What are the responsibilities and job description for the Claims Adjuster position at George Hills Company?
Job Type
Full-time
Description
For 70 years George Hills has offered our clients unparalleled service and innovative excellence in claims administration and offered our employees a positive and collaborative culture that builds relationships based on pride and respect. As an "Employer of Choice", we are pleased to offer employees a flexible hybrid work schedule, competitive salary, and excellent benefits including medical, dental, vision, PTO, holidays, and 401k. To learn more, please visit our website at . George Hills is an equal-opportunity employer. Note : Employees must live in either CA or AZ.
The Claims Adjuster investigates, evaluates, and adjusts General and Automobile Liability claims. Although assigned claims generally consist of low to medium exposure, first and third-party automobile bodily injury and property damage claims, as well as premises liability accidents, product liability claims, the claims adjuster must be qualified legally and technically to handle all claims competently.
Requirements
Primary responsibilities :
Based on the area of responsibility, the employee shall be asked to all of the following essential functions :
- 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.
- Investigate claims :
- Assess and estimate vehicle damage.
- Assist with business or managerial research.
- 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 legal setting.
- Gather physical evidence.
- Inspect property to determine damages.
- Research property records.
- Search legal records Interviews, telephones, and or corresponds with claimant and witnesses.
- Evaluate liability exposure :
- Review insurance applications.
- Review insurance policies to determine appropriate coverage.
- Obtain, review and evaluate records, police, medical, etc.
- Recommend claim action.
- Properly reserve for the claim.
- Adjust reserve as appropriate.
- Comply with accepted guidelines regarding reserving practice and authority levels.
- Create and maintain records
- Maintain records, reports, and files which are primarily found on the SIMS and / or Renaissance system.
- Maintain all cases on an active diary on the SIMS and / or Renaissance system pursuant to established Company criteria.
- Prepare timely reports to clients.
- Comply with all reporting requirements / steps set out in the GHC Procedure Manual.
- Comply with regulatory requirements.
- Diary spoken or written information.
- Litigation management support :
- Collect evidence to support contested claims in court.
- Keep clients advised.
- Other duties as assigned.
Requirements
Education and Experience
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Salary Description
66,560 to $80,000 DOE
Salary : $66,560 - $80,000
