Claims Adjuster Full Time

Summary:

• For 70 years George Hills has offered clients unparalleled service and innovative excellence in claims administration.
• The company provides employees with a flexible hybrid work schedule, competitive salary, and excellent benefits including medical, dental, vision, PTO, holidays, and 401k.
• The Claims Adjuster investigates, evaluates, and adjusts General and Automobile Liability claims.
• Assigned claims typically include low to medium exposure, first and third-party automobile bodily injury, property damage claims, premises liability accidents, and product liability claims.
• The claims adjuster must be legally and technically qualified to handle all claims competently.

Responsibilities:

• Investigate, analyze, and determine the extent of insurance provider’s liability concerning personal, casualty, or property loss or damages, and 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.
• Assess and estimate vehicle damage.
• 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 a legal setting.
• Gather physical evidence and inspect property to determine damages.
• Research property and legal records.
• Interview, telephone, and correspond with claimants and witnesses.
• Review insurance applications and policies to determine appropriate coverage.
• Obtain, review, and evaluate police and medical records.
• Recommend claim action and properly reserve for the claim.
• Adjust reserves as appropriate while complying with accepted guidelines.
• Maintain records, reports, and files using the SIMS and/or Renaissance system.
• Keep all cases on an active diary according to established Company criteria.
• Prepare timely reports to clients and comply with reporting requirements outlined in the GHC Procedure Manual.
• Collect evidence to support contested claims in court.
• Keep clients advised on litigation management.
• Perform other duties as assigned.

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 of public entity liability claims handling.
• At least three (3) years of experience using Microsoft Windows on a PC, including Microsoft Word, Excel, Outlook, and PowerPoint.
• At least two (2) years of experience using streaming video conferencing tools like Teams and Zoom, with the ability to set up and host meetings.
• At least two (2) years of experience using claims management software or the ability to quickly learn new claims software.
• Excellent written and verbal communication skills.

Benefits:

• Competitive salary.
• Flexible hybrid work schedule.
• Medical, dental, and vision coverage.
• Paid Time Off (PTO).
• Holidays.
• 401k retirement plan.