Job Description

Join to apply for the Liability Claims Adjuster III role at InterMed Cost Containment Services . 1 day ago Be among the first 25 applicants Job Overview This is a dynamic claims and account management position. In accordance with applicable statutes and in keeping with company rules, regulations, client guidelines, and established performance objectives, this role is responsible for effectively managing to conclusion an assigned inventory of medical professional and general liability claim files. These may include cases of extreme complexity or those with unique or unusual issues. Candidates must reside in New York. Job Type Full-time. Responsibilities Maintain a culture of positivity, respect, supportiveness, collaboration, patience, accountability, and excellence. Assist with team building ideas and events. Lead by example and through service. Develop and maintain strong and collaborative client relationships. Establish prompt contact on all new losses within 24 hours of receipt of the claim, including the insured, claimant, or claimant representative, to document relevant facts and obtain information for liability and damage analysis. Thoroughly and accurately evaluate coverage on a timely basis, document coverage analysis, identify coverage issues, and draft appropriate coverage letters. Investigate all claims, document ongoing case facts, perform and document ongoing evaluations, and note progress toward claim resolution. Direct, manage, and control the litigation process for nationwide programs. Maintain all assigned claims on an active 30–45 day diary and keep an up-to-date plan of action. Obtain consultant and/or expert reviews for early evaluation. Aggressively pursue contribution on multi-defendant cases or those involving employment/independent contractor agreements with shared liability. Ensure all claims are handled in accordance with applicable statutes, service contracts, and company guidelines. Establish, monitor, and adjust reserves according to authority levels and client instructions. Respond to phone messages within 24 hours and to written inquiries within one week. Travel for mediations, trials, client meetings, and/or industry conferences. Maintain working knowledge of medical terminology and jurisdictional issues. Handle other duties as assigned by Supervisor or Manager. Competency Open mind, eagerness to learn, positive attitude, healthy curiosity. Strong communication skills, respectful of everyone. Flexibility and ability to adapt to change quickly. Problem solving, change and conflict management. Leadership by example and service. Exceptional customer service. Strong business acumen. Discipline with focus on accuracy, thoroughness, and improvement. Project management skills. Qualification Requirements To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and Experience JD and/or RN preferred. Bachelor's degree from four-year college or university; at least seven years related experience and/or training; or equivalent combination of education and experience. Requires a high degree of claims handling expertise, including a minimum of at least five years experience managing medical professional liability cases, many with complex litigation or high potential value. Language Skills Ability to read, analyze, and interpret insurance policies, statutes, legal opinions, general business periodicals, professional journals, technical procedures, and governmental regulations. Ability to write complex coverage letters, reports, business correspondence, procedure manuals, and correspondence to clients, colleagues and industry peers. Ability to effectively present information, both verbally and written, and respond to questions from groups of managers, clients, customers, and the general public. Fluent spoken and written English is required. Math Skills Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs. Reasoning Ability This position requires strong problem solving and analytical skills. It requires the ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. It requires the ability to deal with problems involving several concrete variables in standardized situations. Computer Skills Proficient with Word, Excel, Outlook, PowerPoint, RMIS software, RingCentral, Zoom, TEAMS, WebEx, GoToMeeting, and other tele-video conferencing software and apps. Certificates and Licenses JS and/or RN licensure preferred. Appropriate jurisdictional adjuster license required. Physical Demands Regularly required to sit. Frequently required to use hands to finger, handle, feel, type, collate, file, or lift. Required to stand and walk. Some lifting may exceed 10 pounds such as luggage, collateral company materials or claim files. Required to travel by vehicle, airplane, subway and train. Required to spend nights at hotels for out-of-town travel. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. Salary $100,000.00 - $150,000.00 Seniority Level Mid-Senior level Employment Type Full-time Job Function Finance and Sales Industry Insurance #J-18808-Ljbffr InterMed Cost Containment Services

Job Tags

Similar Jobs