Senior Adjuster - Professional Liability at Foundation Risk Partners

Edison, New Jersey, United States -

Full Time

Start Date

Immediate

Expiry Date

31 Mar, 26

Salary

100000.0

Posted On

31 Dec, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Malpractice, General Liability, Claims Management, Investigation, Legal Document Review, Negotiation, Customer Service, Analytical Skills, Communication Skills, Problem Solving, Team Collaboration, Insurance Policy Analysis, Reserving Process, Litigation Management, MS Office, Financial Trends

Industry

Insurance

Description

Foundation Risk Partners, one of the fastest growing insurance brokerage and consulting firms in the US, is adding an Adjuster - Professional Liability to their Cornell team in Edison, NJ. Job Summary: This position requires an experienced medical professional liability (medical malpractice) or general liability adjuster to proactively manage the complex claims, to include investigation and evaluation of liability and damages, performing a complete and thorough review of legal documents, review and recommend ensure carrier adjusters place appropriate reserves, aid clients with mediations analysis, discovery, and assist clients in negotiating settlements when appropriate. Essential Functions: Examine claim forms, insurance policies, and clients’ instructions to determine coverage and/or scope of assignment. Maintain company reputation by complying with federal and state regulations, company procedures, and industry best practices. 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. As directed by client, and within settlement authority granted by client, 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. Competencies & Qualifications: 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 Proactively shares and promotes sharing of insights 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 actuaria 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 Specialized Licenses: Professional designations, such as AIC, ARM, CPCU (preferred but not required) Education & Experience: Bachelor’s Degree and 6 or more years of experience in the Claims and/ or Litigation Management area Minimum 4+ years of commercial liability claims experience Prior claims experience in handling complex liability claims under various types of policies This range represents the estimated low and high end of the salary range for this position. Actual salaries will vary and may be above or below the range based on factors including but not limited to performance, location, and experience. The range listed is just one component of FRP's total compensation package for employees. Pay Transparency Range $85,000—$100,000 USD Disclaimer: While this job description is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add, or remove duties from particular jobs and to assign other duties as necessary. Equal Employment Opportunity (EEO): FRP provides equal employment opportunity to qualified persons regardless of race, color, sex, religion, national origin, age, sexual orientation, gender identity, disability, veteran status, or any other classifications protected by law. Benefits: FRP offers a comprehensive range of health-related benefit options including medical, vision, and dental. We offer a 401(k) with company match, company paid life insurance, STD, LTD and a generous PTO policy starting at 18 days per year plus 10 paid holidays & 2 floating holidays!

Responsibilities

The Senior Adjuster will manage complex claims related to medical professional liability and general liability, including investigation, evaluation, and negotiation of settlements. The role involves collaborating with clients, legal counsel, and other stakeholders to ensure effective claims resolution.