Senior Claims Director

Arthur J. Gallagher & Co. (AJG); Portland (OR); Remote; USD 120,000 - 175,000; Full time

Job summary

A leading insurance brokerage is seeking a Claims Adjuster to analyze and handle complex claims. This remote role requires at least 7 years of experience in Medical Malpractice claims and the ability to negotiate settlements. The ideal candidate will possess strong analytical skills and a deep understanding of claims processes. Competitive compensation up to $175,000, with a range of benefits including medical plans and flexible work hours.

Benefits

Medical/dental/vision plans

401(k) and Roth options

Educational expense reimbursement

Paid parental leave

Digital mental health services

Training programs

Qualifications

• Minimum of 7+ years of experience handling claims in Medical Malpractice.
• Proven ability to handle complex claims issues at a senior level.
• Licensed or able to acquire necessary licenses per local requirements.

Responsibilities

• Analyze and settle complex claims within Gallagher Bassett’s specialty areas.
• Handle the full life cycle of assigned claims files from intake to resolution.
• Conduct thorough investigations and develop settlement strategies.

Skills

Claims handling experience

Analytical skills

Negotiation skills

Communication skills

Education

High school diploma

Bachelor's Degree

Tools

Claims management software

Job description

Introduction

Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You’ll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our clients and claimants, offering you the opportunity to join a team where your skills and dedication can truly make a difference. GUIDE. GUARD. GO BEYOND.

We believe that every candidate brings something special to the table, including you! So, even if you feel that you’re close but not an exact match, we encourage you to apply.

Overview

Salary: up to $175,000 per year, dependent upon experience

Jurisdictions: Open to any

Licenses: BAR License and/or Adjusters License – must be willing to obtain all licenses stated by manager within specified timeframe

Location: This role is eligible for fully remote work, with a preference for candidates based in the Pacific or Mountain time zones.

How you’ll make an impact

• Analyze coverage and settle the most complex and challenging claims within Gallagher Bassett’s specialty claims areas (excluding workers’ compensation).
• Handle the full life cycle of all assigned claims files, from intake to resolution.
• Determine coverage applicability and defense obligations independently.
• Conduct thorough investigations and analysis to assess exposure and develop settlement strategies and action plans.
• Draft and issue reservation of rights and coverage denial letters.
• Negotiate settlements with clients, client attorneys, and public adjusters.
• Engage with all parties involved in the claims process; may recommend retaining outside experts when appropriate.
• Prepare reserve and settlement authority requests for both client and carrier approval.
• May act as a client advocate with carriers to ensure proper handling of claims, including scoping, estimating, and addressing coverage issues.
• Possess solid understanding of claims processing and the insurance brokerage business.
• Demonstrate deep knowledge of industry‑specific terminology, case law, and specialized claims areas.
• Handle claims in alignment with client and corporate policies, best practices, and all regulatory and ethical standards.
• Provide guidance and mentorship to junior adjusters.
• Capable of handling a full caseload independently and effectively.

About you

Potential candidates should have the following:

• Jurisdictional Experience: Any
• Active Adjusters’ licenses: must be willing to obtain all licenses stated by manager within specified timeframe

As a key member of our Claims Adjuster team, you will:

• Investigate, evaluate, and resolve complex Medical Malpractice claims, applying your claims experience and analytical skills to make informed decisions and bring claims to resolution.
• Work in partnership with our clients to deliver innovative solutions and improve the claims management process.
• Think critically, solve problems, plan, and prioritize activities to optimally serve clients.

Required qualifications

• High school diploma.
• Minimum of 7+ years of experience handling claims within the applicable specialty area (Medical Malpractice).
• Proven ability to handle complex and challenging claims issues at a senior adjuster level.
• Licensed and/or certified in all applicable states, or able to acquire necessary licenses per local requirements.
• Familiarity with accepted industry standards and practices.
• Proficient with relevant claims management and business software.

Desired qualifications

• Bachelor’s Degree
• JD
• Litigation Experience
• 10+ years of prior experience adjusting claims in applicable specialty area
• Experience in claims as well as the insurance legal and regulatory environment

Compensation and benefits

We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits.

Below are the minimum core benefits you’ll get, depending on your job level these benefits may improve:

• Medical/dental/vision plans, which start from day one!
• Life and accident insurance
• 401(k) and Roth options
• Tax‑advantaged accounts (HSA, FSA)
• Educational expense reimbursement
• Paid parental leave

Other benefits include

• Digital mental health services (Talkspace)
• Flexible work hours (availability varies by office and job function)
• Training programs
• Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing
• Charitable matching gift program
• And more…

Inclusion and diversity

We value inclusion and diversity. Click Here to review our U.S. Eligibility Requirements. We value inclusion and diversity.

Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non‑conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected by applicable federal, state, or local laws.

Equal employment opportunity will be extended in all aspects of the employer‑employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.