Senior Liability Claims Adjuster

Senior Liability Claims Adjuster

Join our dynamic team and take on a pivotal role in claims and account management. In accordance with relevant statutes and our company guidelines, you will effectively manage a portfolio of medical professional and general liability claims, some of which may involve complex or unique issues.

This multifaceted position includes key areas of focus:

Our Culture

At Intercare, we believe that every team member plays a crucial role in fostering and promoting a positive work culture. Our culture is essential to our success and is defined by our Core Values:

• Integrity: Our commitment to transparency.
• Collaboration: Our dedication to exceptional customer service.
• Accountability: We support our actions.
• Respect: Inspiring us to take the right actions.
• Excellence: Driving outstanding outcomes.

Claims Management

You will be directly responsible for claim and account management, guided by our mission:

Mission: To lead in providing professional and technological resources through proactive claims, risk management, and managed care solutions, tailored to our clients' objectives. We utilize innovative processes and cutting-edge technology, supported by exceptional individual service.

Quality

You will collaborate closely with the Intercare team to actualize our vision:

Vision: To be recognized as the most trusted and innovative partner for Claims and Managed Care solutions tailored to our clients' specific needs.

Key Responsibilities:

• Foster a culture of positivity, respect, collaboration, and excellence.
• Lead by example within team-building initiatives.
• Build and maintain strong collaborative relationships with clients.
• Make prompt contact regarding new claims within 24 hours to gather vital information.
• Accurately evaluate coverage promptly and document your findings.
• Conduct thorough investigations into claims while documenting relevant details.
• Oversee and manage the litigation process for nationwide claims.
• Ensure claims are actively managed with an up-to-date plan of action.
• Acquire expert reviews for early case evaluation.
• Seek contribution in shared liability cases as necessary.
• Manage claim files according to applicable statutes and service contracts.
• Establish and adjust claim reserves following client instructions.
• Maintain a professional image and courteous communication with clients.
• Respond to inquiries both written and verbal promptly.
• Travel for mediations, trials, or client meetings as required.
• Possess a working knowledge of medical terminology and jurisdictional issues.
• Perform additional duties as assigned.

Qualifications:

• Open-mindedness, eagerness to learn, and a positive attitude.
• Strong communication skills with respect for all individuals.
• Flexibility and adaptability to change.
• Excellent problem-solving and leadership skills.
• Exceptional customer service abilities.
• Strong business insight and discipline in professional conduct.
• Project management skills.

Requirements:

To be successful in this role, you should have, at a minimum:

• JD and/or RN qualifications preferred.
• Bachelor's degree and at least seven years of relevant experience.
• A proven background in managing medical professional liability claims.

Language Skills:

You must have the ability to read and interpret insurance policies, statutes, and professional journals. Fluency in both spoken and written English is essential.

Mathematical Skills:

Ability to perform basic arithmetic and interpret financial graphs.

Reasoning Ability:

Strong analytical and problem-solving capabilities are necessary.

Computer Skills:

Proficiency in MS Office and various tele/video conferencing software is required.

Certificates and Licenses:

Preferred candidates will have JD and/or RN licensure along with the appropriate jurisdictional adjuster license.

Physical Demands:

• Regularly required to sit and use hands for various tasks.
• Occasionally required to lift items over 10 pounds.
• Travel required, including overnight stays in hotels.

Work Environment:

The noise level in your work environment will be moderate. We offer reasonable accommodations for individuals with disabilities.