Senior Claims Examiner – Medical Malpractice – up to $175,000

Oliver James Group; New York (NY); Hybrid; USD 145,000 - 175,000; Full time

Job summary

Oliver James Group is seeking a Senior Claims Examiner for its Medical Malpractice team in the New York area. This senior-level technical role handles complex medical malpractice and E&O claims from first notice through resolution.

You will focus on coverage analysis, litigation strategy, and stakeholder management. Ideal candidates have 4+ years in medical malpractice claims, hold a P&C Adjuster License, and experience with bodily injury within healthcare.

Qualifications

• 4+ years medical malpractice / healthcare claims experience
• P&C Adjuster License is essential
• Strong experience with bodily injury within healthcare claims
• Exposure to coverage interpretation and other coverage matters
• Experience with litigation through all stages of the claims process
• Background with a reputable carrier or law firm
• Bachelor's degree required

Responsibilities

• Handle mid to complex medical malpractice / healthcare E&O claims through to conclusion
• Lead coverage investigations and draft detailed coverage position letters independently
• Manage litigated files, coordinating defense counsel and driving strategy through to resolution
• Evaluate liability, damages, and settlement exposure on higher-severity claims
• Maintain strong relationships with brokers, insureds, attorneys, and internal stakeholders

Skills

Medical malpractice

Litigation experience

Coverage analysis

Stakeholder management

Bodily injury experience

Education

Bachelor's degree

Job description

Senior Claims Examiner - Medical Malpractice3 days in office from Midtown Manhattan NYC Excellent base salary $145,000 - $175,000 + 10% annual bonus

A leading insurance organization hiring a Senior Claims Examiner for their Medical Malpractice team. This is a senior-level technical role handling complex a range of medical malpractice / healthcare claims, along with other E&O claims if required. You will manage mid to high-exposure claims from first notice through resolution, with a strong focus on coverage analysis, litigation strategy, and stakeholder management.

Key Responsibilities

• Handle mid to complex medical malpractice / healthcare E&O claims through to conclusion
• Lead coverage investigations and draft detailed coverage position letters independently
• Manage litigated files, coordinating defense counsel and driving strategy through to resolution
• Evaluate liability, damages, and settlement exposure on higher-severity claims
• Maintain strong relationships with brokers, insureds, attorneys, and internal stakeholders

Qualifications

• 4+ years medical malpractice / healthcare claims experience gained from an insurer or law firm. Please note we can consider Attorneys looking to move in-house to insurance
• P&C Adjuster License - essential to be considered
• Strong experience with bodily injury cases within healthcare claims
• Strong exposure to coverage interpretation and other coverage matters
• Experienced within litigation through all stages of the claims process
• Background with a reputable carrier or law firm
• Bachelor's degree required

This insurer is rapidly expanding in the US so they can offer excellent progression opportunities.