Claims Resolution Associate Specialist

Southern California Edison; Rosemead (CA); Hybrid; USD 70,000 - 100,000; Full time

Job summary

Southern California Edison seeks a Claims Resolution Associate Specialist to support the claims organization in investigating and resolving third-party damages. Based in California, this hybrid role combines office collaboration with remote work options to balance priorities while serving customers and stakeholders.

You will develop proficiency with claim systems, analyze data, prepare reports, and coordinate investigations while upholding strict data privacy and regulatory requirements.

Qualifications

• Experience in claims resolution, policies, procedures, regulations and applicable laws.
• Experience coordinating investigations into claims and reviewing supporting materials, documents and reports.
• Strong administrative and coordination experience.
• Experience involving insurance carriers, including claims evaluation, settlement negotiations, and dispute resolution.
• Experience with investigation and recovery.
• Ability to utilize and leverage new and evolving technologies into the role.

Responsibilities

• Supports a strategy relative to improving the claims resolution function efficiency which correlates with the overall strategy of the organization.
• Prepares reports by collecting, analyzing, and summarizing data and information relative to claims. Helps ensure claims and settlement agreements are handled in a consistent manner.
• Develops and maintains proficiency with claim systems and databases.
• Helps coordinate investigations into claims and reviews the claimants' materials, documents, reports, etc.
• Maintains a diary of all claims, post reserves in a timely fashion, and expeditiously responds to claims inquiries.
• Compiles file documentation and correspondence requiring extensive policy and factual detail. Assists in the development, shaping, adherence to, and execution of claims best practices.
• A material job duty of all positions within the Company is ensuring the protection of all its physical, financial and cybersecurity assets, and properly accessing and managing private customer data, proprietary information, confidential medical records, and other types of highly sensitive information and data with the highest standards of conduct and integrity.

Skills

Claims resolution

Policy compliance

Investigation coordination

Job description

Join the Clean Energy Revolution

Become a Claims Resolution Associate Specialist at Southern California Edison (SCE) and build a better tomorrow. In this job, you'll work in a fast-paced environment handling the recovery of SCE damages caused by third parties and providing investigation support to the Claims Organization.

As a Claims Resolution Associate Specialist, your work will help power our planet, reduce carbon emissions and create cleaner air for everyone. Are you ready to take on the challenge to help us build the future?

Responsibilities

• Supports a strategy relative to improving the claims resolution function efficiency which correlates with the overall strategy of the organization.

• Prepares reports by collecting, analyzing, and summarizing data and information relative to claims. Helps ensure claims and settlement agreements are handled in a consistent manner.

• Develops and maintains proficiency with claim systems and databases.

• Helps coordinate investigations into claims and reviews the claimants' materials, documents, reports, etc.

• Maintains a diary of all claims, post reserves in a timely fashion, and expeditiously responds to claims inquiries.

• Compiles file documentation and correspondence requiring extensive policy and factual detail. Assists in the development, shaping, adherence to, and execution of claims best practices.

• A material job duty of all positions within the Company is ensuring the protection of all its physical, financial and cybersecurity assets, and properly accessing and managing private customer data, proprietary information, confidential medical records, and other types of highly sensitive information and data with the highest standards of conduct and integrity.

Minimum Qualifications

• Experience in claims resolution, policies, procedures, regulations and applicable laws.

• Experience coordinating investigations into claims and reviewing supporting materials, documents and reports.

Preferred Qualifications

• Strong administrative and coordination experience.

• Experience involving insurance carriers, including claims evaluation, settlement negotiations, and dispute resolution.

• Experience with investigation and recovery.

• Ability to utilize and leverage new and evolving technologies into the role.

Additional Information

• This position's work mode is hybrid. The employee will report to an SCE facility for a set number of days with the option to work remotely on the remaining days. Unless otherwise noted, employees are required to work and reside in the state of California. Further details of this work mode will be discussed at the interview stage. The work mode can be changed based on business needs.

• Visit our Candidate Resource (https://www.edisoncareers.com/page/show/candidate-resources) page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more!

• Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

• Relocation does not apply to this position.

About Southern California Edison

The people at SCE don't just keep the lights on. Our mission is so much bigger. We're fueling the kind of innovation that's changing an entire industry, and quite possibly the planet. Join us and create a future with cleaner energy, while providing our customers with the safety and reliability they demand. At SCE, you'll have a chance to grow personally and professionally, making a real impact in Southern California and around the world.

Southern California Edison is a proud Equal Opportunity Employer, including disability and protected veteran status.

We are committed to ensuring that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodations at [e-mail] or [phone] and select option 2.