Insurance Recovery Advisor/ Claims Analyst

Job Title: Insurance Recovery Advisor/ Claims Analyst
Duration: 2+ years (strong possibility of conversion)
Location: San Diego CA 92123

Description:

Level I: 3 years of minimum experience in general liability, bodily injury, motor vehicle accidents, and/or subrogation insurance work. Investigate, analyze, and pursue recovery against entities that damage Company facilities, property, equipment, and/or facilities. May also have some involvement in general liability claims including investigate, analyze, and determine the extent of insurance company's liability concerning personal, casualty, bodily injury, loss of business, or property loss or damages, and attempt to effect settlement with claimants. Responsible for overseeing claims processing and payments to third-party providers, monitoring charges, and verifying correct payment of claims, sending denial letters on claims, and sending follow-up requests for information. The claims analyst sets up claims, reviews payment reports for accuracy and compliance.

• Ability to work autonomously with little supervision. A high degree of responsiveness, thoroughness, attention to detail and accuracy in investigating, analyzing, and evaluating claims.
• Exhibit tact and diplomacy in communicating with claimants, internal and external attorneys, insurance companies and testifying at court hearings
• Excellent oral and written communication skills and be highly organized with solid time management skills.
• Skillful in personal contacts when conducting investigations, communicating with customers, the news media and the courts.
• Must be able to keep information confidential and private

Required:

• Top 3 qualities they are looking for: someone who has the ability to communicate clearly and make complex situations simplified; someone with good writing skills; and someone who has the ability to influence and negotiate.
• Looking for someone with a background in subrogation, motor vehicles, personal injury, property damage.
• Preferred companies: Geico, State Farm, Farmers, Liberty Mutual, Progressive, etc.
• Would prefer someone with a bachelor's degree but will accept YOE as a substitute
• Minimum 3 years of experience

Responsibilities

• Investigate and analyze matters for recovery (subrogation, liability, motor vehicle, personal injury ,property damage, general liability, recovery and other claims filed by or against the Company. Settle, adjust or deny claims. Gather evidence for hearings, trials, and other dispositions through visual inspections, photographs, interviewing and questioning witnesses. Examine and analyze records and reports. Prepare and maintain detailed documentation related to investigations. Confer with engineers, contractors, attorney(s) and claimants to determine the extent of property damage claims, recommend action to be taken for settlement. Coordinate reimbursement, repair and/or replacement activities between claimants and contractors.
• Testify and represent the Company at court hearings regarding claims cases.
• Collect funds from persons who have damaged Company property by locating them, negotiating settlements and arranging billing correspondence.
• Performs other duties as assigned (no more than 5% of duties).

Education Level:

Bachelor s degree in business, related field or equivalent training and/or experience.

Years of Experience

• 3 years - Claims administration investigation, liability analysis, case management for a insurance companies such as State Farm, GEICO, Farmers, Liberty Mutual, etc. or self-insured company.
• 3 years - Experience in subrogation, multi-line (personal and commercial lines) casualty claims investigation, liability analysis and case management.

Some Notes on the Role:

• 2-year contract with a strong possibility of conversion based on performance and budget availability
• Location: 4 days a week onsite at Century Park, remote on Friday
• Hours are flexible- can start as early as 6 AM or start later.
• Structured training will be shadowing and then doing on the job training.