Essential Duties:

Investigate Claims

• Investigate the circumstances of property or liability claims or incidents reported by company members and assigned by the Claims Manager.
• Investigation will be accomplished through direct contact with member staff via phone, email or direct field contact as may be appropriate and given the potential severity of the matter.
• Collect evidence and information regarding the circumstances of the claim will be obtained through interview with knowledgeable parties, inspection of property, examining documents, and/or review of reports to secure relevant facts, circumstances, documents, and materials.
• Investigate and assess damage to property.
• Prepare report of findings of the investigation.

Evaluation and Administration of Claims

• Examine claims information and other records to establish coverage under Memorandum of Coverage.
• Analyze information gathered by investigation and report findings and recommended actions.
• Assist members with handling claims decisions relative to the Governmental Claims Act.
• Evaluate subrogation potential.
• Strategize the most effective, efficient, and cost-effective approach to processing and resolving the claim.
• Evaluate the claim information for the extent of liability.
• Establish, review, and maintain adequate expense and indemnity reserves within specified authority levels throughout the life of the file.
• Approve payments on any expenses incurred to resolve claims.
• Attempt to resolve claims prior to litigation when possible and seek settlement authority as may be required.
• Attend and contribute to monthly claim management meetings or roundtable meetings.
• • Provide direction to defense counsel on litigated claims.
  • Attend and participate in mediations, settlement conferences and trials as may be required.
  • Compile evidence for litigation proceedings.

  Electronic File Documentation

  • Input claims data on each claim into claims system as per established guidelines.
  • Maintain all relevant file notes and correspondence in the claims system to support claims activity.
  • Maintain a diary on all assigned claims ensuring each claim is managed in a timely, cost-effective manner.
  • Ensure that reasonable reserves are maintained based on current claim information.

  Other

  • Perform other related duties as assigned.
  • The CEO may revise the essential duties and reporting relationship of this position at any time.

  Qualifications/Skills:

  Education, Experience & Knowledge

  • High school diploma or GED is required. Bachelor's or Associate Degree from an accredited college or university is preferred.
  • At least 10 or more years of claims administration experience handling property and/or liability claims
  • Extensive knowledge of litigation management techniques relating to litigated claims or subrogated matters.
  • Extensive knowledge of state and federal laws and case law, and associated rules and regulations, as they apply to governmental entities and risk management.
  • California claims adjusting license preferred but not necessary.

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance.