Senior Claims Repesentative (Medical Malpractice)
Polikov Recruitment Solutions
Overview A leading medical professional liability insurance carrier is seeking an experienced Senior Claims Examiner to join its claims team. This is a remote role requiring willingness to travel and experience handling medical malpractice claims . The Opportunity: You will investigate, evaluate, and resolve complex medical professional liability claims, including those involving high severity and litigation. As a senior member of the claims team, you’ll partner with defense counsel, medical experts, and insured physicians while providing insights to internal stakeholders across underwriting, risk management and finance. Key Responsibilities: Investigate, analyze, and resolve medical malpractice claims. Select and manage defense counsel. Retain and consult with medical experts. Review and analyze medical records. Direct litigation management, including depositions, mediations, and trials. Negotiate settlements with plaintiffs and counsel. Provide claim status reports to reinsurers and leadership. Collaborate cross-functionally with underwriting and other departments. Qualifications: 7+ years in casualty claims, with at least 2–3 years in medical malpractice claims. Strong litigation and negotiation experience. Excellent communication, organizational, and analytical skills. Why This Role: 100% remote flexibility with meaningful, high-impact work. Stability and growth at a respected, physician-focused carrier. Opportunity to shape outcomes for physicians and the healthcare community. A collaborative and mission-driven environment. For more information, please contact Lance Polikov - View email address on click.appcast.io Keywords include Medical Malpractice Claims, Medical Professional Liability, Hospital Professional Liability, Medical Negligence Claims, Complex Litigation Claims, Professional Liability Claims, Errors & Omissions – Medical, Medical Indemnity, Casualty Claims Specialist, Defense Litigation Management, Medical Records Review, Bodily Injury Claims – Medical, Healthcare Risk Claims, Malpractice Insurance Examiner Seniority level Mid-Senior level Employment type Full-time Job function Management, Legal, and Analyst Industries: Insurance Note: This posting is for the Senior Claims Examiner role and does not include other job listings. #J-18808-Ljbffr Polikov Recruitment Solutions
- A leading medical professional liability insurance carrier is seeking a Senior Claims Examiner for a remote role. The ideal candidate will have over 7 years of casualty... ...experience, including 2-3 years in medical malpractice. Key responsibilities include investigating claims...SeniorMedicalClaimsRemote work
$95k - $110k
...Senior Commercial Lines Account Manager A growing, well-established... ...for assigned healthcare and medical accounts, ensuring a high... ...service calendar management, claim issue coordination, and internal... ...coverages, including Medical Malpractice, E&O, Cyber, D&O, EPLI, and...SeniorMedicalClaims- The Partners Group is seeking a seasoned attorney to lead its claims organization. This leadership role involves managing professional liability claims, focusing on medical malpractice, while mentoring a team of claims professionals. Candidates should have at least 7 years...MedicalClaimsRemote job
- ...University is seeking an experienced Associate General Counsel to support its healthcare system’s defense against medical malpractice and liability claims. The role involves litigation management, providing legal advice, and collaborating with clinical leaders. Ideal candidates...MedicalClaimsFlexible hours
- gpac is seeking an experienced litigation paralegal in Atlanta, Georgia. This role requires at least 5 years of experience in medical malpractice defense, assisting attorneys through all phases of litigation, drafting documents, and managing evidence. The ideal candidate...SeniorMedical
- Senior Specialist Financial Lines Claims Location: USA - Multi Office Locations (Chicago, Atlanta, New York,... ...Experience Experience handling legal malpractice and miscellaneous professional... ...pregnancy, childbirth, or related medical conditions; protected veteran status...SeniorMedicalClaimsContract workWork experience placementWork at officeWork from home
$88k - $145k
QBE Americas, Inc. is seeking a Senior Claims Specialist to manage complex claims effectively. You will assess policy coverage, investigate and negotiate claims, and provide technical guidance to enhance team development. This role offers a hybrid work arrangement and a...SeniorMedicalClaimsRemote job$100k - $125k
A leading claims management company is looking for a Sr. Claims Specialist to analyze complex claims and provide resolutions. Responsibilities... ...000 to $125,000 and a comprehensive benefits package including medical, dental, and 401k options. Join our team and grow your career...SeniorMedicalClaimsRemote job- ...years of experience. The position focuses on ensuring accurate claims adjudication and developing reimbursement policies, utilizing advanced... ...with healthcare data analysis, with certification in medical billing preferred. A comprehensive benefits package is offered....SeniorMedicalClaims
$69k - $115k
...Staff is hiring for a position handling homeowner property field claims in the Conyers or Covington, Georgia territory. The role... ...$69,000 - $115,000 and includes comprehensive benefits such as medical, dental, vision, and a retirement plan. Ideal candidates should...SeniorMedicalClaims- ...preparing financial analytics, negotiating coverage, and analyzing claims data. The ideal candidate has over 3 years of experience in... ...skills. USI offers a comprehensive benefits package including medical, dental, vision, and a generous paid time off policy. #J-18808...SeniorMedicalClaims
- American Family Insurance is seeking a Field Property Claims Adjuster to work primarily in the Conyers or Covington, Georgia area. Responsibilities... ...licensing. Employees receive extensive benefits including medical, dental, vision, a 401(k) plan, pension, and paid time off....SeniorMedicalClaims
