Senior Claims Adjuster

March 14

🏄 California – Remote

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

💵 $95k / year

⏰ Full Time

🟠 Senior

🔒 Insurance

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George Hills

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George Hills is a trusted provider of Third Party Administration (TPA) and Subrogation Recovery services, based in California. With over 70 years of experience, the company specializes in offering comprehensive claims management, litigation management, and recovery services to both public entities and private companies. George Hills is committed to industry best practices and innovation, providing specialized training programs through its Claims University to educate claims adjusters and clients. Known as California’s TPA of choice, George Hills is continually enhancing its approach to subrogation and claims with technological expertise and skilled personnel.

TPA (Third Party Administrator) • JPA (Joint Powers of Authority) • Litigation Management, Subrogation Recovery, Construction Defect, Independent Adjusting, Public Entities/Private Insurance Carriers

51 - 200 employees

Founded 1954

📋 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. • Investigate claims: 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. • Comply with accepted guidelines regarding reserving practice and authority levels. • 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) • At least five (5) years’ experience with insurance claims, self-insurance, pooled insurance, or Joint Powers Authorities (JPAs) • Excellent written and verbal communication skills

🏖️ Benefits

• medical • dental • vision • PTO • holidays • 401k