Now hiring a Complex Litigation Claims Adjuster I
The Complex Litigation Claims Adjuster I investigates, evaluates, and negotiates complex claims and litigation to a successful resolution and in compliance with company standards. This position will have a familiarity with the claims/litigation process and familiarity with all lines of PHS insurance/claim types. The complex litigation claims adjuster must demonstrate strategic thinking and sound decision-making.
Claim types include primarily medical malpractice but may include such claims as Directors and Officers, general and premises liability, property damage exposures. Maintains claims database documentation, appropriate reserving and case strategy. At the direction of the risk director and risk attorney, directs PHS participation in defense of claims and litigation.
Experience managing and resolving claims and litigation, proven skills in time management and caseload management, and must be able to document claim files by accurately capturing and updating claims data/information in compliance with best practices.
Provide general assistance and support to risk management and legal activities
How you belong matters here.
We value our employees' differences and find strength in the diversity of our team and community.
At Presbyterian, it's not just what we do that matters. It's how we do it - and it starts with our incredible team. From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.
Why Join Us
Ideal Candidate:
Associates degree required.
2 years of experience managing medical malpractice, general liability, property/casualty claims and litigation
2 years relevant experience in managing complex medical malpractice claims or clinical provision of healthcare required.
Education Essential: Associate Degree
All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.
Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.
Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.
About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
Inclusion and Diversity
Our culture is one of knowing and respecting our patients, members, and each other. We capture this in our Promise and CARES commitments.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.