Adjuster

City of Albuquerque•Albuquerque, NM

2d•Onsite

About The Position

Investigate, negotiate, adjust and settle a variety of claims filed against the City including workers compensation claims and/or general liability claims; apply knowledge of applicable laws and policies to determine disposition of claims and perform a variety of technical tasks relative to assigned areas of responsibility. Job descriptions are intended to present a general list of tasks/duties performed by employees within this job classification. Job Descriptions are not intended to reflect all duties performed within the job.

Requirements

Associate's degree from an accredited college or university in business, public administration, risk management or related field
Two (2) years experience in claims administration.
Possession of a valid New Mexico Driver's License, or the ability to obtain by date of hire.
Possession of a City Operator's Permit (COP) within 6 months from date of hire.
Possession of a valid New Mexico Adjusters License and become bonded within six (6) months from date of hire.

Responsibilities

Investigate workers compensation or general liability claims filed against the City for causation and compensability; determine liability and benefits as appropriate under applicable laws and policies.
Contact claimants and obtain information regarding alleged damages; explain legal requirements for successfully maintaining a claim.
Perform field investigations to determine exact facts and causes of loss; take statements or photos; draw diagrams.
Review all medical reports on treatment activities; audit and approve medical invoices for payment; deny payment as appropriate.
Coordinate with and assist other departments with insurance related questions pertaining to workers compensation or general liability.
Effect recovery of settlement in assigned areas of responsibility; pursue subrogation recovery as warranted.
Maintain records and develop reports concerning new or ongoing claims; prepare statistical reports as required.
Establish and maintain a variety of claim review files and medical payment records; close files on computer when claim is settled.
Prepare claim review memos for presentation to claims review board as required.
Participate in professional group meetings; stay abreast of new trends and innovations in assigned areas of claims responsibility.
Perform related duties and responsibilities as required.