Senior Resolution Specialist

Gallagher•Houston, TX

10d•$165,000•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. Overview 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 How you'll make an impact 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. About You 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

Requirements

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.

Nice To Haves

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

Responsibilities

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.
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