Talent.com
Liability Claims Adjuster III - Medical Malpractice

Liability Claims Adjuster III - Medical Malpractice

AVONRISKNew York, NY, US
23 hours ago
Job type
  • Full-time
  • Quick Apply
Job description

Liability Claims Adjuster III - Must have Medical Malpractice Claims Experience   Remote Worker – New York Description Summary :

  • 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 that may include cases of extreme complexity or with unique or unusual issues.

This position is multifaceted and includes the following primary areas of focus :

  • Culture  – Every member of the Intercare team is responsible for nurturing and promoting a healthy culture.
  • Our culture is the most important element of our success.
  • Intercare’s culture is defined by our Core Values :

  • INTEGRITY :  Reinforces our commitment to transparency
  • COLLABORATION :  Strengthens our passion for customer service
  • ACCOUNTABILITY :  Supports our actions
  • RESPECT :  Inspires us to do the right thing
  • EXCELLENCE :  Drives our outcomes Claims Management  – This teammate will be directly responsible for claim and account management.
  • Expectations regarding claim and account management are best described by our mission :

  • Mission :  To be the leading third-party administrator offering professional and technological resources through proactive and aggressive claims, risk and managed care solutions in support of our clients’ objectives.
  • Innovative processes and state-of-the-art technology support our people.
  • Exceptional individuals provide the human element needed to deliver excellent service and drive excellent outcomes.
  • Quality  – The leader works closely with every member of the Intercare team to carry out our vision to promote growth :

  • Vision :  To be recognized as the most trusted and innovative partner in providing Claims and Managed Care solutions that are tailored to the specific needs of our clients.
  • Essential Duties and 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 surrounding the incident and obtain information relevant to analysis of liability and damages.
  • Thoroughly and accurately evaluate coverage on a timely basis, document coverage analysis, identify coverage issues and draft appropriate coverage letters.
  • Thoroughly and accurately investigate all claims and document ongoing case facts and relevant information necessary for establishing liability and damages.
  • Perform and document ongoing analysis and evaluation and what is being done to move the case toward closure.
  • Litigation management – Direct, manage and control the litigation process for nationwide programs.
  • Assure that all assigned claims are maintained on an active 30–45-day diary and have an up-to-date plan of action outlining activities and actions anticipated for ultimately resolving the claim.
  • Obtain consultant and / or expert reviews for early evaluation.
  • Aggressively pursue contribution on multiple defendant cases or where provided by employment or independent contractor agreements and apportionment when there is shared liability.
  • Assure that the claim file is handled in accordance with applicable statutes, in-force service contracts and company guidelines.
  • Establish, monitor and adjust claim reserves in strict accordance with assigned authority levels and client claim-handling instructions.
  • Exhibit and maintain a courteous and helpful attitude and project a professional image on behalf of the company and client.
  • Respond to telephone messages and inquiries within 24 hours of receipt and to written inquiries within one week of receipt.
  • Travel for mediations, trials, client meetings and / or industry-related conferences.
  • Requires a working knowledge of medical terminology and various jurisdictional issues.
  • Handle other duties and tasks as deemed appropriate by the Supervisor or Manager.
  • Competency :

  • To perform the job successfully, an individual should demonstrate the following :
  • An open mind, eagerness to learn, positive attitude and healthy curiosity.
  • Strong communication skills, including being open and respectful of everyone, regardless of their position or role.
  • Flexibility and the ability to adapt to change quickly, including switching efficiently between program needs and personalities multiple times throughout the day.
  • Problem solving, change and conflict management, including developing workable implementation plans and recommendations, communicating changes effectively, building commitment, overcoming resistance and supporting those affected.
  • Leadership by example and service, including instilling confidence in yourself and others, inspiring and motivating others to perform well ethically, positively influencing others, inspiring respect and trust, accepting and growing from feedback, providing vision and inspiration, recognizing others appropriately, displaying passion and optimism, and mobilizing others to fulfill the vision.
  • Exceptional customer service, always going above and beyond, searching for ways to expand services, soliciting client feedback, promptly responding to requests and ensuring compliance with client contracts and service instructions.
  • Strong business acumen, being well spoken, poised, presenting with balanced confidence and humility, taking initiative, sparking innovation, understanding business implications, displaying profitability orientation, knowing the market and aligning work with strategic goals.
  • Discipline in all aspects of the position with a focus on accuracy, thoroughness and continuous improvement.
  • Project management skills, including developing plans, coordinating projects, staying on task, communicating changes and completing projects on time and within budget.
  • Qualification Requirements :

