Senior Claims Adjuster

For questions regarding this position please contact the Recruiter listed in the Supplemental Information section.

Receive review accept or deny public liability claims including malpractice property and personal claims; evaluate medical reports and reports of experts to determine extent of liability and damages; evaluate merit of claims and recommend settlement or denial of claims; estimate anticipated settlement value make adjustments and settle claims within assigned monetary authority.
Provide exceptional customer service to all stakeholders.
Provide high level summaries of complex issues.

Gather and review data reports and other claim documentation; request clarifying or additional information; review status and perform necessary follow up.

Conduct investigations to determine circumstances involved in claims against the County; including interviewing witnesses and inspecting the scene of accidents injuries or property damage; prepare investigative report of findings.

Investigate difficult and complex public liability claims and those involving a greater degree of sensitivity and/or complexity.

Conduct interviews with parties responsible for damage to County property and injuries to County employees to ensure collection of payments; contact public and private organizations/agencies to obtain collections information; recommend actions necessary to enforce collections including court actions or liens.

Represent the County in small claims actions.

Prepare reports of costs and status on active and closed claims.

Consult attorneys to prepare cases for litigation. Serve as custodian of records; provide subpoenaed records and attest to their validity.

Assist the program supervisor to develop and maintain claims records and computer record keeping systems; assure accuracy conformance to policies and procedures and accessibility of claims records. Assist attorneys in the preparation of complex case for litigation ensuring the availability and accuracy of all necessary documentation.

Education:Graduation from an accredited college or university with a bachelors degree or equivalent education (minimum completed units equaling 120 semester/180 quarter).

Job Competencies:
Work Performance Measures

Effectively analyze and interpret federal and state laws affecting claims.

Successfully discern and analyze alternatives in technical situations to assist in problem resolution.

Participate appropriately in meetings as directed by the Workers Compensation Officer or Liability Claims Program Supervisor.

Accurately assess and calculate claim settlement costs.

Successfully analyze information to determine appropriate strategy.

Succinctly and clearly develop written reports and recommendations as assigned.

Skillfully utilize computer and other available technology to maintain claims records supporting documentation and technical/legal information.

Meet obligations and commitments.

Effectively investigate a wide variety of claims data sources regulations and laws governing claims.

Take appropriate actions after carefully determining and analyzing all relevant factors.

Maintain objectivity and credibility.

Effectively maintain expertise in claims areas impacting the County including legal climate and trends.

Appropriately utilize creative problem solving investigative and analysis techniques.

Persuasively communicate your findings and recommendations to a variety of audiences including attorneys and insurance representatives.

Successfully prioritize conflicting timelines ensuring that each case or project receives appropriate time and consideration.

License: A valid California Drivers License is required at the time of appointment or the ability to arrange transportation for field travel.

The incumbent may be required to use a personal vehicle and provide verification of auto insurance coverage as required by the County of Riverside.

Schedule: At this time the position has the opportunity for a hybrid telework schedule based on business need however job expectations at times will require in person interaction. Telework may change at any time and you will be expected to report to the office.

For questions regarding this recruitment:
Please contact Angela Tavaglione at or . Please allow 1-2 business days for response.

APPLICATION INFORMATION

Veterans Preference
The County has a Veterans Preference Policy applicable to new hires. To qualify attach the required documents to your job application. Documents include a copy of your (or your spouses) Member-4 Form DD-214 indicating dates of service. For spousal preference and as applicable the following documents: a copy of your marriage certificate spouses death certificate a letter of spouses disability and/or letter of service-related death (if available) from the U.S. Veterans Administration. For privacy reasons it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veterans preference. For complete details and documentation requirements please review the Veterans Preference Policy C-3 here: Accommodations
The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need a reasonable accommodation during the application or selection process should contact the recruiter for the position noted above. For additional information and/or to obtain the appropriate form for requesting a reasonable accommodation please visit the Disability Access Office web page located at: Location and Telework
In-person attendance is the standard work expectation for County of Riverside assignments. Certain assignments may be eligible for a hybrid telework schedule; however telework arrangements are subject to management approval operational needs and/or may be modified or discontinued at any time. Employees who telework are expected to be able to report to their assigned worksite on short notice or as operational needs require. Unless otherwise specified for a particular position employees are expected to reside in California following appointment. Limited exceptions may apply. Applicants should contact the assigned recruiter for additional information regarding work location expectations telework eligibility and residency requirements.

Proof of Education
If using education to qualify or when requested by the recruiter upload a copy of any license(s) official/unofficial transcript(s) degrees and/or related employment documents to your NeoGov account at the time of application and before the closing date. Official or unofficial transcripts will be accepted.

If your education was completed outside of the United States you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services (NACES) or Association of International Credential Evaluators Inc. (AICE).

Work Authorization Requirement
Applicants must be legally authorized to work in the United States at the time of application. The County of Riverside does not participate in visa sponsorship programs including H1-B visas and will not provide sponsorship for any employment-based visas.

Equal Opportunity Employer
The County of Riverside is an Equal Opportunity Employer. It is the policy of the County of Riverside to provide equal employment opportunities for all qualified persons. All applicants will be considered without regard to race color religion sex national origin age disability sexual orientation gender gender identity gender expression marital status ancestry medical condition (cancer and genetic characteristics) genetic information or denial of medical and family care leave or any other non-job-related factors.

Pre-Employment
All employment offers are contingent upon successful completion of pre-employment requirements including a criminal background investigation which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment). A pre-employment physical examination and background check may be required.

Probationary Period
As an Approved Local Merit System all County of Riverside employees except those serving At Will are subject to the probationary period provisions as specified in the applicable Memorandum of Understanding County Resolution or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head.

General Information
Current County of Riverside and/or current employees of the hiring department may receive priority consideration. Qualified candidates may be considered for future County vacancies.

Job postings may close without notice based on application volume. Submit your complete application by the recruitment close date; no late applications are accepted. Ensure all relevant experience/education is reflected on your application/resume as a failure to demonstrate position requirements may disqualify applicants. A description of job duties directly copied from the job classification or job posting will not be considered.

Please read and follow any special application instructions on this posting. Click the Apply link located on this page to submit your application. For additional instructions on the application process examinations Veterans preference pre-employment accommodation or other employment questions please refer to our web site .

If you are experiencing technical problems you may contact the applicant support desk Monday through Friday 6 am to 5 pm Pacific Time at or toll-free 1-.