Senior Claims Analyst - 255867

We are looking for a dedicated Senior Claims Analyst to join our team. In this role, you will be responsible for the end-to-end management of medical professional liability claims. You will investigate incident particulars, determine appropriate financial reserves, and drive cases toward a fair resolution. This is an ideal role for a claims professional who is looking to deepen their expertise in the specialized medical malpractice sector.

Responsibilities

• Claim Lifecycle Management: Execute full-cycle handling of claims, from initial coverage investigation and documentation to final file closure.
• Financial Oversight: Evaluate medical records and incident details to establish and maintain accurate indemnity and expense reserves.
• Negotiation & Resolution: Directly negotiate settlements and partner with defense counsel to resolve matters efficiently.
• Legal Participation: Represent the company at mediations and trials as required to support the defense strategy.
• Communication: Maintain proactive, transparent contact with insured healthcare providers, internal leadership, and cross-functional departments.
• Operational Quality: Adhere to industry best practices and internal protocols to ensure the highest level of data integrity and organized file management.

Required Skills

• Education: Bachelor’s degree or Juris Doctor (JD) required.
• Experience: Minimum of 3+ years of professional claims handling experience.
• Licensing: Must be able to obtain a New York Adjuster’s License within 6–12 months of start date.
• Technical Skills: Strong analytical ability with a high level of attention to detail and a commitment to ethical judgment.
• Communication: Proficient business writing and verbal skills for effective reporting and presentation.
• Logistics: Ability to work on-site during the training period and travel (including occasional overnight stays) for legal proceedings.

Schedule/Shift

• This role offers the stability of an established team with the modern flexibility of a hybrid model.
• Initial Phase: Full-time on-site for training and integration.
• Long-Term: Transition to a hybrid schedule (3 days in-office / 2 days remote). Please note that remote days are typically scheduled Tuesday through Thursday to ensure team cohesion on Mondays and Fridays.

Hybrid after ramping up to a full caseload and passing internal audits. Timeline depends on individual and their experience - should be roughly 6 months.