Remotehey

Job Type

Full-time

Description

Summary:

Reports directly to the unit Claims Supervisor but takes primary direction for the assigned Claims Specialist(s). Responsible for providing clerical operations support to assigned Claims Specialist(s).

Primary Responsibilities Include

• Conduct an initial investigation of the claim.
• Verify and enter data into the claims systems.
• Research and gather evidence. Obtain, review, and evaluate records, police, medical, etc.
• Correspond with or interview medical specialists, agents, witnesses, or claimants for accuracy and consistency with the claim as reported.
• Investigate, analyze, and determine the extent of the insurance provider's liability concerning personal, casualty, or property loss or damages, and attempt to settle with claimants.
• Comply with accepted guidelines regarding reserving practice and authority levels while properly setting the reserve and adjusting as appropriate.
• Examine, process, calculate, and pay claims ensuring filings, documentation, and reports, etc.
• Prepare timely reports for clients.
  
  

Requirements

Competency:

To perform the job successfully, an individual should demonstrate the following competencies:

• Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations.
• Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
• Team Work - Supports everyone's efforts to succeed.
  
  

Qualification Requirements

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
• The requirements listed below are representative of the knowledge, skill, and/or ability required.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  
  

Education And Experience

• High School Diploma or equivalent and some college preferred.
• One year of office experience, with experience with insurance claims, self-insurance, pooled insurance, or Joint Powers Authorities a plus.
• At least one (1) year of using Microsoft Windows on a PC including Microsoft Word, Excel, Outlook (no PowerPoint).
• Knowledge relating to the handling of public entity liability claims a plus.
• Excellent written and verbal communication skills
  
  

We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

Pursuant to the Los Angeles and San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest or conviction records.

Salary Description

$22.50 - $26.50