Senior Complex Claims Specialist - Allied Healthcare (Professional Liability)

Location: New York - Manhattan, United States; hybrid work with two days in the office weekly.

Salary: $140,000–$170,000 annually, plus a bonus based on personal and company performance.

Company

hirify.global USA provides commercial insurance products for small and middle-market clients, including professional liability, technology, cyber and data risk, media, entertainment, management liability, crime, commercial property, and other specialty lines.

What you will do

• Handle mostly high-severity primary Allied Healthcare Professional Liability claims from inception through resolution, including claims involving mental health counseling practices, social services, medical spas, home health aides, healthcare staffing agencies, pharmacies, and testing laboratories.
• Manage all aspects of the claims and litigation process while liaising with outside experts, legal counsel, underwriting, insureds, and broker partners.
• Adjust the highest-severity claims with minimal supervision and draft complex technical coverage analyses and letters.
• Investigate, negotiate, and use alternative dispute resolution to achieve positive claim outcomes, including identifying matters appropriate for trial.
• Identify suspected fraudulent claims and coordinate with the special investigations unit.
• Act as a subject matter expert, model litigation and file-integrity best practices, identify emerging exposures and claims trends, and mentor and train other claims examiners.

Requirements

• 10+ years of Professional Liability and/or Medical Malpractice liability handling experience.
• B.A. or B.S. degree required; JD optimal. A JD from an ABA-accredited law school may supplement claims-handling experience.
• Adjuster licensing required within 90 days of employment.
• Proven ability to improve complex and highest-severity claims outcomes through investigation, negotiation, litigation leadership, defense-counsel management, and claim-strategy management.
• Advanced knowledge of coverage within the relevant specialty or focus, as well as advanced knowledge of litigation processes and negotiation.
• Experience mentoring and training other claims examiners.
• Excellent verbal and written communication skills and advanced analytical skills.
• Ability to work in a fast-paced, changing environment and with minimal oversight.
• Ability to address and solve difficult or severity matters with insureds, attorneys, and brokers with courage and confidence.

Nice to have

• Subject matter expertise or technical leadership in other lines of business and/or claim types.
• Ability to advance product innovation or develop broader business knowledge through training or relevant cross-team projects.

Culture & Benefits

• Permanent full-time employment in a dynamic, creative, and values-driven culture.
• 401(k) with company matching, comprehensive health, vision, dental, and FSA plans.
• 24 paid time-off days, two hirify.global Days, 10 paid holidays, and the option to purchase five additional PTO days.
• Paid parental leave, a four-week paid sabbatical after every five years, life and disability coverage, and financial adoption assistance.
• Medical travel reimbursement and up to $600 annual reimbursement for health club membership or fitness-program fees.
• Modern open offices with complimentary drinks.