Location: all cities,NM, USA
The New Mexico Municipal League/New Mexico Self-Insurers' Fund (NMML/NMSIF) is looking for an experienced, full-time claims adjuster to handle review, processing, investigation, and disposition of various claims for Fund policies and programs, including automobile, property, workers' compensation, general liability, civil rights, and law enforcement.
The New Mexico Self-Insurers' Fund offers Workers' Compensation, general liability, law enforcement, civil rights, errors and omissions, auto liability, auto physical damage, and property and volunteer coverage to municipalities and other public entities.
Job Responsibilities
Receives and processes claims from insured members.
Determines coverage eligibility and evaluates negligence, liability, and applicable coverage for losses.
Investigates claims and makes recommendations to deny, defend, negotiate, or pay claims.
Utilizes various resolution processes, including settlement offers, mediation, arbitration, or litigation.
Performs cost control actions and sets reserves for claims to ensure financial resources are available.
Manages reserve pools and coordinates with reserve adjusters to adjust reserves as necessary.
Coordinates and supervises contract work of independent adjusters for claims investigation.
Monitors case progress and verifies accuracy of results from independent adjusters.
Manages and monitors professional services related to settlements, such as medical care, legal consultation, and therapy.
Participates in claims committee meetings and provides case details to the risk services director, executive director, and Fund trustees.
Performs other duties as assigned.
Required Skills & Abilities
Knowledge of general liability, civil rights, law enforcement, workers' compensation, life, and medical claims adjudication policies, procedures, and processes.
Familiarity with legal, medical, and insurance industry technology.
Strong organizational, communication, and interpersonal communication skills.
Expertise in negotiation techniques and technical writing.
Ability to draft technical reports and analyze a variety of claims issues.
Skilled in making informed recommendations and communicating effectively both in writing and orally.
Ability to establish and maintain effective working relationships with professionals, executives, department heads, co-workers, and the public.
Capable of working independently.
Required Education & Qualifications
Licensed as an adjustor in the State of New Mexico under Section 18-40.
Bachelor's Degree or five years of relevant experience, or any combination of the two.
Work Location
Primary work location is the NMML/NMSIF Santa Fe office. This is a full-time, in-person job.
Compensation
Pay range is $60,000 to $120,000 annually, dependent on 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.