Medical Malpractice Claims Specialist — NY

CFC; New York (NY); On-site; USD 120,000 - 160,000; Full time

Job summary

CFC is seeking a Claims Specialist to manage US healthcare, medical malpractice and life sciences claims from first notification through settlement, delivering high-quality service to policyholders, brokers and capacity providers.

You will coordinate with Claims, Underwriting, Finance, IT and Products, manage deadlines, obtain licenses as required, and contribute to process improvements and product wording.

Qualifications

• Experience handling medical malpractice or general liability claims.
• Ability to manage deadlines and stakeholder relationships.
• Willingness to obtain US state claims adjuster licences.

Responsibilities

• Work on US healthcare, medical malpractice professional indemnity and life sciences claims from first notification of loss to settlement, including coverage, liability and quantum analysis.
• Ensure claims are handled in line with CFC best practice, delegated authorities, binding authority SLAs, TCF and conduct risk requirements.
• Build strong relationships with policyholders, brokers, underwriters, capacity providers and vendors to deliver excellent service.
• Prioritise claims activity effectively, managing key legal deadlines, demand letters and claims queries.
• Work with external service providers to ensure quality, value-for-money support within agreed timeframes.
• Support claims process improvements, management information, administration and issue escalation.
• Share claims insight with Underwriting and Products to support product development and policy wording improvements.
• Obtain and maintain relevant US state claims adjuster licences, including any required examinations and Continuing Education hours.

Skills

Medical malpractice knowledge

General liability claims

Communication skills

Job description

CFC is seeking a Claims Specialist to manage US healthcare, medical malpractice and life sciences claims from first notification through settlement, delivering high-quality service to policyholders, brokers and capacity providers.

You will coordinate with Claims, Underwriting, Finance, IT and Products, manage deadlines, obtain licenses as required, and contribute to process improvements and product wording.