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

Job Summary

We are looking for a dedicated Senior Claims Analyst to join our team on behalf of our client. In this role, you will be responsible for the end-to-end management of medical professional liability claims. You will investigate incident particulars, determine appropriate financial reserves, and drive cases toward a fair resolution. This is an ideal role for a claims professional who is looking to deepen their expertise in the specialized medical malpractice sector.

Key Responsibilities

• Claim Lifecycle Management: Execute full-cycle handling of claims, from initial coverage investigation and documentation to final file closure.
• Financial Oversight: Evaluate medical records and incident details to establish and maintain accurate indemnity and expense reserves.
• Negotiation & Resolution: Directly negotiate settlements and partner with defense counsel to resolve matters efficiently.
• Legal Participation: Represent the company at mediations and trials as required to support the defense strategy.
• Communication: Maintain proactive, transparent contact with insured healthcare providers, internal leadership, and cross-functional departments.
• Operational Quality: Adhere to industry best practices and internal protocols to ensure the highest level of data integrity and organized file management.

Qualifications

• Bachelor’s degree or Juris Doctor (JD) required.
• Minimum of 3+ years of professional claims handling experience.
• Must be able to obtain a New York Adjuster’s License within 6–12 months of start date.

Skills

• Strong analytical ability with a high level of attention to detail and a commitment to ethical judgment.
• Proficient business writing and verbal skills for effective reporting and presentation.

Additional Requirements

• Ability to work on-site during the training period.
• Travel, including occasional overnight stays, for legal proceedings.

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.

^*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