Construction Defect Claims Specialist - Remote
Amerisure Insurance
Claims Adjuster II – Complex Litigation
Presbyterian Healthcare Services
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteSalary
💰 $32 - $49 per hour
Job Level
Mid-LevelSenior
About the role
- Investigates, evaluates, and negotiates more severe and complex claims and litigation to a successful resolution and in compliance with company standards.
- Investigate, evaluate, and negotiate claims, primarily medical malpractice but may include Directors and Officers, general and premises liability, property damage of more severe and complex nature.
- Maintain claims database documentation, appropriate reserving and case strategy.
- Direct PHS participation in defense of claims and litigation at direction of risk director and risk attorney.
- Provide general assistance and support to risk management and legal activities.
- Manage claims and litigation matters from inception to closure including identification and investigation of coverage, liability and damages issues.
- Establish and execute appropriate and economical plan for claim resolution in compliance with department/carrier best practices and guidelines.
- Review, analyze, research, and prepare responses for discovery; gather, organize and index requested documents including electronic discovery for interrogatories, requests for production, subpoena, and motions.
- Draft frequent and complex claim related correspondence.
- Prepare claim reports and educates organization about risk issues identified through claims data.
- Attend and participate in settlement negotiations and negotiates within authority; attend mediation and trials related to claims or litigation.
- Manage relationships and provide support for internal and external customers; serve as primary source of contact and support for employees named or involved in claims/lawsuits.
- Direct and control activities of outside vendors, including defense counsel and experts.
Requirements
- Bachelors degree required, 6 years of equivalent experience may be substituted in lieu of degree.
- 5 years of experience managing medical malpractice, general liability, property/casualty claims and litigation including some experience with high severity claims
- 5 years relevant experience in managing complex claims litigation and settlement.
- Licensed Adjuster- State of NM or eligible for licensure in NM
- Some graduate school and/or professional industry designation (ARM, AIC) preferred.
- Paralegal certification preferred.
- Requires knowledge of legal issues, data management and interpretation, and effective communication skills
- Ability to multi-task while maintaining discretion, confidentiality, and accuracy/due diligence.
- Strong computer skills with a penchant to adapt easily to learning new software.
