1 Complex Claims & Litigation Adjuster, Center City (Full Time) Job in Philadelphia, PA
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Complex Claims & Litigation Adjuster, Center City (Full Time)
$228k-285k (estimate)
Full Time | Hospital
2 Weeks Ago
Jefferson Health is Hiring a Complex Claims & Litigation Adjuster, Center City (Full Time) Near Philadelphia, PA
ResponsibilitiesJob SummaryWorking under the general supervision of the Director of Claims and Insurance, responsible for handling all aspect of the highest exposure and miscellaneous professional liability claims, including class actions and high exposure matters, from inception through conclusion brought against Jefferson.
Essential Functions
Experience:
Par Reference Code 105678
Essential Functions
- Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
- Analyze, determine, and communicate the appropriate coverage position. Effectively manage litigation by evaluating liability and damages and determining the appropriate course of action for case resolution through well-developed action plans.
- Negotiates claims settlements up to designated authority level.
- Coordinates legal defense by assigning attorneys, coordinating support for the investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines.
- Handle claims consistent with Mountain Laurel Risk Retention Group (MLRRG,) and corporate policies, procedures, and standard methodologies following statutory, regulatory, and ethics requirements.
- Uses appropriate cost containment techniques, including strategic vendor partnerships to reduce overall claim costs for the organization.
- Calculates and assigns timely and appropriate financial reserves to claims, monitors reserve adequacy throughout claim life.
- Maintain accurate documentation in the claim file and adhere to claim documentation standards.
- Prepare reports to senior leadership which address liability exposure, coverage issues, litigation strategies, and loss development.
- Refers cases as appropriate to supervisor and management.
- Represents Company in depositions, mediations, and trial monitoring as needed.
- Interact with other internal departments and external organizations, including underwriting, actuarial, finance, and operations as needed
- Other duties as assigned.
- Bachelor’s degree
Experience:
- A minimum of 5 years of complex professional liability claims management experience required. 10 years preferred.
- AIC encouraged
- Possess a strong knowledge of the legal system, litigation, claims trends, and industry practices.
- Superior negotiation skills within a litigation and non-litigation context.
- Proficiency with claims information management systems (CIMS), Excel, Word, and demonstrated aptitude with Windows-based operating systems.
- Strong presentation, interviewing, investigation, and negotiation skills.
- Ability to budget own time effectively. Refers cases as appropriate to supervisor and management.
- Ability to work in a team environment.
- Occasional work travel.
Par Reference Code 105678
Job Summary
JOB TYPE
Full Time
INDUSTRY
Hospital
SALARY
$228k-285k (estimate)
POST DATE
06/20/2024
EXPIRATION DATE
07/19/2024
WEBSITE
jeffersonhealth.org
HEADQUARTERS
CHERRY HILL, NJ
SIZE
3,000 - 7,500
FOUNDED
1995
TYPE
NGO/NPO/NFP/Organization/Association
CEO
ALBERT SMITH CPA
REVENUE
$500M - $1B
INDUSTRY
Hospital
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About Jefferson Health
Jefferson is a New Jersey-based non-profit health care system that offers services such as cardiovascular care, neurosciences and rehabilitation therapy.
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