Claims Specialist III

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Claims Specialist III

By / September 10, 2026

• Type: Contract
• Job #106760

Claims Specialist III

Location: Remote (U.S.)

Pay Rate: $55.00/hour

About the Opportunity

We are seeking an experienced Claims Specialist III to manage a portfolio of professional liability and medical malpractice claims in a fully remote environment. This role requires a strong claims professional who can independently investigate, evaluate, negotiate, and resolve complex claims while providing exceptional service to insureds, claimants, and business partners.

Key Responsibilities

• Manage moderate to high-exposure professional liability and medical malpractice claims from initial notice through resolution.
• Review policy coverage, assess liability, establish reserves, and develop claim resolution strategies.
• Conduct investigations by gathering statements, reviewing documentation, and collaborating with experts and legal counsel.
• Negotiate settlements and authorize claim payments within designated authority limits.
• Maintain accurate claim documentation and ensure compliance with company and regulatory guidelines.
• Partner with internal and external stakeholders to drive timely, quality claim outcomes.
• Identify potential fraud, recovery, and subrogation opportunities as appropriate.
• Provide mentorship and guidance to less experienced claim professionals when needed.

Required Qualifications

• Bachelor's degree or equivalent combination of education and experience.
• Minimum 4 years of claims handling experience.
• Strong understanding of commercial insurance, policy interpretation, coverage analysis, and claim practices.
• Demonstrated investigative, analytical, and critical thinking skills.
• Experience negotiating claim settlements.
• Excellent verbal and written communication skills.
• Strong organizational skills with the ability to manage a high-volume workload.
• Proficiency with Microsoft Office and business applications.
• Ability to obtain and maintain an Insurance Adjuster License if required.

Preferred Qualifications

• Medical malpractice and/or professional liability claims experience.
• Experience independently managing a large volume of claims.
• CPCU or other insurance industry designations.

Benefits

• Fully remote work environment
• Competitive hourly compensation
• Opportunity for contract extension based on business needs
• Exposure to complex and high-impact claim matters

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