(Agile1)Claims Investigator, Career

Abacus • Oakland, CA

3d • Remote

About The Position

The Claims Investigator investigates, negotiates, and settles third-party property damage claims. The role also investigates incidents that may lead to litigation, investigates lawsuits, and reviews tender cases involving contractors and insurance carriers. The investigator interviews employees and third parties, reviews internal and external records and documents, and analyzes claims data to identify trends and lessons learned. Findings are presented to business partners.

The role is primarily remote and may require infrequent in-person meetings in Oakland or San Ramon. Candidates must currently reside within PG&E service territory. PG&E will issue a laptop or VDI; any additional equipment is to be provided by the supplier. California 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.

Nice To Haves

• Certified Insurance Claims Investigator (CICI).
• California Claims Adjuster license.
• 4 years of experience as a claims investigator or in related experience.
• 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 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 for trends and lessons learned, and present findings to business partners.
• Review internal PG&E and external records, files, and documents related to incident investigations, liability and damage evaluation, and claims negotiation and settlements.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level