Job Details
The New Mexico Self-Insurers Fund is seeking an experienced Claims Adjuster to perform a variety of advanced level, technical and administrative duties as needed to expedite the review, processing, investigation, and disposition of various claims filed against Fund policies and programs, including automobile, automobile physical damage, property, workers compensation, general liability, civil rights, and law enforcement claims.
RESPONSIBILITIES
Receive, evaluate, and recommend action on claims from insured members.
Negotiate settlements and manage reserve pools to ensure adequate financial resources.
Coordinate and supervise contract adjusters' work, ensuring quality and accuracy.
Follow established guidelines for settlement limits and initiate advanced review processes as needed.
Manage subrogation claims and monitor professional services provided in conjunction with settlements.
Participate in claims committee meetings and provide detailed presentations on large claims.
Performs other duties as assigned.
QUALIFICATION CONSIDERATIONS
Bachelor s Degree preferred.
At least 15 years related experience preferred.
Active, good-standing Independent/Staff Adjuster License 18-40.
Knowledge of general liability, civil rights, law enforcement, workers compensation, life, medical claims adjudication policies, procedures, and processes where necessary; legal, medical and insurance industry technology; organizational communications; interpersonal communication skills; negotiation techniques; technical writing; principles of organizational design, supervision, and motivation.
Ability to draft technical reports; analyze a variety of claims issues and make recommendations; communicate effectively in writing and orally; establish and maintain effective working relationships with professionals, executives, department heads, co-workers, and the public; work independently.
COMPENSATION
Competitive pay, commensurate with qualifications and experience.
Compensation includes a comprehensive benefits package, including automatic 10 percent retirement contribution from employer, and up to additional 8 percent retirement fund matching contribution.
WORK LOCATION
Primary work location is at the Fund's Albuquerque or Santa Fe offices, with option to work remotely one day per week, job duties allowing.