Senior Claims Specialist- Healthcare

Overview

Salary: up to $165,000 per year, dependent upon experience

Jurisdictions: Open to any

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

Location: This role is eligible for fully remote work.

• Independently conduct detailed analysis vital to investigating claims exposure and recommend appropriate settlement strategies and action plans.
• Create reservation of rights, coverage denial letters, negotiate and resolve settlements directly with involved parties.
• Interact extensively with various parties involved in the claims process and may recommend retaining the advice of outside specialists.
• Handle claims consistent with clients’ and corporate policies, procedures in accordance with any statutory, regulatory and ethical requirements within specialized niche/industry.
• Document and communicate claim activity timely and efficiently and in a manner which supports the outcome of the claim file.
• Coach, mentor less experienced adjusters.

Potential candidates should have the following:

• Claims Background: Medical Malpractice
• 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

• High School Diploma.
• Minimum of 7 years related claims experience.
• Appropriate licensing and/or certification in all states in which claims are being handled.
• Knowledge of accepted industry standards and practices.
• Computer experience with related claims and business software.

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

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...

We value inclusion and diversity

Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.

Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest.

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…