Senior Complex Claims Professional
$160k - $180kBHSI
Job Opportunity BHSI has an exciting opportunity for a Senior Complex Claims Professional on our Casualty claims team. At BHSI, claims is not a support function—it is a core pillar of our business. Our claims professionals are trusted experts who bring deep technical expertise, sound judgment, and a commitment to delivering exceptional outcomes for our clients. In this role, you will manage a portfolio of complex casualty claims, handling matters from initial notice through resolution. You will play a key role in driving strategy, advising stakeholders, and delivering best‑in‑class claims outcomes while working alongside a highly collaborative and experienced team. We are seeking an experienced professional to join our team in New York. This position is a great opportunity for practicing lawyers looking to transition out of a law firm as well as claim professionals with casualty claims experience. Duties and Responsibilities Lead end‑to‑end claims management for complex casualty claims across primary and excess policies Take ownership of the full claims lifecycle, from first notice of loss through final resolution Serve as a trusted advisor to internal partners, insureds, and brokers Analyze policy language and draft clear, well‑supported coverage determinations Drive investigations forward, coordinating with experts and ensuring timely progress Manage defense counsel and external vendors, maintaining strong oversight and accountability Partner closely with insureds and brokers throughout the lifecycle of the claim Assess liability, damages, and coverage exposure to inform strategic decision‑making Set and manage reserves within authority, providing recommendations where appropriate Prepare clear, concise reporting that reflects claim strategy and developments Represent BHSI at mediations, client meetings, and trials as needed Qualifications, Skills and Experience A minimum of 15 years of experience handling Casualty claims, or matching equivalency. Strong technical expertise in complex claims analysis and resolution JD preferred, particularly for candidates transitioning from private practice, but not required Demonstrated ability to work independently while collaborating effectively in a team environment Exceptional communication, negotiation, and investigative skills Ability to manage multiple priorities in a fast-paced, dynamic environment Experience handling excess claims across multiple jurisdictions Must possess or be willing to obtain required adjuster licenses BHSI Offers A competitive package and exciting growth opportunities for career‑oriented teammates. A dynamic, action‑oriented, and thoughtful environment centered on always doing the right thing for our customers, teammates, and our other stakeholders. A purposely non‑bureaucratic organization that embraces simplicity over complexity and emphasizes individual excellence in a team framework. Benefits that support your life and well‑being, which include: Comprehensive Health, Dental and Vision benefits Disability Insurance (both short‑term and long‑term) Life Insurance (for you and your family) Accidental Death & Dismemberment Insurance (for you and your family) Flexible Spending Accounts Health Reimbursement Account Employee Assistance Program Retirement Savings 401(k) Plan with Company Match Generous holiday and Paid Time Off Tuition Reimbursement Paid Parental Leave The base salary range for this position is $160,000 to $180,000, along with annual bonus eligibility. Total compensation for a candidate is determined by their relevant skills, location, and experience. We value our teammates – both their capabilities and character – as demonstrated by our amazing culture. NOTE: Compensation will be commensurate with experience. This job description is not intended to be all-inclusive. Team Member may perform other related duties as negotiated to meet the ongoing needs of the organization. #J-18808-Ljbffr BHSI
$160k - $180k
...rated balance sheet, and the expertise of our global team of professionals, who exude excellent capabilities and strong character.... ...Job Opportunity: BHSI has an exciting opportunity for a Senior Complex Claims Professional on our Casualty claims team. At BHSI, claims...ClaimsTemporary workPrivate practiceFlexible hours- Position Title: Neuro Interventional Radiology Professional Coding Specialist II Department: Revenue... .... Job Overview Independent coding of complex professional encounters across multiple... ...coding rules to professional fee claims. Provide real-time guidance to peers on...ClaimsWork at officeRemote work
$76.21k - $125.76k
