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Description Detail

Claims Adjuster

Min Hourly Max Hourly Min Monthly Max Monthly Min Salary Max Salary
$22.26 $31.16 $3,858.33 $5,400.96 $46,297.00 $64,815.00

Description

Investigates, manages, and negotiates property, law enforcement, crime, civil rights, general liability, and auto liability claim activities within the County. Assists with obtaining insurance coverage for the County and insuring that vendors and contractors carry adequate insurance when performing work for the County.

Duties

The following statements are illustrative of the duties and responsibilities of the job. The organization retains the right to modify or change the duties and responsibilities of the job at any time.
  • Receives general guidance from the Risk Manager.
  • Exercises no supervision.
  • Assist in the development and implementation of goals, objectives, policies, and priorities of the Risk Management Department.
  • Make on site visits to investigate, analyze, and handle claims; record and write detailed statements of facts from claimants, witnesses, and employees; take photographs and make diagrams of damages and scenes; obtain medical records, bills, repair estimates, and other documentation to evaluate damages; set claim reserves.
  • Evaluate insurance policy coverage, report new claims to appropriate insurance carrier, and coordinate with insurance adjusters until claim is closed; notify excess insurance carrier of claims reaching threshold-reporting requirements and send out reservation of rights letters in a timely manner.
  • Pursue subrogation, restitution, and recoveries through contacts with insurance companies, District Attorney's office, and claimants.
  • Maintain clear, well documented files and database related to claims function.
  • Apply the laws and regulations of the State of Colorado Governmental Immunity Act and automobile liability and provide interpretations of these laws to resolve claims.
  • Provide training to County employees regarding claims processes as needed.
  • Assist Risk Manager to ensure all County contracts and all use of County property permits are in compliance with County insurance requirements; assist Risk Manager with compiling data for annual insurance renewals.
  • Manage the County's automated external defibrillator (AED) program; arrange for responder training, monitor devices to check that they are in working order, participate in case reviews and other quality assurance activities, and ensure compliance with state and local regulations regarding AED use.
  • Perform other duties as appropriate or necessary for performance of the job.
Knowledge, Skills, & Abilities:
  • Insurance coverages and principles.
  • Colorado insurance laws and property/casualty insurance and claims procedures.
  • Statutory requirements and legislative issues regarding self-insurance, governmental immunity, and automobile liability
  • Claims investigation techniques.
  • Read and comprehend department and County rules, regulations, policies, procedures, and standard operation procedures.
  • Routine software and business applications including, but not limited to, word processing, spreadsheets, presentation software, and databases.
  • Investigate, analyze, evaluate, and settle general liability, automobile, and property claims from beginning to end.
  • Use persuasion, conflict resolution, negotiation, and decision making skills to work with people in pressure situations.
  • Analyze situations, identify problems, and recommend solutions
  • Conduct on site field investigations of claims which require climbing, crawling, standing, walking, hearing, and vision.
  • Prepare clear and precise reports and to interact effectively with relevant agencies and County departments.
  • Work independently and make decisions which protect the interests of the County with minimal supervision.
  • Demonstrate professional effectiveness through efficient time management, effective organization of work, and prioritization.
  • Communicate clearly and concisely, both verbally and in writing.
  • Maintain sensitive and confidential information.
  • Follow written and verbal instructions.
  • Operate computers and general office equipment
  • Establish and maintain effective working relationships with other County employees, representatives of other agencies and organizations, and members of the community.
Qualifications:
  • One to three years of increasingly responsible experience in risk management or insurance, including adjusting and investigations.
  • Equivalent to a Bachelor's degree from an accredited college or university with major coursework in Insurance, Occupational Safety, Business Law, Risk Management, or a related field.
  • Possession of, or ability to obtain, a valid Colorado Driver's License.

Background Image: Loveland Bike Trail by Sharon Veit. All rights reserved.