Foundation Risk Partners · 1 day ago
Senior Adjuster - Professional Liability
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. This position requires an experienced medical professional liability or general liability adjuster to proactively manage complex claims, including investigation, evaluation, and negotiation of settlements.
InsuranceRisk Management
Responsibilities
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
Qualification
Required
Experienced medical professional liability (medical malpractice) or general liability adjuster
Proactively manage complex claims, including investigation and evaluation of liability and damages
Perform a complete and thorough review of legal documents
Review and recommend ensuring carrier adjusters place appropriate reserves
Aid clients with mediations analysis, discovery, and assist clients in negotiating settlements when appropriate
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
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
Establish positive and productive relationships with co-workers, clients, policyholders, claimants, agents, repair facilities and others associated with the claims process
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
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
Preferred
Professional designations, such as AIC, ARM, CPCU (preferred but not required)
Benefits
Comprehensive range of health-related benefit options including medical, vision, and dental
401(k) with company match
Company paid life insurance
STD
LTD
Generous PTO policy starting at 18 days per year plus 10 paid holidays & 2 floating holidays
Company
Foundation Risk Partners
Foundation Risk Partners is born of decades of insurance expertise and leadership.
Funding
Current Stage
Late StageTotal Funding
$2MKey Investors
Barings
2022-08-09Acquired
2020-09-01Debt Financing· $2M
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