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Property and Liability Claims Adjuster

Job Description:

The Property and Liability Claims Adjuster, under supervision of the Director of Property and Liability Claims, is responsible for the investigation, analysis, adjustment, reporting, settlement and recovery of public entity liability and property claims at the Direction of the Director of Property and Liability Claims. The Property and Liability Claims Adjuster executes Client and Company strategies to achieve claims quality, customer service, and operational objectives The Property and Liability Claims Adjuster accomplishes this by analyzing loss trends, effective management of the claim cycle, setting/managing program reserves, conducting investigations, site visits, and active claim management. This includes prompt processing of claims for payment, litigation management, excess carrier notification, managing Self-Insured Retention levels and effective use of claims management software. A critical job function is the effective referral and management of claims for litigation to minimize expenses when possible while providing effective claims management strategies and outcomes. The Property and Liability Claims Adjuster works closely with Trindel's Property and Liability Director, Executive Director, department heads, external auditors, and with Trindel member counties to provide effective claims management, loss prevention, risk management and related programs to meet client needs. Must be familiar with legal, regulatory and statutory requirements for JPA self-insured programs.
• Analyze liability claims and first party property claims in accordance with relevant laws, County policies and procedures.
• Evaluate claims for timeliness, accuracy, validity, circumstances, descriptions and related information for accurate claims processing.
• Prepares, and sends, letters and notifications in response to claims filed against Member Counties.
• Reviews, investigates, and analyzes documents, notices, law suits and claim forms.
• Analyzes claims and lawsuits for coverage purposes.
• Using a degree of independent judgment, determines the best methods to actively manage claims in a timely and cost effective method.
• Executes an effective investigative strategy to obtain relevant facts by means of obtaining information from Member Counties, interviewing witnesses and claimants, performing site visits and taking photographs.
• Properly analyzes information to be able to make liability determinations and identity risk transfer opportunities.
• Makes recommendations for handling to members including the settlement or rejection of claim, assignment of defense counsel and also vigorously pursues subrogation opportunities.
• Works with experts to investigate and assess damages related to assigned claims.
• Handles complex claims including litigated matters.
• Provides and creates full captioned reports to Member Counties, and Trindel staff.
• Authorizes and assures the prompt processing of checks for payment/settlement of claims.
• Provides Trindel Executive Director, Property and Liability Director, and member counties with monthly payment log/reports.
• Recommends settlement/resolution for obtaining settlement authority under the provisions as provided by each member county. Including presentations to Member County Board of Supervisors.
• Coordinates and prepares information for external auditors, Trindel Board meetings, member counties and regulators as needed.
• Provides timely reports, updates and other statements information as needed to excess carriers, other insurers and agencies as necessary.
• Regularly handles private and proprietary information while maintaining strict confidentiality and protecting information from unauthorized disclosure.
• Respond in a timely manner to requests from member counties, claimants, attorneys or others for assistance by phone, e-mail, mail or site-visits.
• Assures that Trindel policies and procedures are consistently followed.
• Attend Trindel Board meetings, provide program updates as requested.
• Perform other duties as assigned by the Director of Property and Liability Claims

Requirements:

• Four-year degree at an accredited college or university in English, Liberal Arts, Public Administration, or Business and/or Finance.
• Three (3) to five (5) years of claims adjusting, or litigation experience required, experience working with public entities and/or Law Enforcement preferred. Desired: an Associate in Risk Management (ARM), and/or Associate in Claims (liability focus).