Senior Resolution Specialist- Medical Malpractice- Hospital and Physician Claims

Senior Resolution Specialist – Medical Malpractice – Hospital and Physician Claims

Join to apply for the Senior Resolution Specialist – Medical Malpractice – Hospital and Physician Claims role at Gallagher Bassett
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Base Pay Range: $73,000 – $117,000 per year.

Salary (up to $160,000 per year, dependent on experience).

Location: Fully remote.

Jurisdictions: Open to any.

Licenses: Must be willing to obtain all licenses stated by manager within specified timeframe.

Introduction: At Gallagher Bassett, we’re there when it matters most because helping people through challenging moments is more than just our job – it’s our purpose. Every day we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership – and that’s exactly what you’ll find here.

We’re a team of fast‑paced fixers, empathetic experts, and outcomes drivers – people who care deeply about doing the right thing and doing it well. Whether you’re managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work.

Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose.

• Analyze coverage and settle moderately complex claims in Gallagher Bassett’s specialty claims area (Medical Malpractice).
• Generally, the incumbent does not work on workers’ compensation claims.
• Manage the full‑life cycle of all assigned claims files.
• Determine coverage and defense obligations.
• Conduct thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and action plans, under minimal supervision.
• Create reservation of rights and coverage denial letters.
• Negotiate settlements with clients, client attorneys, and public adjusters.
• Interact extensively with various parties involved in the claims process and recommend retaining outside experts as necessary.
• Prepare reserve and settlement authority requests for client and carrier approval.
• Act as a client advocate with carriers to ensure proper claims handling, including scoping, estimating, and addressing coverage.
• Maintain a solid understanding of claims processing and the insurance brokerage business.
• Possess a basic understanding of terminology and case law associated with the specialized claims niche/industry.
• Handle claims consistent with clients’ and corporate policies, procedures, and best practices and in accordance with statutory, regulatory, and ethical requirements.
• Work at full case‑load capacity at this level.

• Claims background in Medical Malpractice – Hospital and Physician Claims Management.
• Open to any jurisdictional experience.
• Active adjuster’s licenses or willingness to obtain all required licenses as specified by manager.

• High school diploma and 5 years of related claims experience.
• Prior experience within the applicable specialty claims area or demonstrated ability to handle unique/challenging claims issues.
• Appropriately licensed or certified in all states where claims are being handled, or ability to obtain required licenses/certifications per local requirements.
• Knowledge of accepted industry standards and practices.
• Computer experience with related claims and business software.

• Bachelor’s degree preferred.
• Two or more years of prior experience adjusting claims in the applicable specialty area preferred.
• Law degree (JD) highly preferred.
• Litigation experience.

• Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, and communicate effectively both verbally and in writing.
• Analytical skills necessary to make decisions and resolve issues inherent in handling claims.
• Ability to negotiate settlements and dispositions of claims, including interpreting related documentation.

Not Applicable.

Full‑time.

Other.

Insurance.

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