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Liability Claims Advisor
2 months ago
Adecco is assisting one of their top clients with their search for a Liability Claims AdvisorRemote in CaliforniaSalary range: Up to $129k based on experienceBachelor's Degree requiredESSENTIAL FUNCTIONS and RESPONSIBILITIESAnalyzes and processes complex or technically difficult medical professional liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely nducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions.Negotiates claim settlement up to designated authority level.Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life.Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement.Performs coverage analysis and opinion as part of the claim process including all necessary ordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines.Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.Represents company in depositions, mediations, and trial monitoring as municates claim activity and processing with the client; maintains professional client relationships.Ensures claim files are properly documented and claims coding is correct.Refers cases as appropriate to supervisor and management.Delegates work and mentors cation & LicensingBachelor's degree from an accredited college or university required. Professional certification as applicable to line of business preferred.Experience Six (6) years of medical malpractice claims management experience or equivalent combination of education and experience preferred.Skills & KnowledgeIn-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as applicable to line-of-businessClaims expertise in medical malpracticeExcellent oral and written communication, including presentation skillsPC literate, including Microsoft Office productsAnalytical and interpretive skillsStrong organizational skillsExcellent negotiation skillsGood interpersonal skillsAbility to work in a team environmentAbility to meet or exceed Performance Competencies
Pay Details: $122,000.00 to $129,000.00 per year
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
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The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.
