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Senior Claims Analyst
2 months ago
CLAIMS ANALYST - RISK MANAGEMENT DIVISION
The City of Atlanta's Department of Law is in search of skilled candidates for the role of Claims Analyst within the Risk Management Division. This division is responsible for overseeing claims made against the City of Atlanta.
Role Overview and Classification Standards
The individual selected for this role will be tasked with delivering investigative legal services for the City of Atlanta.
Key responsibilities include collecting information, evidence, and other discovery materials pertinent to ongoing investigations; interviewing relevant parties; conducting on-site evaluations; performing legal research; and making informed recommendations regarding the settlement or rejection of claims for active cases.
This position requires a seasoned professional capable of independently managing most assignments typical of the investigative field.Core Responsibilities
These responsibilities are typical for this position and should not be interpreted as exhaustive or exclusive. Additional duties may be assigned as necessary.
- Develops and implements investigative strategies to gather pertinent information (e.g., witnesses, electronic records, physical evidence) to evaluate the legitimacy of a claim.
- Engages and collaborates with individuals, insurance providers, legal representatives, governmental bodies, and inter-departmental teams to prioritize, manage, and investigate claims to either substantiate or refute them.
Conducts site assessments
- Identifies and arranges meetings with witnesses (employees, medical experts, and other relevant individuals) for interviews.
- Utilizes analytical and investigative methodologies, including logical reasoning and critical thinking skills.
- Responds promptly to claims-related inquiries through various communication channels and consistently updates claimants and other stakeholders.
- Maintains organized case files utilizing case management software.
- Manages workload effectively to ensure timely and efficient resolution of claims while minimizing liability for the City of Atlanta.
- Cultivates relationships with key personnel within the Law Department, other city departments, boards, and agencies.
- Prepares comprehensive summaries of claim investigations and drafts preliminary settlement documents with recommendations for claim resolution for review by the Claims Manager or Supervisory Attorney.
- Presents case studies to team members, highlighting challenges encountered and sharing best practices for determining appropriate resolutions.
- Employs a variety of resource tools to aid in investigations, including state and local regulations, legal research platforms, and specialized investigative tools.
- Operates the Department of Law's Document Management System with proficiency.
Minimum Qualifications - Education and Experience
High School Diploma and a minimum of five (5) years of relevant work experience.
Must possess a valid Georgia driver's license and obtain a Georgia Insurance Adjuster License within nine (9) months of employment.
Preferred Education & Experience
Associate's degree or at least three (3) years of progressive experience in administrative or risk management investigations, or any equivalent combination of education, training, and experience that provides the necessary knowledge, skills, and abilities for this role.
Must possess a valid Georgia driver's license and complete an insurance adjuster training course to obtain a Georgia Insurance Adjuster License within nine months of hiring.
