Senior General Liability and Medical Malpractice Adjuster

Acrisure; New Jersey; Remote; USD 94,000 - 125,000; Full time

Benefits offered by this job

Medical insurance

401(k) plan

Paid time off

Job summary

Acrisure is seeking an experienced claims adjuster to review, investigate, and manage high-exposure professional liability and medical malpractice claims. You will work with clients, brokers and attorneys to resolve claims efficiently, and you may mentor junior staff as part of a collaborative team.

The role supports remote work with on-site collaboration as needed, offering a competitive base compensation and benefits package designed to attract experienced professionals.

Qualifications

• High school diploma or equivalent required.
• 5-7 years prior experience handling professional liability/medical malpractice, auto/general liability claims, or equivalent.
• Active multi-state adjuster license required.

Responsibilities

• Review and examine claim forms to determine insurance coverage.
• Interview claimants and clients; document results within established time frames.
• Consult reports and medical records to determine nature and extent of injuries.
• Ensure that claim files and reserves are current; inform clients on claim status.
• Negotiate settlements within authority limits and coordinate litigation with attorneys.
• Mentor less experienced coworkers and assist in professional development.

Skills

Medical liability claims analysis

Liability and damages evaluation

Negotiation

Client communication

Claims handling best practices

Education

High school Diploma or equivalent

Active multi-state adjuster license

Tools

Microsoft Word

Excel

PowerPoint

Outlook

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 more.

Job Description

In 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
• Effective analysis of liability, causation and damages
• Successful use of creative settlement tools including structured settlements
• Ability to read and interpret documents such as instructions and procedure manuals.
• Ability to write routine correspondence and effectively present information one-on-one.
• Ability to respond to inquiries and complaints.
• Ability to read, analyze, and interpret general business periodicals, professional journals,
• financial reports, legal documents, and government regulations.
• Ability to effectively present information in group situations.
• Ability to carry out instructions furnished in written or oral form.
• Ability to deal with problems involving several variables.
• Ability to solve practical problems and deal with situations where limited standardization exists.
• Ability to define problems, collect data, establish facts and draw valid conclusions.
• Mathematical Abilities.
• Ability to add, subtract, multiply and divide using whole numbers, common fractions and decimals.
• Ability to compute basic percentages.
• Ability to calculate figures/amounts such as discounts, interest, proportions and complex percentages.
• Communication for this position entails regular contact with both internal and external constituents.
• Good verbal and written communication skills, as well as interpersonal skills.
• Ability to listen well and negotiate with constituents.
• Ability to communicate effectively with people on different educational levels.
• Ability to prepare and present information on an individual basis as well as in a group setting.
• Commercial General Liability insurance policy knowledge preferred.
• Thorough knowledge of liability insurance claims handling, with school/educational
• system or public entity’s knowledge preferred.
• Position will be remote.

Education And Experience

• High school Diploma or equivalent is required.
• 5-7 years prior experience handling professional liability/medical malpractice, auto/general liability claims/personal lines, or an equivalent combination.
• Active multi-state adjuster license required.
• Strong organization skills, attention to detail and the ability to multi-task and prioritize work are required.
• Analytical thinking skills are needed to properly evaluate complex claims.
• Attention to detail is necessary as claims adjusters must carefully review documents and policies.
• Strong verbal and written communication skills, as well as interpersonal skills are required, experience with negotiations, knowledge of litigation process is preferred.
• Ability to listen well and negotiate with constituents is needed.
• Basic computer skills or the ability to quickly learn new software are required- Microsoft Word, Excel, Powerpoint and Outlook experience.
• A strong work ethic and time management skills are needed, to efficiently, and accurately resolve claims.
• Capable of effectively managing an assigned client caseload.
• Ability to establish and maintain good rapport with clients and claimants is needed.
• Ability to calculate figures is required.

Pay Details

The base compensation range for this position is $95,000 - $125,000. This range reflects Acrisure's good faith estimate at the time of this posting. Placement within the range will be based on a variety of factors, including but not limited to skills, experience, qualifications, location, and internal equity.

Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.

Why Join Us

At Acrisure, we’re building more than a business, we’re building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future.

Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York.

Employee Benefits

• Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.
• Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.
• Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.
• Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.
• and so much more!

This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location.

Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting [e-mail].

Final candidates will be required to complete post-offer verification processes related to the role and in accordance with applicable laws.

California Residents

Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy.