Career Claims Investigator

SEDAA•Oakland, CA
•$22 - $25•Hybrid

About The Position

The Claims Investigator investigates, negotiates, and settles third-party property damage claims. The role investigates and reports on incidents that may lead to litigation, including lawsuits, and reviews tender cases involving contractors and insurance carriers. It also involves interviewing employees and third parties, analyzing claims data to identify trends and lessons learned, presenting findings to business partners, and reviewing internal and external records related to incident investigations, liability and damage evaluation, negotiation, and settlements. The position is for candidates residing within the client service territory in the Bay Area. It is primarily remote, with infrequent hybrid meetings in Oakland or San Ramon. A client laptop or VDI will be issued; any additional equipment is to be provided by the supplier. Mileage for travel outside the home office may be expensed with prior manager approval.

Requirements

  • Bachelor’s (BA/BS) degree or equivalent experience.
  • At least 2 years of experience handling claims investigations.
  • Valid driver’s license with a clean driving record.
  • Property damage claim handling experience.
  • Excellent communication and organizational skills.

Nice To Haves

  • Certified Insurance Claims Investigator (CICI).
  • California Claims Adjuster license.
  • 4 years of experience as a claims investigator or in related work.
  • Experience investigating and/or administering bodily injury, property damage, and insurance claims and litigation.
  • Utility industry experience.
  • Knowledge and understanding of insurance claims, specifically casualty claims adjustment.
  • Knowledge and understanding of claims management, investigations, and settlements.
  • Knowledge and understanding of tort and contract law.
  • Knowledge and understanding of medical terminology.
  • Ability to interact and engage multiple levels of management, leadership, personnel, and unions within an organization.
  • Strong client investigation and resolution skills.
  • Strong leadership, organizational, and interpersonal skills.
  • Strong business and technical composition skills.
  • Strong oral communication and presentation skills.
  • Proficient computer skills, including Microsoft Office applications (Word, Excel, PowerPoint, and Outlook), and experience with information systems.

Responsibilities

  • Investigate, negotiate, and settle third-party property damage claims.
  • Investigate and report on incidents that may potentially lead to litigation; investigate lawsuits and review tender cases involving contractors and insurance carriers.
  • Interview employees and third parties to investigate claims and incidents.
  • Analyze claims data to identify trends and lessons learned, and present findings to business partners.
  • Review internal client and external records, files, and documents relating to incident investigations, liability and damage evaluation, and claims negotiation and settlements.
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