ProAssurance is seeking a Claims Specialist to manage claims and provide technical support throughout the claim file's life. The position... ...of $76,208.00 to $125,756.00, along with comprehensive benefits and professional growth opportunities. #J-18808-Ljbffr ProAssuranceClaimsRemote job$135k - $165k
Zurich is seeking a Legal Claims Professional for our growing Management Solutions group. Role Summary The Legal Claims Professional will... ...potentially transactional liability claims of moderate to high complexity under limited supervision. Responsibilities include...ClaimsFull timeTemporary workWork at officeVisa sponsorship- ...Description Job Description - National Insurance Carrier is looking for an experienced EPL Claims Manager that is currently managing a team. Prior experience in EPLI & professional liability claims is preferred but not mandatory. Will need a minimum of 5 to 7 years...Claims
$135k - $165k
Overview Zurich is currently looking for a Legal Claims Professional for our growing Management Solutions group. If you are ready for a career... ...-Profit D&O, EPL, and Fiduciary claims of moderate to high complexity under limited supervision. The ideal candidate will have...ClaimsFull timeTemporary workSummer workWork at officeRemote workVisa sponsorshipFlexible hours$140k - $170k
HICIX Hiscox Insurance Company Inc. is looking for a Senior Complex Claims Specialist to manage high-severity Professional Liability claims. This role involves overseeing the claims process from start to finish while collaborating with internal and external stakeholders...Claims- ...with AI-powered analysis and workflow tools to resolve insurance claims faster and recover more money than insureds can alone. When... ...much more compelling story. The value offered by great Claims Professionals is rarely well understood. The combination of expertise, technology...ClaimsBase plus commissionLocal areaRemote workFlexible hours
$142.83k - $208.17k
...reputable insurance company in New York is seeking an experienced Complex Claim Director to manage Personal Umbrella Liability claims. The... ...extensive benefits package including stock ownership, paid time off, and professional growth opportunities. #J-18808-Ljbffr RLI CorpClaims- A leading insurance company is seeking a Complex Cyber Claims Specialist in New York City. This role involves investigating and evaluating... ...as medical and retirement plans. Join a team of dedicated professionals in a dynamic environment. #J-18808-Ljbffr Sea Wolf...ClaimsFlexible hours
- A leading professional liability firm is seeking a Senior Claims Examiner responsible for managing complex professional liability claims, particularly within educational environments. The ideal candidate will have at least 10 years of experience in claims management, a...ClaimsRemote work
- ...you. Admin Done for You ~ We handle credentialing, billing, claims, EHR, and tech support—so you can focus your time and energy on clinical work. Professional Autonomy ~ Decide how many clients you see and when. Adjust your...ClaimsLive inWork at officeRemote work
$88.5k - $154.9k
A leading global insurance company is seeking a Claims Specialist - Design Professional in New York, NY. In this role, you will manage professional liability claims for architects and engineers, ensuring effective communication and optimal claim management. Your responsibilities...Claims$90 per hour
...Payment protection for no-shows, late cancellations, & denied claims Why Join Rula? Our dedicated therapist community is made... ...Minimum Qualifications Must be licensed as a Licensed Clinical Professional Counselor (LCPC), Licensed Clinical Marriage and Family...ClaimsHourly payFor contractorsPrivate practiceWork at officeRemote work- Polikov Recruitment Solutions is seeking a Senior Claims Specialist to join their professional liability claims team, focusing on Lawyers Professional Liability... ...will have over 7 years of experience in handling complex professional liability cases, providing an...Claims
- A leading insurtech platform is looking for a Claims Manager to oversee professional liability claims, ensuring efficient resolutions and maintaining strong relationships with clients and stakeholders. Candidates should have at least 10 years of experience and strong communication...ClaimsRemote job
- ...Documentation and Compliance: Prepare and submit insurance claims, appeals, and other documentation as needed. Maintain... ...questions from residents and their families with empathy and professionalism. Assist with the appeals process for denied claims or coverage...ClaimsFull timeTemporary work
