Senior Claims Adjuster

Job Description

Seeking Litigation Manager to manage medical professional (high concentration of long-term care) and general liability claims of moderate to high severity in compliance with company standards and industry best practices to ensure service excellence.

Base Compensation Range:

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• $155,000-$165,000
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Position’s Functions and Responsibilities:

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• Must have professional liability claim handling experience
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• Medical Malpractice experience preferred
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• Review and analyze policy coverage, including drafting of coverage denials and reservation of rights letters
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• Establish timely and accurate expense and indemnity reserves
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• Investigate and evaluate liability and damages
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• Conduct witness interviews, inclusive of on-site visits
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• Identify, obtain, and analyze documentation including, but not limited to, medical records, medical bills, contracts, photos, state health surveys
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• Retain experts as indicated
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• Determine and opine evaluations of liability, damages, settlement values, verdict ranges and percent chance to win
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• Coordinate and manage litigation
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• Manage defense counsel
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• Develop and implement a litigation plan of action
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• Establish and maintain litigation budget
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• Review, analyze and process vendor invoices
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• Prepare comprehensive reports
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• Claims Committee/Client presentations
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Experience and Education Requirements:

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• Bachelor’s Degree or equivalent work experience
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• J.D. preferred
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• Medical Malpractice or Professional liability claims handling experience, or related field experience
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• Claims Adjuster license preferred
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Skills and Knowledge:

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• Strong knowledge of the legal environment and litigation process
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• Knowledge of insurance industry compliance requirements
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• Strong analytical and decision-making skills
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• Strong negotiation skills
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• Strong communication skills, both written and verbal
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• Demonstrate ownership attitude and client-centric response to all tasks
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• Organizational and time management skills
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• Working knowledge of Microsoft Office applications (Word, Excel & Outlook)
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Work Environment:

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• Home office (work from home)
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• Travel as required to conduct on-site investigations and attend mediations, arbitrations, trials and client meetings
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• Professional appearance and demeanor
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Pay Transparency: The base salary range for this full-time position is $155,000 to $165,000 plus bonus potential and benefits including generous PTO, health/dental/vision/life insurance, and a retirement savings account with company match/contribution.

Job Type: Full-time

Benefits:

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• Dental insurance
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• Health insurance
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• Life insurance
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• Paid time off
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• Retirement plan
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• Vision insurance
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• Work from home
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