Home
/
Comprehensive
/
Claims Adjuster Liability
Claims Adjuster Liability-January 2024
Virtual
Jan 17, 2026
About Claims Adjuster Liability

  Claims Adjuster Liability Location: Remote Duration: 2 months Description: Education Level: High School Graduate/GED Juris preferred. Experience with injury/liability/demand reviews/auto Min 2 years of liability experience mandatory. Primary purpose: To analyze mid- and higher-level general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. Essential Functions And Responsibilities Manages mid-level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level. Assesses liability and resolves claims within evaluation. Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract. Manages subrogation of claims and negotiates settlements. Communicates claim action with claimant and client. Ensures claim files are properly documented and claims coding is correct. May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. Maintains professional client relationships. Additional Functions And Responsibilities Performs other duties as assigned. Supports the organization's quality program(s). Qualification Education & Licensing Bachelor's degree from an accredited college or university preferred. Experience 2+ years of claims management experience or equivalent combination of education and experience required. Skills & Knowledge Subject matter expert of appropriate 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 and Medicare application procedures as applicable to line-of-business. Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Good interpersonal skills Excellent negotiation skills Ability to work in a team environment Ability to meet or exceed Service Expectations Work Environment When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding Auditory/Visual: Hearing, vision and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Comments
Welcome to zdrecruit comments! Please keep conversations courteous and on-topic. To fosterproductive and respectful conversations, you may see comments from our Community Managers.
Sign up to post
Sort by
Show More Comments
SIMILAR JOBS
Retail Merchandiser - Electronics - Part Time
Retail Merchandiser - Electronics - Part Time LocationVA - WILLIAMSBURG Transform and elevate the retail experience, one display at a time! ActionLink is seeking a Part-Time Retail Electronics Merchan
Sr. Accountant
Description We are seeking a highly skilled Sr. Accountant to join our team in the manufacturing industry, located in Round Rock, Texas. In this role, you will be tasked with ensuring adherence to GAA
Sr. Administrative Assistant
Description We are seeking an experienced and highly organized Senior Administrative Assistant to join our team and support our executive team and various departments. The Senior Administrative Assist
Inspector - Level 3 - FAA - 2nd shift
WHY HONEYWELL? Honeywell changes the way the world works. For more than 130 years, we’ve solved the toughest customer challenges through a rare combination of our industrial expertise and our innovati
Sales Representative Laboratory Diagnostics - North Holland
Job Requirements About Mars Petcare Antech: Mars Science Diagnostics is a division of Mars Petcare, a diverse business dedicated to one purpose: A Better World for Pets™. Science Diagnostics brings to
Customer Service Manager
Description Job: Fulltime with Benefits Salary: $45,000- $55,000 Onsite-5 days a week Leading regional firm is expanding and has an opening for a Customer Service Manager. Responsibilities • The Custo
Radiographer (RAD Tech) - Part Time, Days
Radiographer (RAD Tech), Part Time Our fast-paced Radiology department is looking for top skilled Radiographer. Is that you? Work location: Texas Health Plano, 6200 West Parker Road, Plano, TX 75093 W
Housekeeper
Overview St. John’s Regional Medical Center located in Oxnard California is a recognized as a Top 250 Hospital in the Nation and as one of America’s 100 Best Hospitals for Cardiac Care by Healthgrades
Staff Nurse II - Main Operating Room
Job Summary: The Registered Nurse (RN) II is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame. The RN II provides care to pati
Golf Services
Job Responsibilities Welcome and assist players with check-in and reservations. Provide information about the venue, gameplay, and promotions. Help with golf clubs and equipment. Ensure the cleanlines
Copyright 2023-2026 - www.zdrecruit.com All Rights Reserved