Claims Adjuster and Field Investigator

2 weeks ago

Oakland, California, United States George Hills Company Full time
Job Type

Full-time

Description

For nearly 70 years, George Hills Company has provided exceptional service and innovative solutions in claims management while fostering a positive and collaborative work environment that emphasizes pride and respect.

As an esteemed employer, we are proud to offer our employees a flexible work schedule, competitive compensation, and comprehensive benefits, including medical, dental, vision, life insurance, long-term disability, paid time off, holidays, and a 401k plan.

Note: Employees must reside within a 75-mile radius of the designated area.

In the role of Claims Adjuster and Field Investigator, you will be responsible for investigating, assessing, and resolving General and Automobile Liability claims.

Assigned claims typically involve low to medium exposure, including first and third-party automobile bodily injury and property damage claims, as well as premises liability incidents and product liability cases.

Key Responsibilities include:

  • Conducting on-site investigations as required.
  • Analyzing and determining the extent of the insurance provider's liability regarding personal, casualty, or property loss or damages, and working towards settlements with claimants.
  • Engaging with medical professionals, agents, witnesses, or claimants to gather necessary information and approving claim payments within designated limits.

Investigate claims:

  • Assessing and estimating vehicle or property damage.
  • Assisting with business or managerial research.
  • Gathering information through interviews.
  • Reviewing customer records.
  • Examining evidence to determine its relevance to claims.
  • Adhering to contract, property, or insurance regulations.
  • Following evidence procedures in legal contexts.
  • Collecting physical evidence.
  • Inspecting properties to assess damages.
  • Researching property records.
  • Conducting interviews and correspondence with claimants and witnesses.

Evaluate liability exposure:

  • Reviewing insurance applications.
  • Analyzing insurance policies to ascertain appropriate coverage.
  • Gathering, reviewing, and evaluating records, including police and medical documentation.
  • Recommending actions for claims.
  • Properly reserving for claims and adjusting reserves as necessary.
  • Complying with established guidelines for reserving practices and authority levels.

Create and maintain records:

  • Maintaining accurate records, reports, and files.
  • Keeping all cases active according to established criteria.
  • Assisting in the preparation of timely reports for clients.
  • Adhering to all reporting requirements outlined in company procedures.
  • Complying with regulatory standards.
  • Documenting spoken or written information.

Litigation management support:

  • Collecting evidence to support contested claims in legal proceedings.
  • Keeping clients informed.
  • Performing other assigned duties as necessary.

Requirements

Knowledge, Skills, and Abilities

  • Bachelor's degree preferred.
  • A minimum of one (1) year of experience in insurance claims, self-insurance, pooled insurance, or related fields.
  • Basic knowledge of public entity liability claims management.
  • Three or more years of experience using Microsoft Windows, including Word, Excel, Outlook, and PowerPoint.
  • Two or more years of experience with video conferencing tools such as Teams and Zoom, with the ability to set up and host group meetings effectively.
  • Excellent written and verbal communication skills.

Upon request, George Hills Company will consider demonstration of competence in lieu of strict time requirements.


Please see our privacy policy:
Salary Description

$26 to $32 per hour

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