Senior Adjuster

Foundation Risk Partners, one of the fastest growing insurance brokerage and consulting firms in the US, is adding a Senior 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