Senior General Liability Bodily Injury Technical Claims Specialist-1
Argo GroupSalary not specified
Full Time
Senior (5 to 8 years)
Senior Adjuster - Professional Liability at Foundation Risk Partners
Edison, New Jersey, United States
Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Insurance, HealthcareIndustries
Requirements
- 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
- 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
- Ability to proactively share and promote 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 trends and relationships to provide high-quality customer service
- Well-versed in identifying, understanding, and explaining complex financial and/or actuarial 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
- Professional designations, such as AIC, ARM, CPCU (preferred but not required)
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 participate 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
- 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
Skills
Claims Adjusting
Medical Malpractice
Professional Liability
Claims Investigation
Liability Evaluation
Damages Assessment
Legal Document Review
Reserve Recommendations
Settlement Negotiation
Mediation
Arbitration
Deposition Attendance
Trial Support
Healthcare Industry Knowledge
Insurance Policies
Foundation Risk Partners
Insurance brokerage and consulting services
About Foundation Risk Partners
Foundation Risk Partners operates as an insurance brokerage and consulting firm, focusing on providing tailored insurance solutions and expert advice to clients across the United States. The company grows by acquiring other firms and expanding its services organically, ensuring a diverse mix of industry knowledge and specialized services. Their approach combines expertise in various sectors with a commitment to cultural alignment and shared values. Unlike many competitors, Foundation Risk Partners emphasizes a collaborative relationship with clients, aiming to achieve exceptional outcomes and drive success for their partners.
Daytona Beach, FloridaHeadquarters
2017Year Founded
$2MTotal Funding
DEBTCompany Stage
Consulting, Financial ServicesIndustries
201-500Employees