General Liability and Auto Claims Adjuster II

This is a fully remote position, open to applicants in California.

📋 Description

• Conduct investigations, analyses, and ascertain the extent of the insurance provider's liability regarding personal, casualty, or property loss or damages, while striving to reach settlements with claimants.

• Communicate with or interview medical professionals, agents, witnesses, or claimants to gather relevant information.

• Calculate benefit payouts and authorize claim payments within specified monetary limits.

• Examine claims by assessing and estimating vehicle damages.

• Provide assistance with business or managerial research.

• Collect information through interviews.

• Review customer records.

• Analyze evidence to decide if it substantiates claims.

• Adhere to contract, property, or insurance laws.

• Follow evidence procedure rules in legal contexts.

• Collect physical evidence.

• Inspect properties to assess damages.

• Research property records.

• Investigate legal records.

• Conduct interviews, phone calls, and correspondences with claimants and witnesses.

• Assess liability exposure by reviewing insurance applications.

• Analyze insurance policies to confirm appropriate coverage.

• Obtain, review, and evaluate records, including police and medical documentation.

• Suggest actions for claims.

• Properly reserve for claims and adjust reserves as necessary.

• Adhere to established guidelines regarding reserving practices and authority levels.

• Create and maintain records, reports, and files primarily located on the SIMS and/or Renaissance system.

• Keep all cases actively updated in the SIMS and/or Renaissance system according to established company criteria.

• Prepare timely reports for clients and comply with all reporting requirements outlined in the GHC Procedure Manual.

• Ensure compliance with regulatory requirements.

• Document spoken or written information in a diary.

• Provide litigation management support by gathering evidence to back contested claims in court.

• Keep clients informed.

• Perform other duties as assigned.

⛳️ Requirements

• Bachelor’s degree is preferred.

• Minimum of three (3) years of experience in insurance claims, self-insurance, pooled insurance, or Joint Powers Authorities.

• Comprehensive knowledge of public entity liability claims management.

• At least three (3) years of experience utilizing Microsoft Windows on a PC, including Microsoft Word, Excel, Outlook, and PowerPoint.

• A minimum of two (2) years using streaming video conferencing platforms like Teams and Zoom, with the capability to set up and host group meetings with full functionality.

• At least two (2) years of experience with claims management software, or the ability to quickly learn new software systems related to claims management.

• Excellent written and verbal communication skills.

🏝️ Benefits

• Comprehensive medical, dental, and vision benefits.

• Company contributions to HSA and FSA plans.

• Employer-paid life and disability insurance.

• 401(k) plan with a company match.

• Paid time off (PTO) and company-paid holidays.

• Opportunities for learning and development that promote genuine career advancement.

• Employee assistance resources and a supportive culture that prioritizes balance and well-being.