Senior Adjuster – Professional Liability
Company | Foundation Risk Partners |
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Location | Edison, NJ, USA |
Salary | $Not Provided – $Not Provided |
Type | Full-Time |
Degrees | |
Experience Level | Senior |
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)