Claims Representative Senior

City of Charlotte • Charlotte, NC

7d

About The Position

Investigates and evaluates insurance claims. Examines claim forms and other records to determine insurance coverage. Utilizes various methods of investigation and negotiates settlement with claimants within prescribed limits. An advanced claims adjusting position involving technical work in the field of management of public liability claims presented against the City of Charlotte, Mecklenburg County, and the Charlotte-Mecklenburg Board of Education. Claims management involves investigation, evaluation, negotiation, and adjustment of claims for alleged damages and personal injury arising from employment by or the operation or use of City, County, or Board of Education property or equipment/ all property and casualty claims. Work is performed independently within the incumbent's level of settlement authority. The duties include review of claim files and reserving activity of third party administrators. Adjusts property and casualty claims from commencement to completion. Reviews and analyzes reports of accidents including property damage and bodily injury to determine liability. Reviews and evaluates claims and recommends appropriate action. Conducts field accident investigations including locating and questioning claimants, law enforcement officers, witnesses, and other parties. Obtains signed or recorded statements of incidents. Recommends case reserves. Assists in the gathering of formal evidence by taking photographs, preparing diagrams and making measurements at the accident scene. Investigates and negotiates settlements for automobile and general liability claims. Settles claims within designated authority limits. Cooperates with litigation manager in defense of litigated files. Serves as back-up for the Claims Manager. Conducts training, as necessary and appropriate, on a full range of risk management topics. Assists in the supervision of one or more claims assistants. Works with supervisory and management personnel in assigned departments and with County and CMS Departments in the areas of accident review, loss prevention and reporting processes and procedures. May occasionally be on call with the need to respond to accident sites on nights, weekends, and holidays.

Requirements

• High School Graduate or Equivalent with five (5) years minimum experience or 2-year college degree and three (3) year’s experience.
• Requires a North Carolina Property Casualty Adjusters License

Responsibilities

• Investigates and evaluates insurance claims.
• Examines claim forms and other records to determine insurance coverage.
• Utilizes various methods of investigation and negotiates settlement with claimants within prescribed limits.
• Reviews and analyzes reports of accidents including property damage and bodily injury to determine liability.
• Reviews and evaluates claims and recommends appropriate action.
• Conducts field accident investigations including locating and questioning claimants, law enforcement officers, witnesses, and other parties.
• Obtains signed or recorded statements of incidents.
• Recommends case reserves.
• Assists in the gathering of formal evidence by taking photographs, preparing diagrams and making measurements at the accident scene.
• Investigates and negotiates settlements for automobile and general liability claims.
• Settles claims within designated authority limits.
• Cooperates with litigation manager in defense of litigated files.
• Serves as back-up for the Claims Manager.
• Conducts training, as necessary and appropriate, on a full range of risk management topics.
• Assists in the supervision of one or more claims assistants.
• Works with supervisory and management personnel in assigned departments and with County and CMS Departments in the areas of accident review, loss prevention and reporting processes and procedures.
• May occasionally be on call with the need to respond to accident sites on nights, weekends, and holidays.

Benefits

• The City of Charlotte provides a comprehensive benefits package to eligible employees.
• Click here to learn more about the City of Charlotte’s benefits.
• The City of Charlotte is a drug and alcohol-free workplace.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED