Claims Investigator

BayOne Solutions; Oakland (CA); On-site; USD 70,000 - 110,000; Full time

Job summary

BayOne Solutions seeks a claims investigator to handle property damage investigations, negotiations, and settlements for third parties. You will interview involved parties, analyze claims data, and report findings to business partners.

The role requires strong communication, leadership, and knowledge of tort and contract law. Ideal candidates hold a BA/BS or equivalent, CICI certification, and 4+ years of claims experience, including bodily injury or property damage.

Qualifications

• Property damage claim handling experience.
• Investigate, negotiate, and settle third party property damage.
• Investigate and report on incidents potentially leading to litigation or reviews.
• Conduct interviews with employees and third parties.
• Analyze claims data for trends and lessons learned.
• Review records regarding incident investigations, liability and settlements.

Responsibilities

• Investigate, negotiate, and settle third party property damage.
• Investigate and report on incidents that may lead to litigation and related reviews.
• Conduct interviews with employees and third parties to investigate claims.
• Perform claims data analysis and present findings to partners.
• Review records on incident investigations, liability and settlements.

Skills

Property damage claim handling

Excellent communication

Organizational skills

Strong client investigation

Leadership

Oral communication

Microsoft Office

Insurance claims knowledge

Tort and contract law knowledge

Medical terminology knowledge

Stakeholder management

Information systems

Education

Bachelor’s (BA/BS) degree or equivalent experience

Certified Insurance Claims Investigator (CICI)

2 years of experience handling claims investigations

4 years of experience as a claims investigator or related experience

Utility industry experience

Knowledge of medical terminology

Job description

• Property damage claim handling experience, excellent communication and organizational skills
• Job Responsibilities
• Investigate, negotiate, and settle third party property damage.
• Investigate and report on incidents that may potentially lead to litigation, investigation lawsuits, and reviews tender cases involving contractors and insurance carriers.
• Conduct interviews with employees and third parties to investigate claims and incidents.
• Conduct claims data analysis for trending and lessons learned; presents findings to business partners.
• Review internal *** and external records, files and documents regarding incident investigations, liability and damage evaluation, and claims negotiation and settlements.

Qualifications

Minimum

• Bachelor’s (BA/BS) degree or equivalent experience
• 2 years of experience handling claims investigations
• Valid driver’s license with a clean driving record
• Certified Insurance Claims Investigator (CICI)
• 4 years of experience as a claims investigator or related experience
• Experience investigating and/or administering bodily injury, property damage, and insurance claims and litigation
• Utility industry experience
• Knowledge and understanding of insurance claims, specifically casualty claims adjustment
• Knowledge and understanding of claims management, investigations, and settlements
• Knowledge and understanding of tort and contract law
• Knowledge and understanding of medical terminology
• Demonstrated ability to interact and engage multiple levels of management, leadership, personnel, and unions within an organization
• Strong client investigation and resolution skills
• Strong leadership, organizational, and interpersonal skills
• Strong business and technical composition skills
• Strong oral communication and presentation skills
• Proficient computer skills (i.e.: Microsoft Office applications: Word, Excel, Power Point and Outlook) and experience with information systems