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Claims Investigator IV

1 month ago

Atlanta, United States City of Atlanta Full time
JOB DESCRIPTION

CLAIMS INVESTIGATOR - CLAIMS GROUP

The City of Atlanta Department of Law is seeking qualified applicants for a Claims Investigator within the Claims Group. The Claims Group which manages claims filed against the City of Atlanta.

General Description and Classification Standards

The individual in this position is responsible for providing investigative legal services for the City of Atlanta. Duties include gathering information, evidence and other discovery data related to on-going investigations; interviewing witnesses; performing on-site inspections; performing legal research; making recommendations for settlement or denial of claims for pending cases, etc. This is an experienced and seasoned professional, capable of independently carrying out most assignments typical of the investigation profession.

Essential Duties & Responsibilities

These are typical responsibilities for this position and should not be construed as exclusive or all inclusive. May perform other duties as assigned.

• Develops and executes investigative plans to gather information (e.g., witnesses, electronic data, physical evidence) to assess the validity of a claim

• Corresponds and works with individuals, insurance companies, attorneys, government agencies, inter-departmental teams to prioritize, manage and investigate claims to substantiate or disprove them.

RESPONSIBILITIES

Makes site visits

• Locates and schedules appointments with witnesses (employees, medical professionals,

and other individuals) for interviews

• Employs screening and investigative techniques, e.g. logical deduction and critical thinking skills.

• Answers, in a timely manner, claims-related calls, letters, texts, and emails, and regularly updates claimant and other concerned parties.

• Maintains case files using case management software

• Manages workload for a timely and efficient resolution of the claim while limiting the liability to the City of Atlanta.

• Develops relationships with key members of the Law Department Practice Groups, other departments, boards, and agencies within the City of Atlanta

• Prepares written summary of the claim investigation and prepares preliminary settlement document with recommendations for disposition of claim for approval by Claims Manager or Supervisory Attorney.

• Present case studies to team members identifying issues and challenges encountered and providing best practices on how to determine the appropriate resolution

• Uses a variety of resource tools to assist in investigations. Examples are state and local codes, Westlaw, Google Tools, special investigation tools (give examples), etc.

• Operates the Department of Law's Document Management System with proficiency.

QUALIFICATIONS

Minimum Qualifications - Education and Experience

High School Diploma and at least five (5) or more years of work experience. Must possess a valid Georgia driver's license and must obtain a Georgia Insurance Adjuster License within nine (9) months of employment.

Preferred Education & Experience

Associates degree or at least three (3) years of progressive administrative or risk management investigative experience or any equivalent combination of education, training, and experience which provides the requisite knowledge, skills, and abilities for this job. Must possess valid Georgia driver's license and must complete insurance adjuster training course and obtain Georgia Insurance Adjuster License within 9 months of hiring.