  • To perform this job successfully, an individual must, at a minimum, 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 / or Experience :

  • JD and / or RN preferred.
  • Bachelor’s degree from a four-year college or university; at least seven years of related experience and / or training; or an equivalent combination of education and experience.
  • Requires a high degree of claims handling expertise, including at least five years 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, 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 verbally and in writing 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 :

  • Requires strong problem-solving and analytical skills.
  • Ability to apply common-sense understanding to carry out instructions in written, oral or diagram form, and to deal with problems involving several concrete variables in standardized situations.

    Computer Skills :

  • Proficiency in Word, Excel, Outlook, PowerPoint, RMIS software, RingCentral, Zoom, TEAMS, WebEx, GoToMeeting and other tele-video conferencing software and apps.
  • Certificates and Licenses :

  • JD and / or RN licensure preferred.
  • Appropriate jurisdictional adjuster license required.
  • Physical Demands :

  • The physical demands described here are representative of those that must be met to successfully perform the essential functions of this job.
  • Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.
  • 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 materials or claim files.
  • Required to travel by vehicle, airplane, subway and train.
  • Required to spend nights in hotels for out-of-town travel.
  • Work Environment :

  • The work environment characteristics described here are representative of those encountered while performing essential job functions.
  • Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.
  • The noise level in the work environment is usually moderate.
  • Powered by JazzHR
  • Create a job alert for this search

    Liability Adjuster • New York, NY, US

    Related jobs
    • Promoted
    • New!
    Liability Claims Adjuster

    Liability Claims Adjuster

    Star Mutual RRGNew York, New York, United States
    Full-time
    The Liability Claims Adjuster will be responsible for investigating, evaluating, negotiating, and resolving third-party liability claims. This role requires a strong understanding of liability expos...Show moreLast updated: 16 hours ago
    • Promoted
    Medical Malpractice Defense Attorney

    Medical Malpractice Defense Attorney

    JobotNew Hyde Park, NY, US
    Full-time
    Top New York Healthcare Litigation firm looking to add Associate Attorney to their growing team in Long Island.This Jobot Job is hosted by : Colleen Gormley. Are you a fit? Easy Apply now by clicking...Show moreLast updated: 20 days ago
    • Promoted
    Associate Attorney

    Associate Attorney

    JobotTinton Falls, NJ, US
    Full-time
    Associate Attorney : General Liability Defense, Growing Firm, Excellent Benefits, Bonus, 401K!.This Jobot Job is hosted by : Patrick Murphy. Are you a fit? Easy Apply now by clicking the "Apply N...Show moreLast updated: 2 days ago
    • Promoted
    Attorney

    Attorney

    Orlovsky Moody Schaaff & Conlon, LLCWest Long Branch, NJ, US
    Full-time
    OMSC Law, a medical malpractice defense firm in West Long Branch, NJ is seeking two attorneys with 1+ years of litigation experience. Must be licensed to practice law in New Jersey.Medical malpracti...Show moreLast updated: 30+ days ago
    • Promoted
    Medical Biller

    Medical Biller

    FREEHOLD HEALTH & WELLNESS LLCFreehold, NJ, US
    Full-time
    Career Advancement Opportunities.As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, an...Show moreLast updated: 30+ days ago
    • Promoted
    Associate Attorney - General Liability, Civil Litigation, Medical Malpractice Defense

    Associate Attorney - General Liability, Civil Litigation, Medical Malpractice Defense

    JobotNew York, NY, US
    Full-time
    Liability Associate needed for major law firm in NYC!.This Jobot Job is hosted by : Sameer Mala.Are you a fit? Easy Apply now by clicking the "Apply Now" buttonand sending us your resume.S...Show moreLast updated: 30+ days ago
    • Promoted
    Personal Injury Attorney

    Personal Injury Attorney

    Garces, Grabler & LeBrocqNew Brunswick, New Jersey, United States, 08901
    Full-time
    Quick Apply
    NJ Licensed Personal Injury Attorney.The attorney will handle a variety of personal injury cases, including but not limited to auto, motorcycle, truck, and slip-and-fall accidents.We are looking fo...Show moreLast updated: 5 days ago
    • Promoted
    Trial Lawyer

