Investigate, analyze, and determine the extent of insurance provider's liability concerning personal, casualty, or property loss or damages.
Attempt to effect settlement with claimants.
Correspond with or interview medical specialists, agents, witnesses, or claimants to compile information.
Calculate benefit payments and approve payment of claims within a certain monetary limit.
Investigate claims: Assess and estimate vehicle damage.
Assist with business or managerial research. Compile information through interviews.
Evaluate customer records. Examine evidence to determine if it will support claims.
Follow contract, property, or insurance laws.
Follow rules of evidence procedures in legal setting. Gather physical evidence.
Inspect property to determine damages. Research property records. Search legal records.
Maintain all cases on an active diary on the SIMS and/or Renaissance system.
Prepare timely reports to clients. Comply with all reporting requirements/steps set out in the GHC Procedure Manual. Comply with regulatory requirements.
Collect evidence to support contested claims in court. Keep clients advised.
Requirements
Bachelor’s degree preferred.
At least three (3) years of experience with insurance claims, self-insurance, pooled insurance, or Joint Powers Authorities.
Possess comprehensive knowledge relating to the handling of public entity liability claims.
At least three (3) years of using Microsoft Windows on a PC including Microsoft Word, Excel, Outlook and PowerPoint.
At least two (2) years of using streaming video conferencing including Teams and Zoom.
At least two (2) years of using claims management software and/or ability to quickly learn new software systems related to claims management.
Excellent written and verbal communication skills.