Medical Malpractice Lead Claims Specialist - Long Term Care

Introduction :

Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing.

You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our clients and claimants, offering you the opportunity to join a team where your skills and dedication can truly make a difference. GUIDE. GUARD. GO BEYOND.

We believe that every candidate brings something special to the table, including you! So, even if you feel that you’re close but not an exact match, we encourage you to apply.

Overview : Role specifics :

Role specifics :

• Jurisdictions : Open to any
• Licenses : Claims Adjuster Licenses or Law Licenses required (must be willing to obtain all licenses stated by manager)
• Location : Fully remote

How you'll make an impact :

Independently conducts 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 and may supervise lower level adjusters.

About you :

Potential candidates should have the following :

Claims Background : Long Term Care / Medical Malpractice Claims

Jurisdictional Experience : Open to any

Active Adjusters' licenses : Claims Adjuster Licenses or Law Licenses required (must be willing to obtain all licenses stated by manager)

As a key member of our Claims Adjuster team, you will :

Investigate, evaluate, and resolve complex Long Term Care 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 enhance the claims management process

Think critically, solve problems, plan, and prioritize activities to optimally serve clients

REQUIRED QUALIFICATIONS :

High school diploma

7 or more years related claims experience and proven track record to handle complex claims issues at a senior adjuster level

Appropriately licensed and / or certified in all states in which claims are being handled

Knowledge of accepted industry standards and practices

Computer experience with related claims and business software

DESIRED : Bachelor's Degree

Bachelor's Degree

10+years of prior experience adjusting claims in applicable specialty area

Experience in claims as well as the insurance legal and regulatory environment

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Compensation and benefits :

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

to review our U.S. Eligibility Requirements

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 (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as protected characteristics ) by applicable federal, state, or local laws.

Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination.

In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.