What are the responsibilities and job description for the Claims Adjuster II position at County of Riverside?
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The Human Resources Department has an opportunity for a Claims Adjuster II to join the Risk Management Division located in Riverside.
The Liability Claims Adjuster II will manage a caseload of liability claims that are filed against the County of Riverside. The body of work includes intake, investigation/preparation, and overall resolution of liability claims. Additionally the Claims Adjuster II will make small claims appearances on behalf of the County. This is the journey level class in the series and, under general supervision, incumbents are responsible for performing independent liability claims or medical malpractice casework of above average difficulty with responsibility for investigative and decision making functions for claims including case evaluation and negotiating their cases to a satisfactory conclusion. The incumbent will also be tasked with reporting which requires navigating various systems and research of legal documents.
The most competitive candidates will have extensive journey level experience in the field of commercial liability claims, litigation, and subrogation experience as well as experience in managing a liability claim caseload from the initiation to resolution. Candidates who possess a bachelor's degree and those with experience working directly for major insurance carriers, third party administrators and/or in general liability experience are highly desired and encouraged to apply!
Meet the Team!
The Human Resources Department seeks and develops talented professionals that fit a highly engaged and collaborative culture.
• Receives, reviews, accepts or denies public liability claims including malpractice, property and personal claims; evaluates medical reports and reports of experts to determine extent of liability and damages; evaluates merit of claims and recommends settlement or denial of claims; estimates anticipated settlement value makes adjustments and settles claims within assigned monetary authority.
• Gathers and reviews data, reports and other claim documentation; requests clarifying or additional information; reviews status and performs necessary follow up.
• Conducts investigations to determine circumstances involved in claims against the County; including interviewing witnesses and inspecting the scene of accidents, injuries or property damage; prepares investigative report of findings.
• Conducts interviews with parties responsible for damage to County property and injuries to County employees to ensure collection of payments; contacts public and private organizations/agencies to obtain collections information; recommends actions necessary to enforce collections including court actions or liens.
• Represents the County in small claims actions.
• Prepare reports of costs and status on active and closed claims.
• May authorize subrogation, court actions or liens when collections can not be obtained by other means; reviews and makes recommendations for suspension, modification, garnishment or other legal actions; corresponds with attorneys, insurance carriers and others; interprets legal procedures involved in the collection or subrogation accounts.
• Consults with attorneys to prepare cases for litigation.
• Serves as custodian of records; provides subpoenaed records and attests to their validity.
• May prepare and present training program educating staff about the Liability Claims Program.
• May assign and review the work of others and provide training to new employees.
Experience: Extensive journey-level experience "preferably" reviewing and processing property damage liability claims including investigating, identification and investigation of fraud cases, adjusting and settling a wide variety of claims.
Knowledge of: Rules, regulations, and laws regarding personal and property liability including, but not limited to, general provisions of California Vehicle Code, State and Federal Government Codes, laws and statutes and legal decisions pertaining to personal and property liability; Methods and techniques of subrogation recovery; Technical medical terminology related to the cause and treatment of physical injuries; Practices and procedures of insurance reserving, risk and experience analysis and statistical record keeping.
Ability to: Gather and evaluate all information pertinent to liability claims and make appropriate recommendations; Establish and analyze all relevant data, effect necessary control plans, and bring all claims to equitable conclusion; Develop action plan necessary to implement recommendations with a minimum of guidance.
Other requirements
License: possession of a valid California driver's license is required.
Telework hybrid may be available after initial training requirements have been met.
Reasonable Accommodations
The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need a reasonable accommodation during the application or selection process should contact the recruiter for the position noted above. For additional information and/or to obtain the appropriate form for requesting a reasonable accommodation, please visit the Disability Access Office web page located at: http://dao.rc-hr.com/.
Degree Verification:
Prior to the closing date, upload a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment documents to your NeoGov account. If your education was completed outside of the United States, you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services (NACES) or Association of International Credential Evaluators, Inc. (AICE).
Prior to the closing date, upload a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment documents to your NeoGov account. If your education was completed outside of the United States, you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services (NACES) or Association of International Credential Evaluators, Inc. (AICE).
***Prior to the closing date, upload a copy of your official/unofficial transcripts or Foreign Education Equivalency report. ***
Veterans’ Preference
The County has a Veterans Preference Policy. Upload a copy of your (or your spouse's) Member-4 Form DD-214 (or NGB-22) indicating dates of service, and a copy of your spouse's letter of disability (if applicable) with your application. For privacy reasons, it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veterans' preference. See the policy here(Download PDF reader)(Download PDF reader).
What’s Next?
This recruitment is open to all applicants.
Applicants who are currently County of Riverside employees and/or current employees of the Human Resources Department may be considered before other applicants depending on the volume of the applications received.
Qualified applicants may be considered for future vacancies throughout the County.
Applications will be reviewed in the order they are received. Applications received prior to the closing date will be considered based on the information submitted. Changes or alterations cannot be accepted. No late applications will be permitted.
BASED ON THE NUMBER OF APPLICATIONS RECEIVED, THIS POSTING MAY CLOSE WITHOUT NOTICE.
If you are experiencing technical problems, you may contact the governmentjobs.com applicant support desk Monday through Friday, 6 am to 5 pm Pacific Time at support@governmentjobs.com or toll-free 1-855-524-5627.
For specific questions regarding this position, contact the Angela Tavaglione at atavaglione@rivco.org.
Salary : $71,439 - $94,240
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