Claims Representative

For 70 years George Hills has offered our clients unparalleled service and innovative excellence in claims administration and offered our employees a positive and collaborative culture that builds relationships based on pride and respect. As an “Employer of Choice”, we are pleased to offer employees a flexible hybrid work schedule, competitive salary, and excellent benefits including medical, dental, vision, PTO, holidays, and 401k. To learn more, please visit our website at https://georgehills.com/ . George Hills is an equal-opportunity employer. Note: Employees must live in either CA or AZ.

In this entry-level Claims Representative position, you will investigate, evaluate, and adjust general, property damage and automobile liability claims for a large, dedicated client. Assigned claims generally consist of low to medium exposure, first and third-party automobile bodily injury and property damage claims, as well as premises liability accidents, and product liability claims.

Primary responsibilities include:

· Investigate, analyze, and determine the extent of the insurance provider's liability concerning personal, casualty, auto or property loss or damages, and attempt to settle with claimants.

· Correspond with or interview medical specialists, agents, witnesses, or claimants to compile information. Calculate and approve payment of claims within a certain monetary limit.

· Investigate claims:

· Assess and estimate vehicle or property damage.

· Compile information through interviews.

· Evaluate customer records.

· Examine evidence to determine if it will support claims.

· Follow contract, property, or insurance laws.

· Follow rules of evidence procedures in legal setting.

· Gather physical evidence.

· Inspect property to determine damages.

· Research property records.

· Conduct court searches.

· Interview claimants or witnesses

· Search legal records Interviews, telephones, and or correspond with claimants and witnesses.

· Evaluate liability exposure:

· Review insurance applications.

· Review insurance policies to determine appropriate coverage.

· Obtain, review, and evaluate records, police, medical, etc.

· Recommend claim action.

· Properly reserve for the claim.

· Adjust reserve as appropriate.

· Comply with accepted guidelines regarding reserving practice and authority levels.

· Create and maintain records:

· Maintain records, reports, and files in our claims system.

· Maintain all cases on an active diary in our claims system pursuant to established GHC criteria.

· Assist in the preparation of timely reports to clients.

· Comply with all reporting requirements/steps set out in the GHC Claims Handling Best Practices guide.

· Comply with regulatory requirements.

· Diary spoken or written information.

· Litigation management support:

· Collect evidence to support contested claims in court.

· Keep clients advised.

· Other duties as assigned.

Education and Experience

•Bachelor’s degree preferred.

•One to three years of experience with insurance claims, self-insurance, pooled insurance, or Joint Powers Authorities preferred.

•Possess basic knowledge relating to the handling of public entity liability claims.

•Excellent written and verbal communication skills.

Please see our privacy policy:

https://georgehills.com/wp-content/uploads/General-Notice-at-Collection-for-Applicants.pdf