Senior Claims Adjuster

County of Riverside; California; Hybrid; USD 85,000 - 120,000; Full time

Job summary

County of Riverside is seeking a Senior Liability Claims Adjuster to investigate, adjudicate, negotiate, and direct a broad range of complex tort claims within a defined monetary authority.

The role includes managing litigation, coordinating with departments and excess carriers, and conducting site inspections. A hybrid telework schedule may be available based on business needs and in-person work is expected as required.

Qualifications

• Bachelor's degree required or equivalent education.
• Five years of journey-level experience in general liability, including litigation and complex claims.
• Experience in evaluating liability and damages and settlement practices.
• Ability to analyze claims data and prepare concise reports.

Responsibilities

• Receive and review public liability claims; determine liability and damages.
• Conduct investigations, interviews, and site visits as needed.
• Prepare settlements within monetary authority and coordinate with attorneys.
• Manage claim files and maintain accurate records and documentation.
• Consult with attorneys to prepare cases for litigation and trial.
• Represent the County in small claims and mediation contexts.

Skills

Claims investigation

Litigation management

Subrogation knowledge

Customer service

Data analysis

Education

Bachelor's degree

Job description

For questions regarding this position, please contact the Recruiter listed in the Supplemental Information section.

About The Position

The County of Riverside Department of Human Resources is seeking an experienced and dynamic Senior Liability Claims Adjuster to join the Risk Management Division in Riverside.

The Senior Liability Claims Adjuster will investigate, analyze, adjudicate, negotiate, and direct a diverse range of complex tort claims within assigned monetary authority and manage the litigation aspects of these claims on behalf of the County of Riverside. The types of claims include but are not limited to police practices exposures, child protective services matters, auto accidents, alleged dangerous road condition cases, etc. In addition to managing a pending case count and new claims, the Senior Liability Claims Adjuster will conduct site inspections, prepare quarterly meetings with departments and our excess insurance carriers, attend mediation and court-imposed settlement conferences, analyze contracts for indemnification and insurance provisions and provide recommendations to county departments and present training to educate stakeholders and peers about Risk Management.

Competitive candidates will have extensive journey level experience in a broad range of commercial insurance or large public sector liability claims including reporting claims of subrogation to third party insurance carriers, preparation and presentation of cases at small claims court and litigation management. The Department desires candidates proficient in the practice of determining the valuation of a claim property depreciation. Those with computer application programs used to report claims data with the ability to maintain an effective working relationship with professional legal staff, attorneys, department heads, managers and stakeholders.

At this time, the position has the opportunity for a hybrid telework schedule based on business need, however job expectations, at times will require in person interaction. Telework may change at any time and you may be expected to report to the office.

• This position is currently a full-time companion position with benefits. It is expected that this position will become a full-time regular position in the near future. For more information regarding companion positions, please contact recruiter.

Meet the team!

The Human Resources Department strives to effectively serve and partner with our community, departments and employees by leveraging best practices and innovation to foster a thriving county.

Examples Of Essential Duties

• Receive, review, accept or deny public liability claims including malpractice, property and personal claims; evaluate medical reports and reports of experts to determine extent of liability and damages; evaluate merit of claims and recommend settlement or denial of claims; estimate anticipated settlement value, make adjustments and settle claims within assigned monetary authority.
• Provide exceptional customer service to all stakeholders.
• Provide high level summaries of complex issues.
• Gather and review data, reports, and other claim documentation; request clarifying or additional information; review status and perform necessary follow up.
• Conduct investigations to determine circumstances involved in claims against the County; including interviewing witnesses and inspecting the scene of accidents, injuries, or property damage; prepare investigative report of findings.
• Investigate difficult and complex public liability claims and those involving a greater degree of sensitivity and/or complexity.
• Conduct interviews with parties responsible for damage to County property and injuries to County employees to ensure collection of payments; contact public and private organizations/agencies to obtain collections information; recommend actions necessary to enforce collections including court actions or liens.
• Represent the County in small claims actions.
• Prepare reports of costs and status on active and closed claims.
• Consult attorneys to prepare cases for litigation. Serve as custodian of records; provide subpoenaed records and attest to their validity.
• Assist the program supervisor to develop and maintain claims records and computer record keeping systems; assure accuracy conformance to policies and procedures and accessibility of claims records. Assist attorneys in the preparation of complex case for litigation ensuring the availability and accuracy of all necessary documentation.

Minimum Qualifications

Education: Graduation from an accredited college or university with a bachelor's degree or equivalent education (minimum completed units equaling 120 semester/180 quarter).

Experience: Five years of journey-level experience investigating general liability, including litigation experience and managing high exposure and complex files and property claims including adjusting, and settling a wide variety of claims.

Knowledge of: Rules, regulations, and laws regarding personal and property liability including, but not limited to, general provisions of California Vehicle Code, State and Federal Government Codes, laws and statutes and legal decisions pertaining to personal and property liability; Methods and techniques of subrogation recovery; Technical medical terminology related to the cause and treatment of physical injuries; Practices and procedures of insurance reserving, risk and experience analysis and statistical record keeping.