- A healthcare management firm in the United States seeks a Professional Billing Patient Account Representative who will work remotely to provide... .... Responsibilities include contacting payers to verify claims, analyzing denial reasons, and maintaining workqueues. Candidates...ClaimsRemote job
$46.03 - $48.59 per hour
...Excellent written and verbal skills with the ability to communicate professionally with co-workers, supervisors, providers, medical and... ...Two (2) years of experience performing utilization review, claims adjudication, medical review, fraud investigation, surveillance...ClaimsHourly payWork at officeImmediate startRemote work- ...& QA Specialist | Expert in Operations, Claims Settling, Sales & Dispatching | Driving... ...and the skills, we want to hear from you! Seniority Level Entry level Employment Type Full-... ...Movers Choice by 2x. Get notified about new Professional Sales Representative jobs in United...ClaimsFull timeCurrently hiringRemote work
$100k - $125k
A leader in claims management is seeking a Sr. Claims Specialist for remote work. This role involves analyzing and processing complex professional liability claims, negotiating settlements, and coordinating legal defenses. Candidates should have a Bachelor’s degree and...ClaimsRemote job$140k - $170k
...future with Hiscox. Join our dynamic and forward-thinking Claims team! Here, you’ll be part of an energetic and... ..., MA; Chicago, IL; Manhattan, NY; West Hartford, CT. Senior Complex Claims Specialist - Professional Liability Our Senior Complex Claims Specialist - Professional...ClaimsPermanent employmentTemporary workWork at office2 days per week$88.5k - $154.9k
AXA XL is an Equal Opportunity Employer. Claims Specialist - Design Professional Multiple Locations Our claims team sets us apart. Our experienced... ...use their specialized expertise to handle even the most complex claims seamlessly. How do you make a good thing better?...ClaimsImmediate start$75k - $85k
...Job Description Job Description Claims Specialist – Workers' Compensation & Commercial... ...-oriented, and comfortable managing complex claims while maintaining strong communication... ...Claims Examiner TPA Claims Professional Commercial Insurance Claims Specialist...Claims$827.68 per month
...Sinai Health System - Jackson Heights Job Type Travel Offering Allied Profession Allied Health Professional Specialty CMA Job ID 18546667 Job Title Allied Health Professional - CMA Weekly Pay...Weekly payFlexible hoursShift work$140k - $160k
...rated balance sheet, and the expertise of our global team of professionals, who exude excellent capabilities and strong character.... ...Job Opportunity: BHSI has an exciting opportunity for a Complex Claims Professional on our Casualty claims team. At BHSI, our claims...ClaimsTemporary workWork at officeFlexible hours$60 per hour
...nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals,... ...Experience: Minimum of 2 years of experience in utilization review, claims adjudication, medical review, fraud investigation,...ClaimsHourly payPermanent employmentTemporary workPrivate practiceImmediate startFlexible hours- ...Medical Biller is responsible for proactively managing insurance claim follow-up activities to ensure timely and accurate... ...to work with a dynamic and growing team. Ongoing training and professional development. Supportive work environment focused on growth and...ClaimsRemote workFlexible hours1 day per week
- Position Title: Professional Coding Specialist III - Department: Revenue Integrity... ...patient care. You will be a senior subject matter expert responsible for the most complex professional fee coding... ...sensitive services and complex claims. Partner with clinical leadership...ClaimsFull timeRemote work
$76.21k - $125.76k
ProAssurance is a leading specialty insurer specializing in healthcare professional liability, products liability for medical technology and life... ...liability, and workers' compensation insurance. This remote Claims Specialist position is based in Pennsylvania and supports our...ClaimsWork at officeRemote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Complex Claims Professional. Be the first to apply!
- senior learning manager New York, NY
- senior data management analyst New York, NY
- senior app developer New York, NY
- senior manager insurance New York, NY
- senior game producer New York, NY
- senior retail sales associate New York, NY
- senior sustainability consultant New York, NY
- senior manager quality engineering New York, NY
- senior software test automation engineer New York, NY
- senior quantitative risk analyst New York, NY


