Claims Adjuster

Claim Analyst/Claims Adjuster

San Diego, CA

Onsite

Key Responsibilities

• Investigate and analyze claims involving property damage, bodily injury, motor vehicle accidents, general liability, and subrogation.
• Determine liability, evaluate damages, and assess claim validity based on supporting documentation and evidence.
• Pursue recovery opportunities against responsible third parties for damages to company facilities, equipment, property, and assets.
• Manage claims throughout the entire lifecycle, from initial intake through final resolution and closure.
• Review, process, and maintain claims documentation to ensure accuracy and compliance with established procedures.
• Coordinate with insurance carriers, claimants, attorneys, vendors, and other stakeholders to facilitate claim resolution.
• Oversee claims payments to third-party providers and verify the accuracy of charges and reimbursements.
• Monitor payment reports and claims activity to ensure proper processing and financial compliance.
• Prepare and issue denial letters, requests for additional information, and other claim-related correspondence.
• Support settlement negotiations and assist in resolving disputed claims in a timely and cost-effective manner.
• Maintain detailed and accurate claim records, reports, and system updates.
• Identify discrepancies, overpayments, or potential fraud concerns and recommend corrective actions.
• Ensure adherence to company policies, regulatory requirements, and claims-handling best practices.

Qualifications

• Minimum 3 years of experience in claims handling, insurance, general liability, bodily injury, motor vehicle accident, or subrogation claims.
• Strong knowledge of claims investigation, liability determination, and recovery processes.
• Experience with claims processing, payment review, and compliance requirements.
• Excellent analytical, organizational, and problem-solving skills.
• Strong written and verbal communication abilities.
• Proficiency with claims management systems and Microsoft Office applications.