Temporary Claims Adjuster

AvonRisk; Long Beach (CA); On-site; USD 65,000 - 90,000; Full time

Job summary

AvonRisk is seeking a Claims Adjuster to support assigned public entity clients, exercising independent judgment on general liability claims, management, and settlements. Responsibilities include investigating liability, reserving, and communicating with claimants and attorneys.

Candidate should have a Bachelor's degree (preferred) and 3+ years in insurance claims, with excellent written and verbal skills and fluency in Spanish.

Qualifications

• Bachelor's degree preferred.
• 3+ years of experience with insurance claims.
• Excellent written and verbal communication skills.
• Spanish fluency required.

Responsibilities

• Investigate, analyze, and determine liability in personal, casualty, or property claims.
• Recommend actions and set reserves within guidelines.
• Communicate with claimants, clients, and attorneys throughout the claims process.
• Interview medical specialists, agents, witnesses, or claimants to gather information.
• Create and maintain records and reports in claims systems.
• Calculate benefits, negotiate settlements, and approve payments within monetary limits.
• Assist counsel in litigation preparation and assemble evidence.

Skills

Spanish language proficiency

Education

Bachelor's degree

Job description

Description

We are seeking a Claims Adjuster who will provide direct support to assigned public entity clients, exercising independent judgement and personal discretion on matters related to general liability claims, claims management, and claims resolution/settlement. Duties of the Claims Adjuster include, but are not limited to:

• Investigate, analyze, and determine the extent of insurance provider's liability concerning personal, casualty, or property loss or damages.
• Recommend claims action and setting and adjusting proper reserves as appropriate while complying with accepted guidelines regarding reserve practice and authority levels.
• Communicate with claimants, clients, and attorneys throughout the claims process.
• Correspond with, interview medical specialists, agents, witnesses, or claimants to compile information.
• Create and maintain records, diaries, and reports in the claims system and/or the client's system.
• Calculate benefit payments, negotiate claim resolutions, and approve payments, within a certain monetary limit.
• Collaborate with counsel in preparation for litigation including assembling evidence to support contested claims and keeping clients advised of litigation status.

Requirements

Education and Experience

• Bachelors degree preferred.
• At least three (8) years of experience with insurance claims, self insurance, pooled insurance.
• Excellent written and verbal communication skills.
• The ability to speak and write fluently in Spanish is a requirement.