Senior Tort Adjuster

City of Albuquerque

Albuquerque, NM

JOB DETAILS
SALARY
$70,803.20–$74,297.60 Per Year
SKILLS
Business Administration, Case Law, Childcare, Claims Processing, Conferences, Data Collection, Documentation, Driver's License, Health Plan, Healthcare, Healthcare Providers, High School Diploma, Industry Standards, Insurance, Legal, Litigation, Medical Treatment, Negotiation Skills, Patient Care Authorizations, Presentation/Verbal Skills, Profit & Loss Analysis, Progress Reports, Public Administration, Regulations, Reporting Skills, Risk Management, Statistical Reports, Subrogation, Tax Planning, Time Management, Time Tracking, Willing to Travel, Worker's Compensation
LOCATION
Albuquerque, NM
POSTED
2 days ago

Senior Tort Adjuster

Salary

$70,803.20 - $74,297.60 Annually

Location

Albuquerque, NM

Job Type

Full Time

Job Number

2600964

Department

Finance & Admin Services

Division

FA-Claims - Tort and Other

Opening Date

05/04/2026

Closing Date

7/6/2026 11:59 PM Mountain

Bargaining Unit

NU

  • Description
  • Benefits
  • Questions

Position Summary

Investigate, negotiate, adjust and settle the most complex claims filed against the City including workers compensation claims; apply knowledge of applicable laws and policies to determine disposition of claims and perform a variety of technical tasks relative to assigned areas of responsibility.

Job descriptions are intended to present a general list of tasks/duties performed by employees within this job classification. Job Descriptions are not intended to reflect all duties performed within the job.

Essential and Supplemental Functions

ESSENTIAL FUNCTIONS: Essential functions may include, but are not limited to the functions listed below. Must be able to perform the essential functions of the job with or without a reasonable accommodation.

  • Negotiate, adjust and settle the most complex claims filed against the City including workers compensation claims.
  • Participate in mediation, settlement conferences, arbitrations, health care provider hearings or other legal proceedings in an attempt to settle assigned cases; prepare cases for presentation to the Claims Review Board.
  • Investigate workers compensation claims filed against the City for causation and compensability; assess loss; determine benefits as appropriate under applicable laws and policies.
  • Interview claimants, City staff and witnesses; inspect accident sites, obtain pertinent documents; obtain written and recorded statements.
  • Recommend settlement of assigned claims in accordance with applicable laws and policies; ensure claims are reported to appropriate agency.
  • Assist in litigation proceedings; gather data, provide investigation results and prepare related documentation.
  • Maintain records, document plans of action concerning new or ongoing claims; document all relevant information to provide a clear history of events and a proper audit trail; accurately report information within the established time frames and guidelines; prepare statistical reports and submit documentation to requesting agencies as required.
  • Coordinate with and assist other departments with insurance related questions pertaining to workers compensation.
  • Respond to questions and inquiries from the general public in a professional and courteous manner.
  • Evaluate claims for potential third party or subrogation recovery.

When assigned to the Workers Compensation Division

  • Reviews workers compensation claim documentation for compensability, causation and exposure in accordance with applicable laws, policies, and industry best practices.
  • Provide information and assistance to City personnel, injured employees, claims administrators, and medical and legal professionals; inform departments of an injured employees permanent work restrictions; assist in the coordination of appropriate accommodations.
  • Coordinate health care and grant authorization for medical treatments; review medical reports for progress of treatment; ensure treatment and benefits related to the original on the job injury and are medically appropriate in accordance with the disability and medical guidelines.
  • Set, monitor and adjust reserves according to the workers injury and industry standards; issue timely and accurate payment of statutory indemnity and medical benefits in accordance with workers compensation statutes, rules and regulations and contractual agreements.
  • Compare and reconcile claim records with City payroll records; monitor injury time benefits according to City Personnel Rules and Regulations and resolve discrepancies.

SUPPLEMENTAL FUNCTIONS:

  • Attend and participate in staff meetings and keep supervisor informed of status on all assigned cases and plan of action.
  • Stay abreast of new trends, pending legislation, and case law related to workers compensation.
  • Perform related duties and responsibilities as required.

Minimum Education, Experience And Additional Requirements

Education and experience directly related to the minimum requirements below may be interchangeable on a year for year basis.

Bachelors degree from an accredited college or university in business administration, public administration, or risk management; and

Four (4) years of claims experience.

ADDITIONAL REQUIREMENTS:

Possession of a valid New Mexico Drivers License, or the ability to obtain by date of hire.

Possession of a City Operators Permit (COP) within six (6) months from date of hire.

Possession of a valid New Mexico Adjuster License within six months from date of hire.

Working Conditions

Environmental:

Office and field environment; some travel from site to site; exposure to computer screens.

Physical:

Essential and supplemental functions may require maintaining physical condition necessary for walking, standing and sitting for prolonged periods of time; operate a motor vehicle; operate a computer.

Total Rewards. Total You.

The City of Albuquerque takes pride in offering our employees one of the most attractive Total Rewards packages in New Mexico. In addition to competitive salaries, the City provides benefit options for health, pharmacy, dental, vision, life, disability, and much more. The City also has pre-tax savings plans for healthcare, childcare, and parking. Employees participate in the state's public retirement system (PERA), with the City paying up to 75 percent of the employee's contribution. That's higher than any other contribution rate in the state of New Mexico!

Paid holidays? Check

Paid parental leave? Check

Paid birthdays off? Check

Vacation and sick leave starting Day 1? Check and check

Our people matter and we prioritize physical, mental, and financial wellbeing. With resources such as onsite and mobile medical clinics, an employee assistance program that encourages work-life balance, and tuition assistance and professional development pathways, the City is committed to equipping our employees with tools to better their lives and grow their careers while serving their community.

Total Rewards - City of Albuquerque

Fire Department

Albuquerque Police Department

01

Do you possess a valid New Mexico Drivers License, or have the ability to obtain by date of hire (attach a copy of your Drivers License)?

  • Yes
  • No

02

Select the highest level of successfully completed related education as identified by the minimum requirements (if applicable, attach supporting degree or transcripts).

  • No High School Diploma
  • High School Diploma or GED
  • Non/degree accredited- Some College
  • Associates
  • Bachelors
  • Masters
  • Juris Doctorate
  • Doctorate

03

Select the number of years of work experience you possess which relates to the minimum requirements, if applicable, add verifiable time in a temporary upgrade status and/or volunteer experience when selecting number of years.

  • No experience
  • 1 to less than 6 months
  • 6 to less than 12 months
  • 1 year to less than 2 years
  • 2 years to less than 3 years
  • 3 years to less than 4 years
  • 4 years to less than 5 years
  • 5 years to less than 6 years
  • 6 years to less than 7 years
  • 7 years to less than 8 years
  • 8 years to less than 9 years
  • 9 years to less than 10 years
  • 10 years to less than 11 years
  • 11 years to less than 12 years
  • 12 years to less than 13 years
  • 13 or more years

Required Question

Employer City of Albuquerque

Address 400 Marquette N.W.

Albuquerque, New Mexico, 87103

Phone 505 768-3700

Website http://CABQ.GOV

About the Company

C

City of Albuquerque