Duties and Responsibilities

Note: The following duties are illustrative and not exhaustive. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. Depending on assigned area of responsibility, incumbents in the position may perform one or more of the activities described below.

• Knowledge of the programs, services, policies, procedures and regulations of the department to which assigned.
• Knowledge of the specific functions, activities, and services provided by the assigned programs and projects.
• Knowledge of applicable laws and regulations governing assigned programs and projects.
• Conduct complete investigation of losses through any appropriate techniques including interviews, recorded statements, documentation/data gathering and securing/preserving evidence
• Verify, analyze, and correctly apply coverage
• Develop strategy and negotiate claims to a timely conclusion, properly applying County and legal policies and procedures. Decide on conclusion of loss (e.g. pay, deny compromise) based upon analysis of the facts, liability, and statutory/case law.
• Ability to communicate effectively, both orally and in writing.
• Determine need for and provide direction to the TPA, legal counsel, or other technical experts. Monitor and control claims costs. Ability to prioritize work.
• Ability to work effectively with others.
• Ability to follow oral and written instructions and established procedures.
• Evaluate liability and damages; identify subrogation/salvage opportunities or suspicious claims. Prepare timely, concise reports as required. Promptly
  establish and maintain accurate reserves.
• Other related duties as assigned.

Job Specifications

• Ability to adjust complex Commercial Automobile and Liability claims to proper conclusion, including handling complex litigation and coverage issues.
• Demonstrated proficiency in interviewing, problem solving, communication (verbal and written), and time management and conflict resolution skills.
• Must be service oriented with the ability to work in a team environment, collaborate with others and build strong customer relationships.
• Ability to apply computer applications and use related software.
• Knowledge of statutes, case law and standardized practices, regulations, and ordinances applicable to multi-line claims administration.
• Knowledge of insurance principles, procedures, government self-insurance programs and industry practices.
• Ability to use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
• Understands the implications of new information for both current and future problem-solving and decision-making.
• Ability to communicate with internal and external customers – represents the organization to customers, the public, government, and other external sources. This information can be exchanged in person, in writing, or by telephone or e-mail.

Physical Requirements

• The employee is regularly required to talk and hear.
• This position is primarily sedentary.

Work Category

• Light w ork - Exerting up to 20 p o unds of fo rce occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amo unt of f orce c o nstantly to move o b jects. If the use of arm and/or leg c o ntr ol req uires exerti on of fo rces gr eater than that of sedentary wo rk and if the wo rker sits m ost of the ti me, the job is co nsidered light w ork.

Minimum Qualifications Required

• Graduation from an accredited four-year college or university; AND
• Two years of experience directly related to the assigned program; OR
• An equivalent combination of education (not less than possession of a high school diploma/GED), training and experience that would reasonably be expected to provide the job-related competencies noted above.