Claims Adjuster

Baltimore County•Towson, MD

1d•Onsite

About The Position

A vacancy exists in the Office of Law for a Claims Adjuster. This role involves investigating, negotiating, and settling claims against the County's Self Insurance Fund, as well as evaluating the investigation and analysis of such claims in preparation for litigation. The position also reviews, analyzes, and processes workers' compensation claims, investigates injuries and accidents arising from County operations, and reviews bills and reports to determine compensability. The Claims Adjuster will interpret data to identify risk exposure and recommend preventative measures, process reports of damage to County property or vehicles, and investigate claims related to negligent operation of County vehicles or conditions of County property. Responsibilities include determining investigation types, maintaining detailed claim files, comparing claim data with supporting documents for validity, identifying and pursuing subrogation claims, and preparing reports. The role assists the claims manager in claim review for litigation preparation and ensures compliance with Maryland Workers' Compensation Law, County policies, and Claims Management Unit procedures. The Claims Adjuster will establish reserves and resolution plans, coordinate claim functions, and assist in preparing claims for hearings or trials, potentially attending proceedings. Other duties include participating in policy development and performing related tasks as required.

Requirements

Graduation from an accredited college or university with a bachelor's degree preferably in business or public administration, risk management; law, or a closely related field.
Two years' experience in adjusting and managing insurance claims for worker's compensation, vehicle liability, and/or general liability.
Possession of a valid driver's license equivalent to a non-commercial, class C Maryland driver's license is required at the time of appointment.
Applicants must include the dates of promotions and reclassifications.
Applicants must state the dates and duties of past and present experience clearly and completely for evaluation purposes.
Proof of Licenses, Certifications and Education beyond high school must be submitted with each application.
Diplomas or transcripts must show the applicant’s major field of study.

Nice To Haves

Additional experience may be substituted on a year-for-year basis for the required education.
Additional education in business or public administration, risk management, law, or a closely related field may be substituted on a year-for-year basis for the required experience.

Responsibilities

Investigates, negotiates, and settles claims against the County's Self Insurance Fund.
Evaluates the investigation and analysis of claims in preparation for litigation.
Reviews, analyzes, and processes workers' compensation claims.
Investigates injuries and accidents arising from County operations.
Reviews bills and corresponding reports related to claims to determine if compensable under State law and County policies.
Interprets data to identify risk exposure and recommend corrective or preventative measures.
Receives, analyzes, and processes reports of damage to County insured property or vehicles.
Investigates claims alleging negligent operation of County insured vehicles.
Receives, analyzes and processes claims alleging injury or damages arising out of condition of County insured property, County operations, or actions of County employees or volunteers.
Determines the type of investigation required.
Documents and maintains detailed claim files.
Compares data on claim form with physician's statements, police investigative reports, damage appraisal reports, and other records to ascertain completeness and validity of claims.
Identifies claims for subrogation and pursues recovery of funds from third party.
Prepares statistical, narrative, or other reports.
Assists the claims manager in review and evaluation of claims in preparation for litigation by assessing compliance with all of the Claims Management Unit's standard operating procedures.
Performs the claims handling function in compliance with Maryland Workers' Compensation Law, Baltimore County policies, and the policies and procedures of the Claims Management Unit.
Establishes appropriate reserves and resolution plans on all claims.
Coordinates claim function with other activities of the Claims Management Unit.
Assists in the preparation of claims for hearings and/or trials by gathering pertinent information and forwarding documentation to the Office of Law.
May attend hearings or court proceedings as needed.
Participates in developing and implementing new or revised policies and procedures.
Performs other related duties as required.