, striving for better, and doing the right thing.

Equal Opportunity

• We actively encourage and expect applications from all backgrounds.
• Committed to building a diverse, inclusive, and authentic workplace.