Complex Litigation Claims Adjuster II
 Presbyterian Healthcare Services | |
life insurance
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 United States, New Mexico, Albuquerque | |
| 1100 Central Avenue Southeast (Show on map) | |
 Dec 23, 2025 | |
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Location Address: 9521 San Mateo NE , Albuquerque, New Mexico 87113-2237, United States of AmericaCompensation Pay Range: Minimum Offer $: 67100.8Maximum Offer for this position is up to $: 102460.8Now hiring a Complex Litigation Claims Adjuster IISummary: The Complex Litigation Claims Adjuster II investigates, evaluates, and negotiates more severe and complex claims and litigation to a successful resolution and in compliance with company standards. This position will have a strong background in 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 of a more severe and complex nature. 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 high severity injury 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. Type of Opportunity: Full timeJob Exempt: YesJob is based : Reverend Hugh Cooper Administrative CenterWork Shift: Days (United States of America)Responsibilities: Complex Litigation Claims Adjuster II-ABQQualifications: *Bachelors degree required, 6 years of equivalent experience may be substituted in lieu of degree.*5 years of experience managing medical malpractice, general liability, property/casualty claims and litigation including some experience with high severity claims *5 years relevant experience in managing complex claims litigation and settlement. *Licensed Adjuster- State of NM or eligible for licensure in NM *Some graduate school and/or professional industry designation (ARM, AIC) preferred. *Paralegal certification preferred *Requires knowledge of legal issues, data management and interpretation, and effective communication skills *Ability to multi-task while maintaining discretion, confidentiality, and accuracy/due diligence. *Strong computer skills with a penchant to adapt easily to learning new software. UPDATED 6/9/25 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 Why work at Presbyterian? About Presbyterian Healthcare Services Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. Inclusion and Diversity AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services | |