Claims Investigator

the Client•Oakland, CA

3d•Hybrid

About The Position

The Claims Investigator handles third-party property damage claims, including investigation, negotiation, and settlement. The role also investigates incidents that may lead to litigation, evaluates tender cases involving contractors and insurance carriers, and works with business partners through claims data analysis and reporting. The position is based in Oakland, California, and is hybrid, primarily remote with infrequent onsite meetings in Oakland or San Ramon. It is a 14-month contract paying $30.00–$35.00 per hour. Applicants must be authorized to work for any U.S. employer; visa sponsorship is not available.

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.
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 with 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.
Proficiency with computer applications, including Microsoft Word, Excel, PowerPoint, and Outlook, and experience with information systems.

Nice To Haves

Certified Insurance Claims Investigator (CICI) certification.
California Claims Adjuster license.
Four years of experience as a claims investigator or in a related role.
Experience investigating or administering bodily injury, property damage, insurance claims, and litigation.
Utility industry experience.

Responsibilities

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