Claims Specialist - Medical Professional Liability; Pennsylvania

Pro Assurance is a leading specialty insurer specializing in healthcare professional liability, products liability for medical technology and life sciences, legal professional liability, and workers' compensation insurance. This remote Claims Specialist position is based in Pennsylvania and supports our medical professional liability line of business.

The Claims Specialist directs the management of claims including investigation, coverage analysis, defense counsel monitoring, control of legal expenses, reserving, and providing technical expertise throughout the life of the claim file.

• 30% – Participate in review processes to evaluate coverage, liability, causation, damages, case value, reserves, and manage total claims cost. Ensure proper file documentation of assigned files in compliance with company and state requirements.
• 25% – Collaborate with defense counsel regarding case value, defense tactics, and strategies per department guidelines. Maintain communication with the director, defense counsel, and the insured. Participate in selection of expert witnesses when appropriate.
• 20% – Responsible for preparing reports for management by collecting, analyzing, and summarizing claim information. Keep appraised of changes in the law and court procedures affecting claims in assigned jurisdictions.
• 15% – Represent the Company through attendance at trials, settlement conferences, mediations, and insured meetings.
• 5% – Review and approve reasonable legal expenses and fees associated with the claim file and negotiate adjustment of charges when appropriate.
• 3% – Recommend resolution strategies and participate in settlement negotiations when appropriate.
• 2% – Perform special projects as directed by management.

• Bachelor's degree required.
• Advanced degree or certification in the medical, legal, or insurance field preferred.
• Minimum two years’ experience in the legal, medical, or insurance field, with a high degree of specialized and technical competence.
• Professional liability experience preferred.
• Excellent interpersonal, communication, and negotiation skills.
• Strong analytical skills.
• Proven leadership, communication, and writing skills.
• Strong interpersonal and relationship management expertise.
• Excellent organizational skills and the ability to handle multiple tasks effectively and efficiently.
• Proficiency in Microsoft Office applications.
• Ability to learn new computer software applications.
• Extensive travel may be required.
• Willingness and ability to be available beyond normal business hours.
• Ability to attend business functions and present a positive image of the Company.
• Valid driver’s license required.

Position Salary Range: $76,208.00 - $. Most candidates will start in the bottom half of the range. Salary is influenced by specific skills, years of experience, location, and comparison to other team members in this role.

Benefits include a best‑in‑class benefits program and a dynamic inclusive environment that supports professional growth.