Senior Claims Adjuster
Job Opportunity at Independent Insurance Staffing Services

Posted on Jan 5

http://www.iistaffing.com    214-236-3464

Location: Oakland, CA
Job Type: Full Time
Job ID: W4149473


Full-time Position
Senior Claims Adjuster - Professional Liability

Analyze complex or technically difficult medical malpractice claims. Resolve highly complex nature and/or severe injury claims. 

Claims Responsibility:
•             Analyze and process complex medical malpractice claims by investigating and gathering information to determine the exposure on the claim.
•             Conduct /assign full investigations and provide report of investigation pertaining to new events, claims and legal actions.
•             Negotiate claim settlement up to designated authority level.
•             Calculate and assign timely and appropriate reserves to claims; monitor reserve adequacy throughout claim life.
•             Recommend settlement strategy; bring structured settlement proposals as necessary to maximize settlement.
•             Coordinate legal defense by assigning attorney, support for investigation, and reviewing attorney invoices; monitor counsel for compliance with client guidelines.
•             Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients.
•             Identify and investigate fraud possibilities, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost.
•             Represent Company in depositions, mediations, and trial monitoring as needed..
•             Refer cases as appropriate to supervisor and management.
•             Delegates work and mentor assigned staff.

Please submit your resume to Toni with iiStaffing at TLWashington@iistaffing.com.
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