Claims Adjuster

Description

We are seeking a Claims Adjuster who will provide direct support to assigned public entity clients, exercising independent judgement and personal discretion on matters related to general liability claims, claims management, and claims resolution/settlement. Duties of the Claims Adjuster include, but are not limited to:

• Investigate, analyze, and determine the extent of insurance provider's liability concerning personal, casualty, or property loss or damages.
• Recommend claims action and setting and adjusting proper reserves as appropriate while complying with accepted guidelines regarding reserve practice and authority levels.
• Communicate with claimants, clients, and attorneys throughout the claims process.
• Correspond with, interview medical specialists, agents, witnesses, or claimants to compile information.
• Create and maintain records, diaries, and reports in the claims system and/or the client's system.
• Calculate benefit payments, negotiate claim resolutions, and approve payments, within a certain monetary limit.
• Collaborate with counsel in preparation for litigation including assembling evidence to support contested claims and keeping clients advised of litigation status.

Requirements

Education and Experience

• Bachelors degree preferred.
• At least three (8) years of experience with insurance claims, self insurance, pooled insurance.
• Excellent written and verbal communication skills.
• The ability to speak and write fluently in Spanish is a requirement.