General Liability Claims Adjuster, III

Job not on LinkedIn

November 21

🏄 California – Remote

Although this job is listed in California, this company may be open to hiring remote in other states.

💵 $80k - $95k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔒 Insurance

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Intercare Holdings Insurance Services

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Insurance • Risk Management

Intercare Holdings Insurance Services is a privately held company that specializes in workers' compensation and liability claims administration, managed care services, and risk management solutions. Known for their client care and responsive service, Intercare integrates advanced technology and has an in-house Special Investigations Unit (SIU) to handle claims efficiently and reduce fraudulent activities. Their unique approach combines the depth and capacity of a large organization with the flexibility of a smaller firm, ensuring customized risk management and cost control solutions for clients. With a strong emphasis on customer satisfaction, Intercare is a trusted partner in reducing risk and maintaining fiscal stability for their clients.

201 - 500 employees

📋 Description

• Investigate, analyze, and determine the extent of the client’s liability concerning personal, casualty, or property loss or damages. • Correspond with or interview employees of the client, medical specialists, agents, witnesses, or claimants to compile information. • Obtain all necessary reports and documents to analyze and evaluate the loss or damages and attempt to effect settlements with claimants when appropriate. • Assess and estimate vehicle damage or property damage. • Compile information through interviews. Obtain various client records. Evaluate customer records. Examine evidence to determine if it will support claims. • Search legal records. Interview, telephone, and/or correspond with claimants and witnesses. • Assist with business or managerial research. • Follow contract, property, or insurance laws. Follow rules of evidence procedures in a legal setting. • Gather physical evidence. Inspect properties to determine damages. Research property records. • Review insurance applications or contracts. Review insurance policies or memorandum of coverage to determine appropriate coverage. • Obtain, review, and evaluate records; police, medical, etc. Recommend claim action. Properly reserve for the claim. Adjust reserves as appropriate. • Maintain records, reports, and files which are primarily found on the CMIS. Comply with all reporting requirements and steps set out in the Company Procedure Manual. Comply with regulatory requirements. Maintain all cases on an active diary on the CMIS pursuant to established Company criteria. Prepare timely reports for clients. Document spoken or written information on the CMIS. • Collect evidence to support contested claims in court. Select and manage defense and coverage counsel. Select and manage experts. Keep clients advised. Provide direction to defense counsel in managing litigated cases. Attend litigation hearings including settlement conferences and mediation, requiring travel that could exceed two hour each way.

🎯 Requirements

• Four-year college degree (preferred). • Possess comprehensive knowledge relating to the handling of public entity liability claims. • At least five (5) years’ experience with insurance claims, self-insurance, pooled insurance, or Joint Powers Authorities (JPAs). • At least three (3) years of using Microsoft Windows on a PC including Microsoft Word, Excel, Outlook. • At least two (2) years of using streaming video conferencing including Teams and Zoom with the ability to set and host group meetings with all included functionality. • At least two (2) years of using claims management software and/or ability to quickly learn new software systems related to claims management. • Excellent written and verbal communication skills.