- Concentra, Inc. is seeking a qualified candidate in Atlanta, Georgia for a full-time medical billing position. The role involves ensuring accurate billing and reconciliation of discrepancies while adhering to company practices and policies. The ideal candidate should possess...SeniorMedicalClaimsFull time
$80k
Sedgwick is looking for experienced claims professionals in Atlanta, Georgia, to manage complex commercial and personal auto claims,... ...starting salary of $80,000 along with a comprehensive benefits package including medical, dental, and 401k matching. #J-18808-Ljbffr SedgwickSeniorMedicalClaims- ...General Counsel to support Emory Healthcare’s defense of medical malpractice and general liability claims and related litigation. Reporting directly to the... ...updates for Emory Healthcare leadership, including senior executives and board committees. Insurance & Claims...MedicalClaimsLive inWork at officeRemote workWork from homeRelocationFlexible hours2 days per week
$120k - $150k
...Risk Manager / Senior Risk Analyst Location: Atlanta, Orlando or Tampa (Hybrid) — Remote... ...analysis of sales and loss performance. Analyze claims emergence and behavior across DGW... ...annually Benefits: Comprehensive Benefits (Medical, Dental, Vision). 401(k) retirement plan....SeniorMedicalClaimsContract workRemote work- Claims Assistant (Entry-Level) Provide administrative support to claims staff and perform other office tasks depending on the client... ...experience Claims Associate (Entry-Level) Analyze lower-level medical-only workers’ compensation claims to determine benefits due and...SeniorMedicalClaimsWork at officeFlexible hours
- ...provider of investigation, surveillance, medical management, and SIU services to property... ...and analysts have helped adjusters resolve claims faster, more accurately, and with better... ...Our Ethos team is seeking a full-time Senior Product Manager to lead the evolution of...SeniorMedicalClaimsFull timeWork at officeRemote work
- ...work. Primary Responsibilities Evaluates coverage based on the claim report, the insurance policy, endorsements and applicable... ...repair estimates to evaluate injuries and property damage. Obtains medical authorizations to secure records and bills to evaluate injury claims...SeniorMedicalClaimsContract workLocal area
- Job Overview A law firm seeks a Personal Injury Senior Attorney in Atlanta, GA. The ideal candidate will... ...of personal injury cases, including reviewing medical records and police reports. Interview clients to assess claims and establish trust. Provide legal counsel and educate...SeniorMedicalClaims
$75k - $100k
...Senior Analyst, Edits | Payment Integrity (Remote) CGI is seeking a results-oriented... ...Implementation Identify Opportunities: Use claim data analysis to pinpoint high-impact edit... ...opportunities. Translate Policy: Convert medical policy, CMS rules, and coding guidance...SeniorMedicalClaimsLocal areaRemote work- ...Senior Human Resources Coordinator The Senior Human Resources Coordinator will assist... ...valuable business and people skills. Medical, Dental, Vision benefits. Flexible Hours... ...team member uniforms Ensure unemployment claims are completed Facilitate team member and...SeniorMedicalClaimsFull timeFlexible hoursNight shiftWeekend work
$350k
...100 firm, is seeking a highly motivated Senior Associate Attorney or Senior Counsel to join... ..., and EEOC/DOL matters Wage and hour claims , statutory or common law privacy issues... ...Comprehensive Benefits Package: Includes medical, dental, vision, disability, and life insurance...SeniorMedicalClaims$73k - $96k
...the way we help customers to manage risk. Join us as a Senior Workers Compensation Claims Examiner to play your part in that transformation. It’s... ...regular contact with internal stakeholders and brokers, (medical) experts, clients’ lawyers, injured workers or their legal...SeniorMedicalClaimsWork at office- ...General information Job Title Senior Benefits Manager Date Friday, April 17, 2026 Entity... ...analysis, and monitoring of high-cost claims to ensure accurate forecasting and expenditure... ...• In-depth experience managing RBP medical plans, including navigating balance billing...SeniorMedicalClaimsFull timeWork at officeLocal areaRemote workShift work
- ...Senior Auditor Employment Type: Full Time, Mid-level CGS is seeking a Senior Auditor who will assist the district legal staff by conducting medical claims data analysis, forensic investigations, financial damages, statistical sampling, and ability-to-pay analyses...SeniorMedicalClaimsFull timeRemote workFlexible hours
- ...overlap detection, primacy determination, member outreach, and claims recovery Translate customer needs and market opportunities into... ...Workfrom anywhere in the US!Machinifyis digital-first. Top Medical/Dental/Vision offerings FSA/HSA Tuition reimbursement...SeniorMedicalClaimsTemporary workRemote workFlexible hours
$80k - $110k
...Senior Claims Examiner Build a brilliant future with Hiscox Bring your passion and enthusiasm to our team! We are a fun, innovative and growing... ...Comprehensive health insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care) Company paid group term...SeniorMedicalClaimsTemporary workWork at office2 days per week$165.1k - $313.15k
...answers to complex business challenges. Senior Healthcare Consultant Tasks Manage and develop... ...healthcare industry Design and execute claims-based data analyses to demonstrate... ...results presentation A deep understanding of medical coding systems (CPT, ICD, DRG, etc.) Detail...SeniorMedicalClaimsFull timeContract workTemporary workWork experience placementRemote workFlexible hours- Job Title: Senior Insurance Verifier Serves as an expert/senior team member while participating... ...of healthcare services to prevent claims denial and/or appointment cancellation/rescheduling... .... Develop and maintain knowledge in medical terminology, billing, and insurance...SeniorMedicalClaimsShift work
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