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Claims Analyst

2 months ago


San Diego, United States Apex Systems Full time

Claims Support Analyst


Apex Systems is hiring a Claims Support Analyst to join the team with one of our Fortune 500 Energy clients in San Diego, CA.


Location: Hybrid (San Diego, CA) *Must live in commutable distance to San Diego, CA

Duration: 1-year contract to start

Pay: Starting at $40/hr. w/ flexibility depending on years of experience

Shift: 40 hours/week, standard Monday-Friday


Description:

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 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.


Knowledge, Skills and Abilities:

  • 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.


Education/Experience:

  • Minimum of 3 years experience with 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.
  • Bachelor’s degree in business, related field, or equivalent training and/or experience.