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.

The Claims Representative investigates, evaluates, and adjusts General and Automobile Liability claims. The Claims Representative must be qualified legally and technically to handle all claims competently. Claims generally consist of low to medium exposure, first and third-party automobile bodily injury, property damage, premises liability accidents, and product liability claims. 

The following statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of the person holding this position. Duties, responsibilities, and activities may change at any time with or without notice. 

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)

•At least five (5) 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.

· At least two (2) years’ experience of Property Damage claims experience

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