Professional Liability Claims Adjuster- Senior Living

We are seeking a skilled and detail-oriented Professional Liability Claims Adjuster to join our team. This role is ideal for a claims professional with expertise in nursing home or senior living liability and previous experience working with a TPA, brokerage, or agency in this sector.

What You'll Do:

Claims Management:
• Handle and adjust professional liability claims related to nursing homes and senior living facilities, ensuring a thorough, fair, and efficient resolution process.
• Conduct in-depth investigations and manage claims from initial reporting through resolution, including coverage analysis, liability assessment, and damages evaluation.
• Participate in mediation and settlement negotiations to achieve favorable outcomes.

Communication & Collaboration:
• Work directly with policyholders, third-party investigators, defense firms, and internal claims team members to streamline the claims process.
• Provide proactive and strategic communication to mitigate claim damages and enhance risk management efforts.
• Proactively support policyholders with open claims, providing clear and empathetic assistance.

Industry Expertise & Compliance:
• Ensure adherence to industry regulations and best practices, with a strong understanding of nursing home and senior living liability claims.
• Maintain compliance with Medicare Section 111 Reporting and other regulatory requirements.

What We're Looking For:
• 1-3 years of hands-on experience in Nursing Home/Senior Living liability claims adjusting
• Strong knowledge of professional liability insurance, Medicare reporting, and regulatory compliance.
• Understanding of Medicare Section 111 Reporting
• Exceptional communication and negotiation skills, with the ability to work effectively with diverse stakeholders.

Make an impact – Play a key role in delivering top-tier claims management and supporting policyholders in the senior living industry

Fully remote – Work from anywhere while staying connected through our collaborative team culture.

Job Type: Full-time

Pay: $50,000.00 - $64,000.00 per year

Benefits:
• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:
• Monday to Friday

Work Location: Remote

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