Job Title

Job Family

Job Code

Job Exempt

Claims Adjuster I

Seiu_Professional

AHM26

Pay Grade

Pay Rate Type

Minimum

Midpoint

Maximum

S13

Salary

$26.63

$33.96

$41.28

Job Description

Performs responsible professional work investigating and processing worker's compensation, automobile liability, and general liability claims against the City to determine if the City is liable for injury and/or property damage. An employee in a position allocated to this classification requires a high degree of professionalism and discretion, independent judgement in determining liability. Employee does physical inspections which involves driving, walking, and some out door work in all types of weather conditions. Work involves the coordination of contracted adjusters, investigators and outside legal counsel. Work is reviewed by the Risk Manager/Senior Claims Adjuster through conferences, reports submitted, and effectiveness of results achieved.

Minimum Qualifications:

Bachelor's Degree in Public/Business Administration, Insurance, or related field and one (1) year professional experience in claims in area of assignment or insurance related settlement and investigative work; or an equivalent combination of related training and experience.

Florida 6-20 All Lines Adjuster License or Florida Worker's Compensation Adjuster License is required depending on area of assignment. Valid Florida Driver's License is required.

Additional Qualifications for Promotion:

Promotions are not to be considered an automatic function of longevity and are subject to the review and authorization of the Supervisor.

The employee’s last performance review must have resulted in an overall rating of Meets standards or better with no factor rating of less than meets.

Responsibilities

EXAMPLES OF WORK PERFORMED:

Note: The listed duties are only illustrative and are not intended to describe every function that may be performed by this job class. The omission of specific statements does not preclude management from assigning specific duties not listed if such duties are a logical assignment to the position.

Investigates liability claims, worker's compensation claims, tort claims, and other claims involving personal injury or property loss/damage; investigates scene of the accident, takes detailed statements from involved parties, photographs evidence to document investigation files, performs other research as necessary.

Inspects and appraises damage to structure, motor vehicles, watercraft and heavy equipment; reviews repair estimates; determines value of claim and coverage applicable; prepares a cost benefit analysis for settling claims.

Represents the City at claim settlements; negotiates settlement claims up to an authorized limit or makes recommendations for settlement to the Risk Manager; attends trials and mediations.

Processes all claims from initial report to final disposition and responds to all inquiries in a timely fashion.

Prepares oral and written reports.

Advises City personnel and affected individuals of City claims procedures in person and over the phone.

Confers with appropriate City officials, doctors, lawyers, judges and insurance carriers.

Serves as a contact for contracted adjusters, investigators and outside legal counsel.

Attends safety meetings and the Accident Review Board; works with Safety Specialist in determining accident prevention strategies.

Performs of related duties as required.

KNOWLEDGE, SKILLS AND ABILITIES:

Knowledge of State insurance rules and regulations.

Knowledge of medical and legal terminology.

Knowledge of reference materials in the field of casualty and loss. Knowledge of the legality of claims in the area of law relating to worker's compensation or negligence.

Knowledge of claims investigation methods and techniques.

Skilled in research techniques.

Ability to communicate effectively, orally and in writing, with City employees, upset and/or irate individuals, defense and claimant counsel, doctors, lawyers, judges and insurance carriers.

Ability to establish and maintain effective working relationships with employees, the public, attorneys, and professional and private organizations.

Ability to determine value of a claim and negotiate equitable settlements.

Ability to prepare written reports.

Ability to process claims and to respond to inquiries in a timely manner.

Ability to read and understand estimates.

Ability to operate camera, tape recorder, personal computer, and automobile in order to completes claim investigations.

Ability to work in adverse weather climates, walk, bend, stoop, reach, and pull.