Senior General Liability and Medical Malpractice Adjuster

## Senior General Liability and Medical Malpractice Adjuster Apply:
Remote:
1001 G St #113 - SACRAMENTO, CA:
KENTUCKY:
NEW YORK:
GEORGIA:
TEXAS:
Full time:
Posted Today:
JR114344##
** Job Description
**** About Acrisure
** A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services – and  the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries.

Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible.
** Job Summary
** Review, investigate and handle general commercial, professional and auto liability claims as assigned by claims supervisor to determine liability and exposure; to work with high exposure claims involving litigation; to ensure ongoing exceptional claims handling within service expectations; and identify subrogation of claims and negotiate settlements. Communicate directly with clients, brokers, and attorneys to manage claims in a timely and economic manner.
** Responsibilities
* ** Receives claim assignments from claim supervisor; examines claim forms and other records to determine insurance coverage.
* Interviews, telephones, and/or correspond with claimant(s) and client within established time frame, document results of these contacts.
* Consults police reports and medical records to determine nature and extent of the   accident.
* Reviews medical bills to ensure treatment is reasonable, necessary and related to the injury.
* Ensures that claim file documentation and reserves are current; and keeps client advised on claim status.
* Negotiates settlement with claimant within limits of authority.
* Coordinates and monitors litigation with attorneys.
* Brings claims to conclusion.
* Handles caseload consisting of complex liability.
* Independently prepares for and attends client meetings to discuss claim status, reserve levels and action plans.
* Participates in mentoring programs to assist in the professional development of less experienced adjusters.
* Mentors less experience co-workers to develop their understanding of procedures, state laws, and help others improve their claims handling ability
* Assists with client development, education, and problem solving.
* Completes Excess reports and requests for reimbursement; submits these to carriers;  follows up for recovery.
* Handles claims involving subrogation from investigation through recovery.
* On-site investigation of claims when necessary.
* Analyzes and resolves client issues independently.
* Manage healthcare liability claims involving healthcare facilities, and providers, under both primary and excess insurance policies across all 50 states.
* Ensure comprehensive oversight of complex claims, including investigation, evaluation, and resolution, while maintaining compliance with state-specific regulations and industry standards.
* Investigation plans for each claim; evaluating each with respect to standard of care, liability, causation and damages.
* Analyze and process complex or technically difficult medical malpractice lawsuits by investigating and gathering information, determining the exposure on the claim. Overall investigation and management of medical malpractice claims.
* Other duties may be assigned
** Requirements
* ** Working knowledge of medical malpractice insurance principles and laws
* Successful history of case management and loss minimization
*…