Temporary Claims Adjuster

InterMed Cost Containment Services; Long Beach (CA); On-site; USD 34,000 - 55,000; Full time

Job summary

InterMed Cost Containment Services seeks a Claims Adjuster to provide direct support to assigned public entity clients, exercising independent judgement on general liability claims, claims management, and settlement. Responsibilities include investigating liability, communicating with claimants and attorneys, maintaining records, calculating benefit payments, and coordinating with counsel for litigation.

Requirements include a Bachelor's degree preference, 3+ years of insurance claims

Qualifications

• Bachelor's 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.

Responsibilities

• Investigate, analyze, and determine the extent of liability for personal, casualty, or property losses.
• Recommend claims action and set reserves within guidelines and authority levels.
• Communicate with claimants, clients, and attorneys throughout the claims process.
• Interview medical specialists, agents, witnesses, or claimants to gather information.
• Create and maintain records, diaries, and reports in the claims system or client system.
• Calculate benefit payments, negotiate settlements, and approve payments within monetary limits.
• Collaborate with counsel in preparation for litigation and keep clients advised of status.

Skills

Communication skills

Spanish language proficiency

Education

Bachelor's degree

Tools

Claims software

Job 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.

Job Type

Temporary

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.