Senior Claims Processor - Remote, United States - City County Insurance Services

Description

CIS is recruiting for a Senior Property Liability Claims (Auto) Consultant

During training it is preferred that you work 3 days per week in our Wilsonville Office and 2 remote days per week from your Oregon residence.

After the training period, the number of days in the office can be reduced.

You must apply using our online application system ) to be considered for an interview, and to request Oregon Veterans Preference consideration.

CIS uses a "quick apply" application process, meaning you just need to submit your resume and respond to a few questions.

To learn more about the job, and access our Careers page, please go to the link for our online application system (governmentjobs.

Responsible for the investigation, evaluation, and resolution of all aspects of claims of public entity auto property damage and bodily injury liability claims, first party auto physical damage claims and mobile equipment damage claims.

This involves telephone and in person contact with claimants, witnesses, and customers/members.

Meaningful work that impacts Oregon's communities, job stability, 100% employer-paid retirement plan (Oregon PERS), regular salary increases, 90% of health insurance premium paid by CIS, professional development opportunities, and respect and appreciation for what you do.

As a nationally recognized leader in risk pooling and trust management, our values are integrity, financial strength, expertise, innovation, adaptability, inclusion, and collaboration, which not only benefits local communities, but also delivers a great benefit to you Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions, providing that an accommodation(s) does not create an undue hardship for the employer, remove an essential job function, and/or, create a direct safety threat to the individual, or others.

Responsible for the investigation, evaluation, and resolution of all aspects of claims of auto property damage and bodily injury liability claims, first party auto physical damage claims and mobile equipment damage claims.

This involves telephone and in person contact with claimants, witnesses, and customers/members.

Investigate and manage multi-line claims that are unique to City and County Governments. Respond to questions for CIS clients and agents relating to claims and procedures. Inspect damaged vehicles and property. Determine the value of each claim. To ensure all Tort Claim Notices are fairly and accurately evaluated from the initial report to the final disposition. To provide the most prompt and equitable settlement of losses at the highest technical and service performance level.

Claim Complexity:
Primarily first party auto physical damage claims and 3rd party auto property damage claims. Duties may include handling of auto bodily injury claims and mobile equipment first party property damage claims.

Temporary modifications to provide reasonable accommodations, or transitional work assignments, do not waive any of the essential functions for this position.

The newly assigned claims include first party auto physical damage and third-party liability claims involving Auto, Auto Liability, and Loss of Use.

The Senior Claims Consultant adjusts claims both inside and outside of the office; most of the work is performed at the assigned CIS office.

The Consultant receives newly assigned claims and for the most part, manages the claim to the conclusion. The Consultant will investigate all claims thoroughly and make determinations of Coverage, Liability and Damages. Contact is required within 24 hours on all claims, for all parties involved. During the course of adjustment, collection of documents, reports, statements, and bills must support any claims payments made.

When new lawsuits are assigned, the Consultant may work with the assigned defense attorney to bring about a resolution of the claim litigation.

May conduct vehicle inspections/write estimates.
Prepare reserve calculation sheets for all bodily injury claims.
Review and evaluate employment records, police reports, medical records, property repair estimates, auto repair estimates and other documents.
Negotiate settlements and discuss liability of claims with claimants and attorneys.
Attend City Council Meetings or meet with customers/members to discuss claim evaluations, coverage, and settlement.
Investigate claims that are assigned by the Claims Manager. This can be done by phone or in person.
Set-up claims on the computer and write file notes.
Answer questions and process new claims from agents and claimants.
Write up the results of the investigations using software, and report to the claims manager and our attorneys. Prepare Claim Summary Reports for claims that meet injury or damage triggers.
Handle salvage and refer subrogation claims to subrogation specialist when appropriate.
Draft closing document to member, indicating claim decision and status.
Other equivalent combinations of education, certifications, training, and experience may be considered.

Bachelor's degree

legal liability principles, basic math skills; basic computer and telephone skills, and the ability to prioritize work and perform in a stressful environment.

