Claims Adjuster

3 weeks ago


Weaverville, California, United States Trindel Insurance Fund Full time
Job Description

Trindel Insurance Fund is seeking a highly skilled Property and Liability Claims Adjuster to join our team. As a key member of our claims management team, you will be responsible for investigating, analyzing, and adjusting public entity liability and property claims.

Key Responsibilities
  • Analyze liability claims and first-party property claims in accordance with relevant laws, county policies, and procedures.
  • Evaluate claims for timeliness, accuracy, validity, circumstances, descriptions, and related information for accurate claims processing.
  • Prepare and send letters and notifications in response to claims filed against member counties.
  • Review, investigate, and analyze documents, notices, lawsuits, and claim forms.
  • Analyze claims and lawsuits for coverage purposes.
  • Use independent judgment to determine the best methods to actively manage claims in a timely and cost-effective manner.
  • Execute an effective investigative strategy to obtain relevant facts by means of obtaining information from member counties, interviewing witnesses and claimants, performing site visits, and taking photographs.
  • Properly analyze information to make liability determinations and identify risk transfer opportunities.
  • Make recommendations for handling to members, including the settlement or rejection of claims, assignment of defense counsel, and vigorously pursuing subrogation opportunities.
  • Work with experts to investigate and assess damages related to assigned claims.
  • Handle complex claims, including litigated matters.
  • Provide and create full captioned reports to member counties and Trindel staff.
  • Authorize and assure the prompt processing of checks for payment/settlement of claims.
  • Provide Trindel Executive Director, Property and Liability Director, and member counties with monthly payment logs/reports.
  • Recommend settlement/resolution for obtaining settlement authority under the provisions as provided by each member county, including presentations to Member County Board of Supervisors.
  • Coordinate and prepare information for external auditors, Trindel Board meetings, member counties, and regulators as needed.
  • Provide timely reports, updates, and other statements as needed to excess carriers, other insurers, and agencies as necessary.
  • Regularly handle private and proprietary information while maintaining strict confidentiality and protecting information from unauthorized disclosure.
  • Respond in a timely manner to requests from member counties, claimants, attorneys, or others for assistance by phone, email, mail, or site-visits.
  • Assure that Trindel policies and procedures are consistently followed.
  • Attend Trindel Board meetings and provide program updates as requested.
Requirements
  • Demonstrated claims management knowledge and experience.
  • Excellent, demonstrable interpersonal and organizational communication skills.
  • Demonstrated ethical conduct and the ability to maintain confidentiality.
  • Excellent oral and written communication skills.
  • Business Acumen, strategic thinking/planning.
Preferred Qualifications
  • Knowledge of self-insured program regulations.
  • Ability to work with complex and confidential information.
  • Effective analytical, problem-solving, and interpretive skills.
  • Strong organizational and interpersonal skills.
  • Ability to work in a team environment.
  • Ability to work independently.
  • Excellent oral and written communication skills.
  • Strong customer service orientation.
  • PC literate, including Microsoft Office (Word, Excel) and claims management software.
Education and Experience
  • Four-year degree at an accredited college or university in English, Liberal Arts, Public Administration, or Business and/or Finance.
  • Three to five years of claims adjusting or litigation experience required, experience working with public entities and/or Law Enforcement preferred.

Flexible work-from-home options available.



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