Claim Specialist - Correctional Medicine

Gallagher•Houston, TX

13h•$119,000•Remote

About The Position

At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose. The Claims Specialist within GB Specialty is responsible for managing moderately complex Healthcare Professional Liability claims, with a primary focus on Correctional Medicine. This role manages the full claim life cycle, including coverage analysis, investigation, evaluation, and resolution, while ensuring claims are handled in accordance with client expectations, policy obligations, and regulatory requirements.

Requirements

Bachelor’s degree required
Minimum 2+ years of experience in handling professional liability claims
Strong insurance fundamentals and understanding of claims processes.
Ability to analyze documentation, summarize facts, and support coverage and liability determinations.
Computer proficiency with claims systems and standard business software.
Must be able to obtain required adjuster licenses within designated timeframes.
Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, and communicate effectively in writing and verbally.
Strong analytical skills to support claims decisions and issue resolution.
Ability to interpret policies, records, and related documentation.

Nice To Haves

Prior experience within healthcare, medical malpractice, or correctional medicine claims a plus.
Strong insurance background (carrier, TPA, brokerage, or claims support experience).
JD preferred but not required

Responsibilities

Analyzes coverage and settles moderately complex claims in Correctional Medicine Professional Liability.
Generally, incumbent does not work on workers’ compensation claims.
Able to manage the full-life cycle of all assigned claims files.
Analyzes coverage and determines defense obligations.
Under minimal supervision, conducts thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and action plans.
Creates reservation of rights and coverage denial letters.
Negotiates settlements with clients, client attorneys, and Public Adjusters.
Interacts extensively with various parties involved in the claims process, and may recommend retaining the advice of outside experts as necessary.
Prepares reserve and settlement authority requests for client and carrier approval.
May act as a client advocate with carriers to ensure proper claims handling, including any necessary scoping, estimating, and addressing of coverage.
Has a solid understanding of claims processing and the insurance brokerage business.
Has a basic understanding of the terminology and case law associated with correctional medicine professional liability claims.
Handles claims consistent with clients’ and corporate policies, procedures and best practices and in accordance with statutory, regulatory, and ethical requirements.
Incumbents at this level should be able to work at full caseload capacity.