Posted in

Senior Adjuster – Professional Liability

Senior Adjuster – Professional Liability

CompanyFoundation Risk Partners
LocationEdison, NJ, USA
Salary$Not Provided – $Not Provided
TypeFull-Time
Degrees
Experience LevelSenior

Requirements

  • Knowledge of the healthcare industry and various types
  • Effective verbal and written communication skills
  • Strong analytical, critical thinking and problem-solving skills
  • Strong multi-tasking and prioritization skills
  • Experience collaborating in a team environment and building cross functional working relationships
  • Ability to gather unique perspectives from other teams/functions to optimize outcomes
  • Understands, analyzes, and applies the component parts of an insurance policy for complex claims
  • Ability to follow reserving process for indemnity and expense in analyzing the potential exposure of complex claims
  • Ability to determine the scope and exposure for complex claims
  • Ability to leverage trend and relationships to provide high-quality customer service
  • Well-versed in identifying, understanding, and explaining complex financial and/or actuarial trends/concepts
  • Ability to effectively communicate coverage determinations to customers/clients/brokers for complex claims
  • Ability to direct counsel on an ongoing basis to guide the course of complex litigation and settlement strategies
  • Experience with MS Office

Responsibilities

  • Examine claim forms, insurance policies, and clients’ instructions to determine coverage and/or scope of assignment
  • Document all activity to support the outcome of the claim file
  • Interview relevant parties to obtain information needed to evaluate liability and/or damages
  • Recommend loss reserves
  • Analyze information gathered through investigation and prepare authority request reports
  • Negotiate fair and equitable settlements and obtain proper closing documents
  • Confer with legal counsel on claims in litigation
  • Attend depositions, mediations, arbitrations and trials
  • Ensure customer service by proactively communicating information; responding to inquiries; following customer protocols and may participating in customer marketing efforts
  • Establish positive and productive relationships with co-workers, clients, policyholders, claimants, agents, repair facilities and others associated with the claims process

Preferred Qualifications

  • Professional designations, such as AIC, ARM, CPCU (preferred but not required)