Senior Claims Repesentative (Medical Malpractice)

Polikov Recruitment Solutions; Georgia (VT); Remote; USD 90,000 - 130,000; Full time

Benefits offered by this job

100% remote flexibility

Collaborative environment

Opportunity for growth

Job summary

A leading medical professional liability insurance carrier is seeking a Senior Claims Examiner for a remote role. The ideal candidate will have over 7 years of casualty claims experience, including 2–3 years in medical malpractice. Key responsibilities include investigating claims, managing defense counsel, and negotiating settlements. This position offers meaningful work in a collaborative environment focused on healthcare stability and growth.

Qualifications

• 7+ years in casualty claims with 2–3 years in medical malpractice.
• Strong litigation experience and negotiation skills.
• Excellent communication, organizational, and analytical skills.

Responsibilities

• Investigate and resolve medical malpractice claims.
• Select and manage defense counsel.
• Negotiate settlements with plaintiffs.
• Review and analyze medical records.
• Direct litigation management, including depositions, mediations, and trials.
• Negotiate settlements with plaintiffs and counsel.
• Provide claim status reports to reinsurers and leadership.
• Collaborate cross-functionally with underwriting and other departments.

Skills

Litigation experience

Negotiation skills

Communication skills

Analytical skills

Job description

Overview

A leading medical professional liability insurance carrier is seeking an experienced Senior Claims Examiner to join its claims team. This is a remote role requiring willingness to travel and experience handling medical malpractice claims.

The Opportunity:

You will investigate, evaluate, and resolve complex medical professional liability claims, including those involving high severity and litigation. As a senior member of the claims team, you’ll partner with defense counsel, medical experts, and insured physicians while providing insights to internal stakeholders across underwriting, risk management and finance.

Key Responsibilities:

• Investigate, analyze, and resolve medical malpractice claims.
• Select and manage defense counsel.
• Retain and consult with medical experts.
• Review and analyze medical records.
• Direct litigation management, including depositions, mediations, and trials.
• Negotiate settlements with plaintiffs and counsel.
• Provide claim status reports to reinsurers and leadership.
• Collaborate cross-functionally with underwriting and other departments.

Qualifications:

• 7+ years in casualty claims, with at least 2–3 years in medical malpractice claims.
• Strong litigation and negotiation experience.
• Excellent communication, organizational, and analytical skills.

Why This Role:

• 100% remote flexibility with meaningful, high-impact work.
• Stability and growth at a respected, physician-focused carrier.
• Opportunity to shape outcomes for physicians and the healthcare community.
• A collaborative and mission-driven environment.

For more information, please contact Lance Polikov - [e-mail]

Keywords include Medical Malpractice Claims, Medical Professional Liability, Hospital Professional Liability, Medical Negligence Claims, Complex Litigation Claims, Professional Liability Claims, Errors & Omissions – Medical, Medical Indemnity, Casualty Claims Specialist, Defense Litigation Management, Medical Records Review, Bodily Injury Claims – Medical, Healthcare Risk Claims, Malpractice Insurance Examiner

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Management, Legal, and Analyst
• Industries: Insurance

Note: This posting is for the Senior Claims Examiner role and does not include other job listings.