Complex Claims Specialist
Hiscox
Posted: 10/22/2026
Commercial Trucking Claims Adjuster
CBCS
Posted: 10/22/2026
Crop Claims Specialist – Claims Crop Field Adjuster
Zurich Insurance
Posted: 10/22/2026
Senior Claims Adjuster – Workers' Compensation
EMC Insurance Companies
Posted: 10/21/2026
Claims Specialist – Bilingual, Spanish
Brown & Brown Insurance
Posted: 10/21/2026
Property Claims Adjuster – Inside
Encova Insurance
Posted: 10/21/2026
Medical Claims Analyst
CVS Health
Posted: 10/21/2026
Injury Claims Adjuster
USAA
Posted: 10/21/2026
Senior Claims Examiner
Canopius Group
Posted: 10/21/2026Crop Claims Specialist, Crop Field Adjuster
Zurich Insurance
Posted: 10/21/2026
Auto Claims Adjuster
Allstate
Posted: 10/21/2026
Advanced Disability Claims Analyst
Ameriprise Financial Services, LLC
Posted: 10/21/2026
Casualty Claims Adjuster
Kemper
Posted: 10/21/2026
Claims Specialist – Latent Bodily Injury
The Hartford
Posted: 10/21/2026
Claims Specialist II
Trillium Health Resources
Posted: 10/21/2026
Senior Marine Complex Claims Adjuster
AIG
Posted: 10/21/2026
Global Risk Solutions Claims Specialist Development Program
Liberty Mutual Insurance
Posted: 10/20/2026
Senior Medical Only Claims Representative
Summit
Posted: 10/20/2026Global Risk Solutions Claims Specialist Development Program
Liberty Mutual Insurance
Posted: 10/20/2026Auto Telephone Claims Adjuster
Allstate
Posted: 10/20/2026Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive experience in handling Professional Liability and Medical Malpractice claims, with a strong focus on litigation processes, negotiation, and mentoring. Proven ability to analyze complex claims and drive positive outcomes through effective communication and strategic defense.
Highest-signal resume keywords
Professional Liability Claims HandlingMedical Malpractice ExpertiseLitigation Process KnowledgeNegotiation SkillsAdjuster Licensing
About the role
Key responsibilities & impact- Handle mid to high-severity primary Allied Healthcare Professional Liability claims from inception to resolution
- Adjust and resolve complex claims involving all phases of litigation
- Draft complex coverage letters, including reservation of rights and denial letters, with minimal supervision
- Review and analyze claim documentation and legal filings
- Lead defense strategy on litigated files and drive litigation best practices
- Mentor team members
- Investigate, negotiate, and use alternative dispute resolutions to affect positive claim outcomes
- Identify emerging exposures and claims trends
- Identify suspected fraudulent claims and track them with the special investigations unit
- Accurately document claim files in compliance with company policies and applicable regulatory authorities
- Liaise with external and internal business partners, including outside experts, legal counsel, and underwriting
Requirements
What you’ll need- 6+ years of Professional Liability and/ or Medical Malpractice lines claims handling experience.
- B.A./B.S Degree required, JD optimal
- JD from an ABA accredited law school may be considered as a supplement to claims handling experience
- Proven ability to positively affect complex claims outcomes through investigation, negotiation and effectively leading litigation
- Ability to work in a fast-paced and changing environment
- Advanced knowledge of coverage within the team’s specialty or focus
- Advanced knowledge of litigation process and negotiation skills
- Experience in mentoring and training other claims examiners
- Excellent verbal and written communication skills
- Advanced analytical skills
- Adjuster licensing is required within 90 days of employment
- Experience attending and leading mediations, arbitrations and trials
Benefits
Comp & perks- Competitive salary and bonus (based on personal & company performance)
- 401(k) with competitive company matching
- Comprehensive health insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care)
- Company paid group term life, short- term disability and long-term disability coverage
- 24 Paid time off days, 2 Hiscox Days, 10 paid holidays, and ability to purchase 5 PTO days
- Paid parental leave
- 4 week paid sabbatical after every 5 years of service
- Financial Adoption Assistance and Medical Travel Reimbursement Programs
- Annual reimbursement up to $600 for health club membership or fees associated with any fitness program
- Recipient of 2024 Cigna’s Well-Being Award for having a best-in-class health and wellness program
- Dynamic, creative and values-driven culture
- Modern and open office spaces, complimentary drinks
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims DocumentationCoverage AnalysisLitigation Strategy DevelopmentAlternative Dispute ResolutionFraud DetectionClaims InvestigationMediation ExperienceArbitration ExperienceTrial ExperienceAnalytical Skills
Soft Skills
MentoringCommunication SkillsTeam LeadershipAdaptabilityNegotiation
Certifications & Qualifications
Adjuster Licensing
Industry Keywords
Claims TrendsLegal FilingsCoverage LettersReservation of RightsDenial LettersFast-Paced EnvironmentSpecial Investigations UnitB.A./B.S DegreeJD DegreeABA Accredited Law School