Senior Resolution Specialist

Overview

Introduction — At Gallagher Bassett, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. We’re a team that values teamwork, curiosity, and impact. This role supports claims management and process improvement with a commitment to doing the right thing and delivering results.

Salary: up to $165,000 per year, dependent upon experience

Jurisdictions: Open to Any

Licenses: must be willing to obtain all licenses stated by manager within specified timeframe

Location: This role is eligible for fully remote work.

Claims Background: Medical Malpractice - Long Term Care

• Analyzes coverage and settles the most complex and challenging claims within Gallagher Bassett’s specialty claims areas (excluding workers  compensation).
• Handles the full life cycle of all assigned claims files, from intake to resolution.
• Determines coverage applicability and defense obligations independently.
• Conducts thorough investigations and analysis to assess exposure and develop settlement strategies and action plans.
• Drafts and issues reservation of rights and coverage denial letters.
• Negotiates settlements with clients, client attorneys, and Public Adjusters.
• Engages with all parties involved in the claims process; may recommend retaining outside experts when appropriate.
• Prepares reserve and settlement authority requests for both client and carrier approval.
• May act as a client advocate with carriers to ensure proper handling of claims, including scoping, estimating, and addressing coverage issues.
• Possesses solid understanding of claims processing and the insurance brokerage business.
• Demonstrates deep knowledge of industry-specific terminology, case law, and specialized claims areas.
• Handles claims in alignment with client and corporate policies, best practices, and all regulatory and ethical standards.
• Provides guidance and mentorship to junior adjusters.
• Capable of handling a full caseload independently and effectively.

Potential candidates should have the following:

• Claims Background:
  Medical Malpractice - Long Term Care
• Jurisdictional
  
  Experience:
  
  Any
• Active Adjusters  licenses: must be willing to obtain all licenses stated by manager within specified timeframe

As a key member of our Claims Adjuster team, you will:

• Investigate, evaluate, and resolve complex Medical Malpractice claims, applying your claims experience and analytical skills to make informed decisions and bring claims to resolution.
• Work in partnership with our clients to deliver innovative solutions and improve the claims management process
• Think critically, solve problems, plan, and prioritize activities to optimally serve clients

• High school diploma.
• Minimum of 5+ years of experience handling claims within the applicable specialty area (Medical Malpractice).
• Proven ability to handle complex and challenging claims issues at a senior adjuster level.
• Licensed and/or certified in all applicable states, or able to acquire necessary licenses per local requirements.
• Familiarity with accepted industry standards and practices.
• Proficient with relevant claims management and business software.

• Bachelor s Degree
• Law Degree (JD)
• Litigation Experience
• 10+ years of prior experience adjusting claims in applicable specialty area
• Experience in claims as well as the insurance legal and regulatory environment