Senior Resolution Specialist
RemotePosted 1 month ago Expired
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Upload Your ResumeAbout This Role
Analyze, investigate, and resolve complex medical malpractice claims in long-term care, handling the full claim lifecycle from intake to settlement. This role involves determining coverage, negotiating settlements, and providing mentorship to junior adjusters within Gallagher Bassett's specialty claims areas.
Responsibilities
- Analyze coverage and settle the most complex and challenging claims within Gallagher Bassett’s specialty claims areas (excluding workers' compensation)
- Handle the full life cycle of all assigned claims files, from intake to resolution
- Determine coverage applicability and defense obligations independently
- Conduct thorough investigations and analysis to assess exposure and develop settlement strategies and action plans
- Draft and issue reservation of rights and coverage denial letters
- Negotiate settlements with clients, client attorneys, and Public Adjusters
- Engage with all parties involved in the claims process; may recommend retaining outside experts when appropriate
- Prepare reserve and settlement authority requests for both client and carrier approval
- Act as a client advocate with carriers to ensure proper handling of claims, including scoping, estimating, and addressing coverage issues
- Provide guidance and mentorship to junior adjusters
Requirements
- High school diploma
- 5+ years of experience handling Medical Malpractice claims
- Proven ability to handle complex claims at a senior adjuster level
- Licensed and/or certified in all applicable states, or able to acquire necessary licenses per local requirements
- Familiarity with accepted industry standards and practices
- Proficient with relevant claims management and business software
Qualifications
- High school diploma
- Minimum of 5+ years of experience handling claims within the applicable specialty area (Medical Malpractice), with proven ability to handle complex and challenging claims issues at a senior adjuster level.
Nice to Have
- Bachelor's Degree
- Law Degree (JD)
- Litigation Experience
- 10+ years of prior experience adjusting claims in applicable specialty area
- Experience in claims as well as the insurance legal and regulatory environment
About Gallagher Bassett
Gallagher Bassett is a team of fast-paced fixers, empathetic experts, and outcomes drivers who help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives.