Job Type
Full‑time
Description
Primary responsibilities include:
Investigate, analyze, and determine the extent of the insurance provider's liability concerning personal, casualty, auto or property loss or damages, and attempt to settle with claimants.
Correspond with or interview medical specialists, agents, witnesses, or claimants to compile information. Calculate and approve payment of claims within a certain monetary limit.
* Investigate claims:
* Assess and estimate vehicle or property damage.
* Compile information through interviews.
* Evaluate customer records.
* Examine evidence to determine if it will support claims.
* Follow contract, property, or insurance laws.
* Follow rules of evidence procedures in legal setting.
* Gather physical evidence.
* Inspect property to determine damages.
* Research property records.
* Conduct court searches.
* Interview claimants or witnesses
* Search legal records Interviews, telephones, and or correspond with claimants and witnesses.
* Evaluate liability exposure:
* Review insurance applications.
* Review insurance policies to determine appropriate coverage.
* Obtain, review, and evaluate records, police, medical, etc.
* Recommend claim action.
* Properly reserve for the claim.
* Adjust reserve as appropriate.
* Comply with accepted guidelines regarding reserving practice and authority levels.
* Create and maintain records:
* Maintain records, reports, and files in our claims system.
* Maintain all cases on an active diary in our claims system pursuant to established GHC criteria.
* Assist in the preparation of timely reports to clients.
* Comply with all reporting requirements/steps set out in the GHC Claims Handling Best Practices guide.
* Comply with regulatory requirements.
* Diary spoken or written information.
* Litigation management support:
* Collect evidence to support contested claims in court.
* Keep clients advised.
* Other duties as assigned.
Requirements
Education And Experience
* Bachelor’s degree preferred.
* One to three years of experience with insurance claims, self‑insurance, pooled insurance, or Joint Powers Authorities preferred.
* Possess basic knowledge relating to the handling of public entity liability claims.
* At least two (2) years of using Microsoft Windows on a PC including Microsoft Word, Excel, Outlook (no PowerPoint).
* At least two (2) years of using streaming video conferencing including Teams and Zoom with the ability to set and host group meetings with all included functionality.
* At least two (2) years of using claims management software and/or ability to quickly learn new software systems related to claims management.
* Excellent written and verbal communication skills.
Salary Description
$68,480 – $70,800
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