Medical terminology.
~ Legal.
~ Property values and appraisals.
~ Claims investigation.
~ Claims negotiation.
~ Certifications for Associate in Claims (AIC).
Senior Claims Law Associate, (SCLA) designations adjuster's license.
Communicate effectively both verbally and in writing with supervisors, managers, coworkers, and other individuals inside and outside CIS.

CIS is committed to complying fully with the Americans with Disabilities Act (ADA) and Oregon's Disability Accommodation and Discrimination laws.

We are also committed to ensuring equal opportunity in employment for qualified persons with disabilities.

CIS will make reasonable efforts to accommodate a qualified applicant or employee with a known disability, unless such accommodation creates an undue hardship on CIS' operations, or a safety risk to employee or coworkers, or removes an essential job function.

Work is performed in a climate-controlled office environment.

Unless otherwise approved by the Department Manager and Supervisor, the typical schedule is Monday – Friday falling between the hours of 8:00 a.m.

Frequent work outside of typical office hours, as necessary.

The home office for this position is CIS' main office. At the discretion of the Executive Director, the home office may be designated as another office.

This position includes regular travel to meetings, training, conferences, member meetings, claims investigation, legal proceedings, staff events and CIS' Annual Conference; may include five to 10 nights of overnight travel.

Other equivalent combinations of education, certifications, training, and experience may be considered.

Investigations, evaluations, and resolution of all aspects of claims of public entity auto property damage and bodily injury liability claims, first party auto physical damage claims and mobile equipment damage claims.

This involves telephone and in person contact with claimants, witnesses, and customers/members.

Investigating and managing multi-line claims that are unique to City and County Governments. Responding to questions from customers and insurance agents relating to claims and procedures. Inspecting damaged vehicles and property. Determining the value of each claim. Ensuring Tort Claim Notices are fairly and accurately evaluated from the initial report to the final disposition. Providing the most prompt and equitable settlement of losses at the highest technical and service performance level.

Claim Complexity:
Primarily first party auto physical damage claims and 3rd party auto property damage claims. Duties may include handling of auto bodily injury claims and mobile equipment first party property damage claims.

The newly assigned claims include first party auto physical damage and third-party liability claims involving Auto, Auto Liability, and Loss of Use.

The Senior Claims Consultant adjusts claims both inside and outside of the office; most of the work is performed at the assigned CIS office.

The Consultant receives newly assigned claims and for the most part, manages the claim to the conclusion. The Consultant will investigate all claims thoroughly and make determinations of Coverage, Liability and Damages. Contact is required within 24 hours on all claims, for all parties involved. During the course of adjustment, collection of documents, reports, statements, and bills must support any claims payments made.

When new lawsuits are assigned, the Consultant may work with the assigned defense attorney to bring about a resolution of the claim litigation.

May conduct vehicle inspections/write estimates.
Prepare reserve calculation sheets for all bodily injury claims.
Review and evaluate employment records, police reports, medical records, property repair estimates, auto repair estimates and other documents.
Negotiate settlements and discuss liability of claims with claimants and attorneys.
Attend City Council Meetings or meet with customers/members to discuss claim evaluations, coverage, and settlement.
Investigate claims that are assigned by the Claims Manager. This can be done by phone or in person.
Set-up claims on the computer and write file notes.
Answer questions and process new claims from agents and claimants.
Write up the results of the investigations using software, and report to the claims manager and our attorneys. Prepare Claim Summary Reports for claims that meet injury or damage triggers.
Handle salvage and refer subrogation claims to subrogation specialist when appropriate.
Draft closing document to member, indicating claim decision and status.
Other equivalent combinations of education, certifications, training, and experience may be considered.

Bachelor's degree

legal liability principles, basic math skills; basic computer and telephone skills, and the ability to prioritize work and perform in a stressful environment.

Medical terminology.
~ Legal.
~ Property values and appraisals.
~ Claims investigation.
~ Claims negotiation.
~ Certifications for Associate in Claims (AIC).
Senior Claims Law Associate, (SCLA) designations adjuster's license.

CIS uses a "quick apply" application process, meaning you just need to submit your resume and respond to a few questions.

To learn more about the job, and access our Careers page, please go to the link for our online application system (governmentjobs.