CFC

Cyber risk underwriting through MGA platform

Claims Specialist - Medical Malpractice/Negligence

Claims AdjudicationUpdated on Nov 13

Full-timeNew York, NY, USA$120k - $160k /yrHybrid

About the Job

Requirements

Experienced claims professional with knowledge of medical malpractice and/or general liability claims.
Obtain and maintain relevant U.S. state claims adjuster licenses, including required examinations and continuing education hours.
Manage claims deadlines and legal documentation while maintaining customer service.
Use sound judgment and communicate effectively with stakeholders.

Responsibilities

Handle U.S. healthcare, medical malpractice professional indemnity, and life sciences claims from first notification of loss through settlement, including coverage, liability, and quantum analysis.
Handle claims in accordance with CFC best practices, delegated authorities, binding authority service-level agreements, treating customers fairly requirements, and conduct risk requirements.
Build relationships with policyholders, brokers, underwriters, capacity providers, and vendors to deliver service.
Prioritize claims activity and manage legal deadlines, demand letters, and claims queries.
Work with external service providers to ensure quality and value-for-money support within agreed timeframes.
Support claims process improvements, management information, administration, and issue escalation.
Share claims insight with Underwriting and Products to support product development and policy wording improvements.

Desired Qualifications

An interest in healthcare and life sciences.

We’re looking for an experienced claims professional to join CFC’s Specialty Claims team, adjusting US healthcare, Medical Malpractice and life sciences claims, while helping deliver a high-quality service to policyholders, brokers and capacity providers.

You’ll handle claims from first notification through to settlement, build strong stakeholder relationships and work closely with teams across Claims, Underwriting, Finance, IT and Products to support effective claims management and product development.

Work on US healthcare, medical malpractice professional indemnity and life sciences claims from first notification of loss to settlement, including coverage, liability and quantum analysis.
Ensure claims are handled in line with CFC best practice, delegated authorities, binding authority SLAs, TCF and conduct risk requirements.
Build strong relationships with policyholders, brokers, underwriters, capacity providers and vendors to deliver excellent service.
Prioritise claims activity effectively, managing key legal deadlines, demand letters and claims queries.
Work with external service providers to ensure quality, value-for-money support within agreed timeframes.
Support claims process improvements, management information, administration and issue escalation.
Share claims insight with Underwriting and Products to support product development and policy wording improvements.
Obtain and maintain relevant US state claims adjuster licences, including any required examinations and Continuing Education hours.

You’ll be an experienced claims professional with knowledge of medical malpractice and/or general liability claims, ideally with an interest in healthcare and life sciences.

Organised, detail-focused and proactive, you’ll be confident managing claims deadlines, legal documentation and stakeholder relationships while maintaining excellent customer service.

You’ll bring strong communication skills, sound judgement and a collaborative approach, with a willingness to obtain and maintain US state claims adjuster licences where required.

About the Company

CFC

Cyber risk underwriting through MGA platform

CFC Underwriting is a specialist insurance provider operating as a managing general agent (MGA) that underwrites on behalf of a panel of carriers, focusing on emerging and specialty risks with a strong emphasis on cyber. It uses a proprietary global insurance platform powered by data science to streamline underwriting across a portfolio of 50+ products, including cyber and professional liability, with an in-house incident response team adding comprehensive cyber risk management. It differentiates itself through its early focus on cyber, large in-house claims and incident response capabilities, and a global broker-driven distribution model. Its goal is to deliver fast, precise underwriting and robust risk management for technology-related and other specialty risks worldwide.

Company size: 1,001-5,000
Company stage: Not listed
Total funding: Not listed
Headquarters: London, United Kingdom
Founded: 1999

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