Claims Adjuster
: Job Details :

Under general supervision, investigates, analyzes, and determines the extent of the City's liability involving accidents, incidents, or other occurrences involving city property, vehicles, or employees resulting in third-party personal injury or property damage. Interviews medical specialists, agents, witnesses, or claimants to obtain the facts of the incident; assembles all necessary evidence, including interviews, reports, site investigations, photographs, and all drawings prior to making a decision on the claim. Negotiates and prepares claims settlements and determines City liability based on valuation of injuries, medical reports, bills, estimates, and related facts. Denies claims when investigation reveals they are unsubstantiated. Processes liability and subrogation claims utilizing an electronic claim administration system. Documents the electronic file with claim activity and processes payments to vendors and claimants. Working conditions are primarily inside an office environment. Exercises no supervision.Work LocationCity Tower, 100 W Houston Street (78205)Work Hours7:45 a.m. to 4:30 p.m., Monday - FridayInvestigates allegations of negligence made by third-parties who have suffered a tort to determine legal liability.Collects documentation to determine the extent of damages to facilitate settlement of compensable claims.Prepares documentation memorializing claim activity in a Risk Management Information System and articulating liability analysis.Communicates with involved parties based on investigation and liability position.Establishes appropriate reserve levels based on financial exposure and provides appropriate documentation to explain any change in the reserve upon receipt of new information.Negotiates claim settlements based upon a determination of the City's liability and evaluation of the damages through review of medical reports, medical bills, statement of values, estimates, or other documentation provided to support a proof of loss.Prepares settlement memorandum to seek settlement authority and provides such documentation and direction to Claims Assistant to properly pay settlements and invoices.Annotates, categorizes, and addresses incoming claims correspondence including medical records and statement of values.Assists City Attorneys with the handling of litigated claims including active participation in mediation and settlement negotiations.Pursues subrogation of property damages sustained by the City of San Antonio or enforcement and collection of the workers' compensation lien incurred due to the compensable injury of an employee as a result of the negligence of a third party.Performs related duties and fulfills responsibilities as required.Bachelor's Degree from an accredited college or university.Five (5) years of increasingly responsible general liabilities claims experience.Texas Property and Casualty Adjuster License, or All-Line or Multi-Lines license.Any applicant selected for this position must have a background check completed with results satisfactory to the City of San Antonio and successfully complete the City of San Antonio's Cash-Handling Certification Training.Preferred QualificationsOne (1) year experience in Liability Claims Adjusting.Current Texas Adjusters License.Proficient in Microsoft Outlook.Telephone Customer Service Experience.Basic knowledge of Subrogation.Applicant InformationIf selected for this position, official transcripts, diplomas, certifications and licenses must be submitted at the time of processing. Unofficial transcripts and copies of other relevant documents may be attached to the application for consideration in advance.Please be advised that if selected for this position, information regarding employment history as it relates to the qualifications of the position will be needed for employment verification. Applicants claiming military service to meet the experience requirement for this position may attach a DD214 to the application.Unless otherwise stated, applicants are permitted to substitute two years of related full-time experience for one year of higher education or one year of related higher education for two years of experience in order to meet the minimum requirements of the job. One year of full-time experience is defined as 30 or more hours worked per week for 12 months. One year of higher education is defined as 30 credit hours completed at an accredited college or university.Applicants selected for employment with the City of San Antonio in this position must receive satisfactory results from pre-employment drug testing and background checks. If required for the position, a physical, motor vehicle record evaluation, and additional background checks may be conducted.Knowledge of insurance coverage and concepts including coverage for property, workers' compensation, casualty, automobile, and other insurable risk.Knowledge of insurance principles and concepts.Knowledge of general negligence principles and governmental immunity, in particular the Texas Tort Claims Act.Knowledge of public entity claims handling on multiple lines of business.Skilled in working with various Risk Management Information Systems to document claim activity and maintenance of claim diary system.Ability to operate a computer keyboard and other basic office equipment.Ability to represent the City through strong and effective negotiations, while maintaining the City's high customer service standards.Ability to analyze a proof of loss and/or property appraisal to determine actual cash value owed to claimants.Skill in utilizing personal computers and associated MS Windows-based software applications (e.g. Word, Excel) and federal/state designed programs in the completion of assignments.Ability to maintain confidential information and work independently and with a team.Ability to maintain and submit accurate records within the required time periods.Ability to communicate clearly and effectively.Ability to estimate time and materials needed for projects.Ability to perform all the physical requirements of the position.#J-18808-Ljbffr