Medical Malpractice Claims Representative

Senior Claims Representative (Full Time)
Location: Jacksonville, FL (Hybrid Schedule Available)

Overview:
A medical professional liability insurance carrier is seeking a Senior Claims Representative to join their team. This role involves managing a complex caseload of medical malpractice claims and supporting cross-functional operations within the company. The ideal candidate will have strong litigation management skills, excellent communication abilities, and experience handling high-severity claims across a variety of medical specialties.

Key Responsibilities:

Claim Handling

• Analyze and identify potential coverage issues

• Select and manage defense counsel

• Coordinate initial consultations between insureds and counsel

• Retain and consult with medical experts

• Review and evaluate medical records

• Oversee litigation and communicate regularly with defense teams

• Attend depositions, court conferences, mediations, and trials

• Maintain detailed internal reporting and claim documentation

• Provide updates to reinsurers on claim status

• Communicate consistently with insureds throughout the life of the claim

• Develop and execute resolution strategies

• Negotiate settlements directly with plaintiffs or their counsel

General Duties

• Stay current on legal developments, industry trends, and claim practices

• Use technology to improve productivity and claim outcomes

• Foster collaboration across the claims team and other departments

Operational Support

• Assist with compiling and analyzing claim data

• Participate in company-wide initiatives and projects

• Attend company-sponsored events and support business development efforts

• Communicate claims insights to underwriting for risk evaluation

Qualifications:

• Bachelor’s degree required

• Minimum 7 years of casualty claims experience, with at least 2–3 years in medical professional liability preferred

• Experience handling claims in Florida, Georgia, and/or Texas strongly preferred

• Strong verbal and written communication skills

• Proven ability to manage complex litigation and collaborate with legal teams

• Must be comfortable traveling for depositions, meetings, mediations, and court appearances

• Active Claim Adjuster’s license in applicable states or willingness to obtain

• Proficient with MS Office Suite

Work Schedule:
Hybrid schedule based in the Jacksonville, FL office:

• In-office: Tuesday to Thursday

• Remote (optional): Monday and Friday (after 90-day onboarding period)

• Travel required for external appointments

Benefits:

• Competitive salary and performance-based bonus

• Medical, dental, and vision insurance

• Short- and long-term disability coverage

• 401(k) with company match

• Paid time off and company holidays

• Bi-weekly auto allowance

• Education assistance

• Employee Assistance Program (EAP)

• Team-building events and charitable giving opportunities

About the Company:
This organization is a mission-driven, physician-founded medical professional liability insurer operating in over 20 states. It is committed to supporting healthcare providers by offering reliable protection, proactive risk management, and responsive claims handling. The company fosters a collaborative, high-performance culture and provides a rewarding work environment where employees can make a meaningful impact.