You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking a highly skilled Claims Specialist to manage high-exposure medical professional liability claims. This role is designed for a technical expert capable of navigating complex litigation and indemnity strategies while providing exceptional service to insured clients. The successful candidate will manage significant files from investigation through resolution, act as a mentor to junior staff, and serve as a strategic partner to the underwriting and legal teams.

Key Responsibilities

• Lead the investigation and documentation of high-severity claims, ensuring accurate indemnity and expense reserving.
• Actively manage outside defense counsel to develop and execute effective litigation strategies; attend trials and mediations as the company representative.
• Design creative resolution strategies and lead complex negotiations to bring sensitive matters to a close.
• Collaborate closely with Underwriting on market-facing initiatives and maintain strong relationships with key stakeholders.
• Serve as a technical resource and mentor for less experienced claims professionals, fostering a culture of continuous learning.
• Maintain impeccable data integrity and documentation protocols in alignment with industry best practices.

Qualifications

• Bachelor’s degree is required; Juris Doctor (JD) is highly preferred for the Complex-level designation.
• Ability to obtain a New York Adjuster’s License within the first year of employment.
• Exceptional business writing and oral presentation skills, with the ability to explain complex legal or medical concepts to diverse audiences.
• Must be able to work on-site during the initial onboarding period and travel as required for trials and mediations.

Experience

• Minimum of 6+ years of professional claims handling experience.

Skills

• Strong ethical judgment and the ability to work independently on highly confidential, high-stakes matters.
• Strong analytical mindset.

Additional Requirements

• This position starts as a fully on-site role to ensure seamless integration into our culture. Once up and running, the role transitions to a hybrid schedule (3 days in-office, 2 days remote).

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

Required Employment / Compliance Language

Medix is an Equal Opportunity Employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

^*As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients