Insurance Recovery Advisor / Claims Analyst

SGS Consulting

Sacramento (CA)

On-site

USD 70,000 - 100,000

Full time

6 days ago
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Job summary

SGS Consulting is seeking an experienced Claims Investigator to analyze and recover funds in subrogation, liability, motor vehicle, and general liability claims in California.

You will collect evidence, negotiate settlements, coordinate with engineers and attorneys, and prepare clear investigation reports while maintaining confidentiality in a high-volume environment.

Qualifications

  • Bachelor’s degree in Business or related field or equivalent experience.
  • Minimum 3+ years of claims administration or insurance investigation experience.
  • Experience working with insurance companies or self-insured organizations (e.g., GEICO, State Farm, Farmers, Liberty Mutual, Progressive).

Responsibilities

  • Investigate and analyze claims for recovery including subrogation, liability, motor vehicle, personal injury, property damage, and general liability cases.
  • Settle, adjust, or deny claims based on findings.
  • Collect and evaluate evidence through inspections, photographs, interviews, and witness statements.
  • Review and analyze records, reports, and documentation.
  • Prepare detailed investigation reports and maintain claim records.
  • Coordinate with engineers, contractors, attorneys, and claimants for settlement decisions.
  • Manage reimbursement, repair, and replacement coordination.
  • Testify and represent the organization in court or hearings if required.
  • Negotiate settlements and recover funds from responsible parties.
  • Ensure confidentiality of sensitive claim information.
  • Experience in insurance recovery or subrogation-heavy roles.
  • Exposure to court proceedings or legal claim representation.
  • Strong negotiation and dispute resolution experience.
  • Familiarity with claims systems and reporting tools.
  • Experience working in high-volume claims environments.

Skills

Strong communication (oral and written
Claims investigation and analysis
Subrogation and recovery processes
Negotiation and influencing skills
Attention to detail and accuracy
Case management and documentation
Time management and organizational
Ability to work independently

Education

Bachelor’s degree in Business or related field (or equivalent experience)

Job description

Job Responsibilities

Investigate and analyze claims for recovery including subrogation, liability, motor vehicle, personal injury, property damage, and general liability casesSettle, adjust, or deny claims based on findingsCollect and evaluate evidence through inspections, photographs, interviews, and witness statementsReview and analyze records, reports, and documentationPrepare detailed investigation reports and maintain claim recordsCoordinate with engineers, contractors, attorneys, and claimants for settlement decisionsManage reimbursement, repair, and replacement coordinationTestify and represent the organization in court or hearings if requiredNegotiate settlements and recover funds from responsible partiesEnsure confidentiality of sensitive claim informationExperience in insurance recovery or subrogation-heavy rolesExposure to court proceedings or legal claim representationStrong negotiation and dispute resolution experienceFamiliarity with claims systems and reporting toolsExperience working in high-volume claims environments

Skills

Strong communication (oral and written)Claims investigation and analysisSubrogation and recovery processesNegotiation and influencing skillsAttention to detail and accuracyCase management and documentationTime management and organizational skillsAbility to work independently

Education/Experience

Bachelor’s degree in Business or related field (or equivalent experience)Minimum 3+ years of claims administration or insurance investigation experienceExperience working with insurance companies or self-insured organizations (e.g., GEICO, State Farm, Farmers, Liberty Mutual, Progressive, etc.)

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