The Claims Adjuster will provide support directly to assigned public entity clients throughout the Los Angeles/Long Beach area, exercising independent judgment and personal discretion on matters related to general liability claims, claim management, and claims resolution/settlement to resolve issues facing the clients.
The Claims Adjuster will report to the Director of Claims.
Duties of the Claims Adjuster include, but are not limited to, the following:
Generally investigate, analyze, and determine the extent of insurance provider’s liability concerning personal, casualty, or property loss or damages, and attempt to effect settlement with claimants.
Communicate with claimants, clients, and attorneys throughout the claims process.
Correspond with and interview medical specialists, agents, witnesses, or claimants to compile information.
Create and maintain records, diaries, reports, and files in the SIMS claim system and/or the client’s claim system.
Prepare timely reports for clients, complying with all reporting requirements set out in George Hills’ procedure manual.
Calculate benefit payments, negotiate resolution of claims, and approve payment, within a certain monetary limit.
Investigate claims including inspecting, assessing, and estimating damage; gathering information through examination of evidence, research, interviews, and evaluation of records; adhering to contract, property, and insurance laws; and following rules of evidence.
Evaluate liability exposure through review of insurance applications and policies; and obtaining, reviewing, and evaluating police, medical, and other related records.
Recommend claim action and setting and adjusting proper reserves as appropriate while complying with accepted guidelines regarding reserve practice and authority levels.
Interview and recommend legal counsel for retention by the clients.
Collaborate with counsel in preparation for litigation including assembling evidence to support contested claims and keeping clients advised of litigation status.
Job Type: Full-time
Pay: $28.00 per hour
Experience:
Claims Processing: 3 years (Required)
Education:
Bachelor’s (Required)
Location:
Los Angeles, CA (Required)