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
- 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
$100k - $140k
...Insurance Claims Medical Malpractice - Montpelier, VT Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare _ . REMOTE - WORK FROM HOME MAY BE AVAILABLE Administer and maintain litigation and claims functions...MedicalClaimsContract workRemote workWork from homeRelocation package$100k - $140k
...Claims Healthcare & Medical Malpractice - St Albans Twp, VT Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare _ . REMOTE - WORK FROM HOME MAY BE AVAILABLE Analyze and resolve complex and severe injury medical...MedicalClaimsContract workRemote workWork from homeRelocation package$100k - $125k
A leading insurance services firm seeks a Sr. Claims Specialist to analyze and process complex professional liability claims. The role... ...salary range of $100,000 to $125,000 with a comprehensive benefits package including medical and retirement options. #J-18808-LjbffrSeniorMedicalClaimsRemote work$70.9k - $76.9k
...System, Inc. in Montpelier, Vermont is seeking an experienced claims adjuster to manage Auto Liability claims within a self-insured... ...offers a competitive salary between $70,900 and $76,900, along with comprehensive benefits, including medical and 401(k). #J-18808-LjbffrSeniorMedicalClaims$183k - $228.8k
...segments like Industrial Quality & Research, Medical Technology, Consumer Markets and... ...position is a remote role. What's the role? The Senior Advisor,Regulatory and Clinical Affairs,... ...material review et al.) Reviewproduct claims and plans for substantiation of those, and...SeniorMedicalClaimsLocal areaRemote work$55k - $65k
...an IMA Company is seeking an experienced Senior Personal Lines Account Manager to join our... ...Performance Bonus, Stock Purchase, Medical Plans, Prescription Drugs, Dental, Vision... ...relationships, earn competitive benefits, plus claim part ownership? It's this unique...SeniorMedicalClaimsTemporary workInternshipLocal areaRemote workFlexible hours$94k - $110k
...fulfilling a single patient’s request for their medical records to powering the AI revolution in... ...in healthcare. Role Summary: The Senior HR Generalist role is a cross-functional,... ...EEOC, DOL, and other employment-related claims, serving as a knowledgeable resource for...SeniorMedicalClaimsWork at office$75k - $85k
...Workplaces in Financial Services & Insurance Senior Business Analyst - Data & Insights... ...comprehensive benefits offering including medical, dental vision, 401k, PTO and more.... ...Sedgwick is the world's leading risk and claims administration partner, which helps clients...SeniorMedicalClaimsFlexible hours$20.5 - $27.5 per hour
...those to physicians.Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient... ...developing and maintaining good relationships with the local medical community, including physicians, nurses, and other health care...SeniorMedicalClaimsHourly payWork experience placementLocal areaImmediate startFlexible hoursAfternoon shift$27.02 per hour
...GENERAL OVERVIEW: This job analyzes Individual and/or Group medical risk factors for new enrollment, yearly renewals, and amendments... ..., type of industry, characteristics of employee groups, or past claim experience to determine what benefits can be offered, which is a...SeniorMedicalClaimsFor contractorsWork at officeLocal area- ...Claims Adjuster At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more... ...ll get, depending on your job level these benefits may improve: Medical/dental/vision plans, which start from day one! Life and accident...SeniorMedicalClaimsLive outWork at officeLocal areaRemote workFlexible hours
$90.4k - $117k
...sustainable, and hands-on approach. The Senior Insurance Systems Product Owner is responsible... ..., policy administration, billing, claims, and reporting needs. This position requires... ...available to eligible employees: Medical (including Vision) Dental Core Benefits...SeniorMedicalClaimsFull timeTemporary workFor contractorsWork at officeImmediate startRemote workVisa sponsorshipMonday to FridayFlexible hours$249.97k - $388.13k
...is seeking an experienced and visionary Senior Director, Global Clinical Development (GCD... ...the highest standards of scientific and medical integrity. The incumbent will be responsible... ...application processing fee, even if claimed you will be reimbursed, this is not Otsuka...SeniorMedicalClaimsTemporary workLocal areaFlexible hours$134.62k - $201.25k
...on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. The Senior Manager, Employee Relations, will be a champion... ..., assess risk related to employee claims, navigate change, and help to build a sustainable...SeniorMedicalClaimsTemporary workWork at officeLocal areaWorldwideFlexible hours$100k - $125k
...Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL | Remote Primary... ...benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance...SeniorMedicalClaimsWork at officeLocal areaRemote workFlexible hours$250.6k - $384.6k
...Assurance team is seeking a hands‑on technical senior manager with extensive experience in the... ...of the ADS Safety Case, including key claims, sufficiency criteria, and recommended... ...benefit programs. Benefit options include medical, dental, vision, Health Savings Account,...SeniorMedicalClaimsOdd jobPermanent employmentLocal areaRemote workWork from homeFlexible hours$95.63k - $140.25k
...this position. Role Summary The Senior Auditor - Financial & Operational Audits... ...New business and issue processing Claims and benefits administration Billing, commissions... ...may also include a full range of medical, financial, and/or other benefits (including...SeniorMedicalClaimsHourly payFull timeFlexible hours- ...The follow-up biller is responsible for reviewing and resolving third party claims for the CBO department of SVMC. High school diploma or equivalent required. Prior experience using electronic billing software preferred. Prior medical billing experience preferred....MedicalClaimsWork at office
$21.5 - $26 per hour
...revalidation and disenrollment responsibilities. Experience in medical or behavioral health billing is preferred but not required for the... ..., Medicare, Commercial, and Medicaid billing guidelines, and claim submission is helpful. Exceptional communication and organizational...MedicalClaimsHourly payFull time$63.4k - $85k
...A claims management organization is seeking a Claims Examiner for a remote position. The role involves analyzing workers' compensation... ...work schedule and a comprehensive benefits package, including medical, dental, and 401K. The expected salary range is $63,404 - $85,0...MedicalClaimsRemote workFlexible hours- ...A leading claims management company is seeking a Claims Examiner to analyze California workers compensation claims remotely. The candidate... ...development opportunities, and a comprehensive benefits package including medical, dental, and 401k from day one. #J-18808-Ljbffr...MedicalClaimsRemote workFlexible hours
$63.4k - $80k
Sedgwick is seeking a Claim Examiner to analyze complex water damage claims, ensuring benefits due are accurately determined. Responsibilities... ...work schedule and a comprehensive benefits package, including medical and 401k from day one. Pay range is between $63,404 and $80,000...MedicalClaimsRemote workFlexible hours- ...Billing Clerk The Billing Clerk is responsible for reviewing, processing and coordinating claims for the accounts receivable department of Southwestern Vermont Medical Center. Requirements: High School Diploma or equivalent required. Must have the ability to learn and...MedicalClaims
$21.5 - $26 per hour
...Accounts Receivable team of our Finance Department. Experience in medical or behavioral health billing is preferred but not required for... ...understanding of Medicare, Commercial, and Medicaid billing guidelines, claim submission and denial management is helpful. Exceptional...MedicalClaimsHourly payFull time$90k - $105k
...Fortune Best Workplaces in Financial Services & Insurance Complex Claims Advisor | Commercial Trucking PRIMARY PURPOSE OF THE ROLE To... ...benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance...MedicalClaimsWork at officeLocal areaFlexible hours- ...Medical Billing Specialist Remote Remote Medical Billing Specialists provide best-in-class billing services to our private pediatric practice clients. Review claims for accuracy; oversee processing of claims to payers; resolve insurance company payments that are late...MedicalClaimsPrivate practiceLocal areaRemote work
$50k - $55k
...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto PRIMARY PURPOSE OF THE ROLE: To analyze... ...comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life...MedicalClaimsContract workWork at officeFlexible hours$70 - $90 per hour
...handle credentialing, billing, and insurance claims so providers can enjoy the freedom of... ...will be a strong mutual fit. Seniority level ~ Seniority level Mid-Senior level... ...Provider Industries Mental Health Care, Medical Practices, and Hospitals and Health Care...MedicalClaimsContract workPrivate practiceRemote workWeekend workAfternoon shift$140k
...A leader in medical technology is seeking a Regional Sales Manager for the South Central US region. This remote role involves meeting sales quotas, managing Territory Managers, and leading a successful sales team. The ideal candidate will have 5-7 years of outside sales...SeniorMedicalRemote work
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