Claims Adjuster

The Judge Group; San Diego (CA); On-site; USD 70,000 - 110,000; Full time

Job summary

The Judge Group is seeking qualified candidates for a claims handler role in San Diego, CA. You will investigate property, BI, and liability claims, determine liability, assess damages, and pursue recovery from responsible third parties.

You will manage the full lifecycle of claims, review documentation for accuracy, and coordinate with carriers, attorneys, and vendors to reach timely, cost-effective resolutions. Strong communication and analytical skills are essential.

Qualifications

• Minimum 3 years of experience in claims handling or related fields.
• Strong knowledge of claims investigation, liability determination, and recovery.
• Experience with claims processing, payment review, and compliance requirements.

Responsibilities

• Investigate and analyze claims involving property damage, bodily injury, motor vehicle accidents, general liability, and subrogation.
• Determine liability, evaluate damages, and assess claim validity based on evidence.
• Pursue recovery opportunities against third parties for damages to facilities, equipment, and assets.
• Manage claims lifecycle from intake to final resolution and closure.
• Review and maintain claims documentation for accuracy and compliance.
• Coordinate with carriers, claimants, attorneys, vendors, and stakeholders to resolve claims.
• Oversee claims payments to third parties and verify charges are correct.

Skills

Claims investigation

Liability determination

Recovery processes

Analytical skills

Organizational skills

Written & verbal communication

MS Office

Claims management systems

Tools

Claims management system

Microsoft Office

Job description

• Investigate and analyze claims involving property damage, bodily injury, motor vehicle accidents, general liability, and subrogation.
• Determine liability, evaluate damages, and assess claim validity based on supporting documentation and evidence.
• Pursue recovery opportunities against responsible third parties for damages to company facilities, equipment, property, and assets.
• Manage claims throughout the entire lifecycle, from initial intake through final resolution and closure.
• Review, process, and maintain claims documentation to ensure accuracy and compliance with established procedures.
• Coordinate with insurance carriers, claimants, attorneys, vendors, and other stakeholders to facilitate claim resolution.
• Oversee claims payments to third-party providers and verify the accuracy of charges and reimbursements.
• Monitor payment reports and claims activity to ensure proper processing and financial compliance.
• Prepare and issue denial letters, requests for additional information, and other claim-related correspondence.
• Support settlement negotiations and assist in resolving disputed claims in a timely and cost-effective manner.
• Maintain detailed and accurate claim records, reports, and system updates.
• Identify discrepancies, overpayments, or potential fraud concerns and recommend corrective actions.
• Ensure adherence to company policies, regulatory requirements, and claims-handling best practices.

Qualifications

• Minimum 3 years of experience in claims handling, insurance, general liability, bodily injury, motor vehicle accident, or subrogation claims.
• Strong knowledge of claims investigation, liability determination, and recovery processes.
• Experience with claims processing, payment review, and compliance requirements.
• Excellent analytical, organizational, and problem-solving skills.
• Strong written and verbal communication abilities.
• Proficiency with claims management systems and Microsoft Office applications.