Ability to: Provide exceptional customer service to all stakeholders, provide high level summary of complex issues, gather and evaluate all information pertinent to liability claims and make appropriate recommendations; Establish and analyze all relevant data, effect necessary control plans, and bring all claims to equitable conclusion; Develop action plan necessary to implement recommendations with a minimum of guidance.

SUPPLEMENTAL INFORMATION

Job Competencies

Work Performance Measures

• Effectively analyze and interpret federal and state laws affecting claims.
• Successfully discern and analyze alternatives in technical situations to assist in problem resolution.
• Participate appropriately in meetings as directed by the Workers' Compensation Officer or Liability Claims Program Supervisor.
• Accurately assess and calculate claim settlement costs.
• Successfully analyze information to determine appropriate strategy.
• Succinctly and clearly develop written reports and recommendations as assigned.
• Skillfully utilize computer and other available technology to maintain claims records, supporting documentation and technical/legal information.
• Meet obligations and commitments.
• Effectively investigate a wide variety of claims, data sources, regulations and laws governing claims.
• Take appropriate actions after carefully determining and analyzing all relevant factors.
• Maintain objectivity and credibility.
• Effectively maintain expertise in claims areas impacting the County including legal climate and trends.
• Appropriately utilize creative problem solving, investigative and analysis techniques.
• Persuasively communicate your findings and recommendations to a variety of audiences including attorneys and insurance representatives.
• Successfully prioritize conflicting timelines ensuring that each case or project receives appropriate time and consideration.

Other Requirements

License: A valid California Driver's License is required at the time of appointment or the ability to arrange transportation for field travel.

The incumbent may be required to use a personal vehicle and provide verification of auto insurance coverage as required by the County of Riverside.

Schedule

At this time, the position has the opportunity for a hybrid telework schedule based on business need, however job expectations, at times will require in person interaction. Telework may change at any time and you will be expected to report to the office.

For Questions Regarding This Recruitment

Please contact Angela Tavaglione at [e-mail] or [phone]. Please allow 1-2 business days for response.

APPLICATION INFORMATION

Veteran's Preference

The County has a Veterans Preference Policy applicable to new hires. To qualify, attach the required documents to your job application. Documents include a copy of your (or your spouse's) Member-4 Form DD-214 indicating dates of service. For spousal preference, and as applicable, the following documents: a copy of your marriage certificate, spouse's death certificate, a letter of spouse's disability and/or letter of service-related death (if available) from the U.S. Veteran's Administration. For privacy reasons, it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veterans' preference. For complete details and documentation requirements, please review the Veterans Preference Policy, C-3 here: https://rivcocob.org/board-policies

Reasonable Accommodations

The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need a reasonable accommodation during the application or selection process should contact the recruiter for the position noted above. For additional information and/or to obtain the appropriate form for requesting a reasonable accommodation, please visit the Disability Access Office web page located at: https://rc-hr.com/disability

Work Location and Telework

In-person attendance is the standard work expectation for County of Riverside assignments. Certain assignments may be eligible for a hybrid telework schedule; however, telework arrangements are subject to management approval, operational needs, and/or may be modified or discontinued at any time. Employees who telework are expected to be able to report to their assigned worksite on short notice or as operational needs require. Unless otherwise specified for a particular position, employees are expected to reside in California following appointment. Limited exceptions may apply. Applicants should contact the assigned recruiter for additional information regarding work location expectations, telework eligibility, and residency requirements.

Proof of Education

If using education to qualify or when requested by the recruiter, upload a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment documents to your NeoGov account at the time of application and before the closing date. Official or unofficial transcripts will be accepted. If your education was completed outside of the United States, you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services ( NACES ) or Association of International Credential Evaluators, Inc. ( AICE ).

Work Authorization Requirement

Applicants must be legally authorized to work in the United States at the time of application. The County of Riverside does not participate in visa sponsorship programs, including H1-B visas, and will not provide sponsorship for any employment-based visas.

Equal Opportunity Employer

The County of Riverside is an Equal Opportunity Employer. It is the policy of the County of Riverside to provide equal employment opportunities for all qualified persons. All applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition (cancer and genetic characteristics), genetic information, or denial of medical and family care leave, or any other non-job-related factors.

Pre-Employment

All employment offers are contingent upon successful completion of pre-employment requirements including a criminal background investigation, which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment). A pre-employment physical examination and background check may be required.

Probationary Period

As an Approved Local Merit System, all County of Riverside employees, except those serving 'At Will,' are subject to the probationary period provisions as specified in the applicable Memorandum of Understanding, County Resolution, or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head.

General Information

Current County of Riverside and/or current employees of the hiring department may receive priority consideration. Qualified candidates may be considered for future County vacancies.