Claims Advisor
4 weeks ago
Primary Purpose:
Investigate, analyze and settle liability and property damage claims filed by or against the Company within prescribed monetary limits. Assist in performing assignments related to the damage prevention and awareness program as required. Respond to highly sensitive situations, which may involve severe injuries and/or fatalities. Act as a witness at court hearings on behalf of the Company. Respond to after-hours events as required per department needs.Duties and Responsibilities:
- Investigate and analyze liability and property damage claims filed by or against the Company. Settle, adjust or deny minor claims. Gather evidence for hearings, trials, and other dispositions through visual inspections, photographs, interviewing and questioning witnesses. Examine and analyze records and reports. Prepare and maintain detailed documentation related to investigations. Confer with engineers, contractors, attorney(s) and claimants to determine the extent of major property damage claims, recommend action to be taken for settlement. Coordinate reimbursement, repair and/or replacement activities between claimants and contractors.
- Testify and represent the Company at court hearings regarding claims cases.
- Collect funds from persons who have damaged Company property by locating them, negotiating settlements and arranging billing correspondence.
- Investigate and respond to requests from the CPUC involving claim complaints, respond to claims covered by the media, evaluate and prepare responses to correct customer service complaints and problems.
- Assist Senior Claims Representatives in the damage prevention and awareness program by performing assignments as required.
- Advise Company employees on appropriate procedure and action to follow regarding claims in daily or emergency situations. Keep informed of the latest developments in state and federal legislation, regulations and court decisions affecting claims.
- Performs other duties as assigned (no more than 5% of duties).
Qualifications
Hybrid Schedule:
- Although the schedule may vary, typically this will allow the employee to work onsite three days per week and remotely on the remaining workdays.
- Must reside in Southern California or be willing to relocate upon hire.
Required Qualifications:
- Bachelor's Degree in Business, related field or equivalent training and/or experience.
- A high degree of responsiveness, thoroughness, attention to detail and accuracy in investigating, analyzing and evaluating claims.
- Exhibit tact and diplomacy in communicating with claimants, internal and external attorneys, insurance companies and testifying at court hearings.
- Excellent oral and written communication skills and be highly organized with solid time management skills.
- Skillful in personal contacts when conducting investigations, communicating with customers, the news media and the courts.
- Ability to respond to high-profile or sensitive situations, including severe bodily injuries and/or fatalities and review of related reports and photographs.
- Must be able to accept required responsibility of after-hours first responder on-call duty watch on nights, weekends and holidays.
Preferred Qualifications:
- 3 years - Claims investigation, liability analysis, case management or closely related experience.
- Experience in multi-line (personal and commercial lines) casualty claims investigation, liability analysis and case management.
Read the full posting.
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