Claims Adjuster

2 weeks ago

Irvine, United States Roth Staffing Companies Full time
Claims Adjuster - Direct Hire Opportunity will work onsite Monday - Friday 8:00 am to 5:00 pm in the corporate office of our client who is a Residential Property Management Company. The Claims Adjuster inputs, creates, investigates, evaluates, negotiates and settles a variety of claim types. You must have experience with Property and General Liability Claims.

You will be making appropriate recommendations for tenants' reimbursement where needed regarding settlement. Report claims to third party administrators and insurance carriers as needed. Monitors incoming correspondence, invoicing and other expenses and investigates for proper charges or recovery. Continuously monitors claim files while working towards resolution and closure in a timely manner by maintaining a current diary on open files. Maintains database of all claims and tracks inquiries on pending claims. Maintains iN.Site system for incident/accident reports, assists with incident/accidents investigations. Maintains constant outside communications with claims related issues, including and not limited to, litigated and non-litigated claims.

DUTIES AND ESSENTIAL JOB FUNCTIONS:

* Inputs and creates claim files on assigned incidents/claims as reported on iN.Site.

* Adheres to standard claims handling procedures.

* Generates claims reports and maintains notes and correspondence regarding claim file

activity and communications on the claims database on iN.Site.

* Monitors a variety of claim files (1st and 3rd party property, liability and litigated claims)

and maintains a daily running diary.

* Investigates insurance claims.

* Performs property inspections as needed.

* Analyzes information gathered by investigation and reports findings and

recommendations.

* Determines liability.

* Files claims as needed with carriers.

* Communicates with internal departments, claimants, attorneys and insurance companies

over the telephone, in person and in written correspondence.

* Makes settlement recommendations.

* Negotiates claim settlements to avoid litigation.

* Prepares demand/denial letters as needed.

* Drafts offer letters and releases.

* Creates statements of loss notifications.

* Ensures signed releases are received prior to issuing settlement funds.

* Creates check requests and requests settlement monies from Accounts Payable

* Follows-up with insurance adjusters and provides information needed to expedite

settlement or insurance recovery.

* Coordinates agreed scope/estimate of damages with independent insurance adjusters,

vendors or contractors on large losses.

* Reviews incoming attorney letters and lawsuits.

* Attends mediations, as needed.

* Represents WNG entities at Small Claims court hearings.

REQUIRED KNOWLEDGE SKILLS AND ABILITIES:

* Critical competencies include, but are not limited to, communication, relationship building,

critical thinking, customer service and accountability.

* Excellent written, verbal communication and oral presentation skills.

* Proficient in Microsoft Office Suite, excellent computer skills and typing ability.

* Aptitude to apply general knowledge of contract, property and/or insurance laws.

* Ability to read, interpret, apply and explain internal rules, regulations, policies and

procedures.

* Adhere to policy and procedure, safety practices and customer service philosophies.

* Demonstrate an exceptional level of attention to detail and organization, with the ability to

multi-task and prioritize work, meet deadlines and manage changing priorities effectively.

* Excellent customer service skills, empathizes with, actively listens to and deals sensitively

and professionally with claimants.

* The skill to develop and apply knowledge of injurPandoLogic. Category: , Keywords: Insurance Examiner

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