    Trial Lawyer

    The New York Injury & Malpractice Law Firm, PCWhite Plains, NY, US
    Full-time
    Are You the Trial Lawyer Who's Ready to Fight?.Are you a New York-licensed attorney with a passion for fighting on behalf of the disabled and catastrophically injured?.Do you dream of trying re...Show moreLast updated: 6 days ago
    • Promoted
    Litigation Attorneys - Malpractice & Insurance Defense

    Litigation Attorneys - Malpractice & Insurance Defense

    JobotNew York, NY, US
    Full-time
    Senior Litigators & Trial Attorneys – NYC Metro | Top Malpractice Defense Firm!.This Jobot Job is hosted by : Andrew Harrison. Are you a fit? Easy Apply now by clicking the "Apply Now&...Show moreLast updated: 30+ days ago
    • Promoted
    Head of Foreclosure Department Attorney (PA License)

    Head of Foreclosure Department Attorney (PA License)

    JobotFreehold, NJ, US
    Full-time
    We are a nationally recognized law firm that delivers full-spectrum real estate legal services for private lenders across the country. Operating in all 50 states, our team brings extensive experienc...Show moreLast updated: 30+ days ago
    • Promoted
    Medical Malpractice Associate Attorney

    Medical Malpractice Associate Attorney

    Furman Kornfeld & BrennanNew York, NY, US
    Full-time
    Established mid-sized New York City litigation defense firm seeks a New York attorney with 7-10 years of experience for its medical. Candidate must have strong writing and speaking skills, proven ab...Show moreLast updated: 30+ days ago
    • Promoted
    Attorney - Insurance Defense (HYBRID)

    Attorney - Insurance Defense (HYBRID)

    Trandon Associates, IncWhite Plains, NY, US
    Full-time
    Prominent Law Firm is looking for Insurance Defense Attorneys to join its team!.Need at least one year of experience in Insurance Defense. Litigation experience is a plus.Experience with any of the ...Show moreLast updated: 28 days ago
    • Promoted
    Plaintiff Medical Malpractice Attorney

    Plaintiff Medical Malpractice Attorney

    Javerbaum Wurgaft Hicks Kahn Wikstrom & SininsNew York, NY, US
    Full-time
    Javerbaum Wurgaft, a large civil litigation firm with nine (9) offices in New York and New Jersey, seeks : .Plaintiff Medical Malpractice Attorney with at least three (3) years experience in medical ...Show moreLast updated: 30+ days ago
    • Promoted
    Physician (MD / DO) - Internal Medicine - General / Other in Belmar, NJ

    Physician (MD / DO) - Internal Medicine - General / Other in Belmar, NJ

    LocumJobsOnlineBelmar, NJ, US
    Full-time
    LocumJobsOnline is working with The Inline Group to find a qualified Internal Medicine MD in Belmar, New Jersey, 07719!.Arthritis Knee Pain Centers, LLC -. Average Patients seen : 40-50 injections p...Show moreLast updated: 30+ days ago
    • Promoted
    Litigation Attorney-General Liability

    Litigation Attorney-General Liability

    CyberCodersLivingston, NJ, US
    Full-time
    Litigation Attorney-General Liability.Litigation Attorney - General Liability / Toxic Torts / Product Liability.Must be based out of on the following offices : . Livingston, NJ (NJ license required).Buffa...Show moreLast updated: 30+ days ago
    • Promoted
    Litigation Attorney

    Litigation Attorney

    Kent & McBrideRed Bank, NJ, US
    Full-time
    Please note; this role is based in Middletown, NJ.We are seeking a highly motivated and experienced Litigation Attorney to join our dynamic legal team. The ideal candidate will have a strong foundat...Show moreLast updated: 6 days ago
    • Promoted
    Maritime Attorney

    Maritime Attorney

    GEORGE M CHALOS & CO PCOyster Bay, NY, US
    Full-time
    International Law Firm is a globally recognized litigation boutique law firm which handles a wide range of cases, including commercial disputes, general liability defense, maritime, and white-colla...Show moreLast updated: 30+ days ago
    • Promoted
    Malpractice Litigation Attorneys - All Levels

    Malpractice Litigation Attorneys - All Levels

    JobotRed Bank, NJ, US
    Full-time
    Malpractice Litigation Attorneys (All Levels) – NYC Metro | Top Malpractice Defense Firm! ????⚖️.This Jobot Job is hosted by : Andrew Harrison. Are you a fit? Easy Apply now by cl...Show moreLast updated: 30+ days ago