Liability Claims Adjuster II- Risk Management - County of Riverside - Riverside, CA

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The County of Riverside Human Resources Department employs over 340 regular employees, and provides centralized services to all departments within the county. With 20,000 employees across more than 40 departments, the services include recruiting, employee relations, benefits administration, classification and compensation services, workers' compensation, risk management, temporary assignment program services, healthcare services, training, educational support, leadership and organizational development, and health and wellness programs, there are a wide variety of complex and engaging careers within Human Resources. The Human Resources Department seeks and develops talented professionals that fit a highly engaged and collaborative culture.

The Human Resources Department has an opportunity for a Claims Adjuster II to join the Risk Management Division in Riverside. This position will be tasked with a caseload of liability claims that are filed against the County. The caseload includes the intake, investigation/preparation, and overall resolution of liability claims. This body of work requires the incumbent to work with a high level of independence and efficiency. The incumbent will also be tasked with reporting which requires navigating various systems and research of legal documents. The most competitive candidates will have at least five years of analysis experience in the field of liability claims, as well as experience in managing a liability claim caseload from the initiation to resolution. In addition, candidates who possess a bachelor's degree and those with experience working directly for major insurance carriers and/or in general liability are highly desired.
Liability Claims: Receives, reviews, accepts or denies public liability claims including malpractice, property and personal claims; evaluates medical reports and reports of experts to determine extent of liability and damages; evaluates merit of claims and recommends settlement or denial of claims; estimates anticipated settlement value makes adjustments and settles claims within assigned monetary authority. Gathers and reviews data, reports and other claim documentation; requests clarifying or additional information; reviews status and performs necessary follow up. Conducts investigations to determine circumstances involved in claims against the County; including interviewing witnesses and inspecting the scene of accidents, injuries or property damage; prepares investigative report of findings. Conducts interviews with parties responsible for damage to County property and injuries to County employees to ensure collection of payments; contacts public and private organizations/agencies to obtain collections information; recommends actions necessary to enforce collections including court actions or liens. Represents the County in small claims actions. Prepare reports of costs and status on active and closed claims. May authorize subrogation, court actions or liens when collections can not be obtained by other means; reviews and makes recommendations for suspension, modification, garnishment or other legal actions; corresponds with attorneys, insurance carriers and others; interprets legal procedures involved in the collection or subrogation accounts. Consults with attorneys to prepare cases for litigation. Serves as custodian of records; provides subpoenaed records and attests to their validity. May prepare and present training program educating staff about the Liability Claims Program. May assign and review the work of others and provide training to new employees.
Knowledge of: Practices, techniques and methodologies used in claims investigation, evaluation, adjustment and settlement; Basic rules, regulations, and laws regarding personal and property liability; Principles and techniques of analytical data collection; Principles of insurance reserving, risk and experience analysis and statistical record keeping; Basic mathematics including valuation and depreciation; Computer applications programs and equipment to effectively gather, maintain and report claims data. Ability to: Communicate, orally and in writing, effectively with a wide variety of people contacted in the course of work; Interpret and apply complex rules, regulations and memoranda of understanding; Establish and maintain cooperative and effective relationships with a broad range of professional staff including attorneys and related legal staff, department heads and managers and all those contacted during the course of performing professional responsibilities; Collect, interpret and evaluate data, develop alternatives and make appropriate recommendations within established guidelines; analyze problems and take effective courses of action; Interpret laws, regulations, and insurance policies; Make accurate mathematical computations; Prepare and present effective written and oral reports and presentations; Maintain professional credibility. Liability Claims: Knowledge of: Rules, regulations, and laws regarding personal and property liability including, but not limited to, general provisions of California Vehicle Code, State and Federal Government Codes, laws and statutes and legal decisions pertaining to personal and property liability; Methods and techniques of subrogation recovery; Technical medical terminology related to the cause and treatment of physical injuries; Practices and procedures of insurance reserving, risk and experience analysis and statistical record keeping. Ability to: Gather and evaluate all information pertinent to liability claims and make appropriate recommendations; Establish and analyze all relevant data, effect necessary control plans, and bring all claims to equitable conclusion; Develop action plan necessary to implement recommendations with a minimum of guidance. Experience: Extensive journey-level experience reviewing and processing general liability claims, personal injury, property damage liability claims including investigating, identification and investigation of fraud cases, adjusting and settling a wide variety of claims. Education: A Bachelor's degree is highly desired. ***PRIOR TO THE CLOSING DATE, upload a copy of your official/unofficial transcripts to your Job Gateway account on your home page under My Career Tools - Cover Letters and Attachments. 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) (http://www.naces.org/members.htm) or Association of International Credential Evaluators, Inc. (AICE) (http://aice-eval.org/members/).***
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 Risk Management designee. 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.

Required Skills:
License: A valid California Driver's 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.
For specific questions regarding this position, contact the recruiter listed. Benefits and detailed job description information is available for all Riverside County classifications on the job descriptions page at http://rc-hr.com/Careers/JobDescriptions.aspx. Information regarding employment requirements, including pre-employment drug/alcohol test, background check, physical exam, initial probationary period is available at www.rc-hr.com. Procedures for reasonable accommodation, as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA), may be found at http://dao.rc-hr.com. "Applications must be submitted through the Riverside County Job Gateway System. "Current County Employees must use their Employee Self-Service Account to apply. "All other applicants must apply using https://jobs.co.riverside.ca.us The County of Riverside is an Equal Opportunity Employer. It is the policy of the County of Riverside to provide employment opportunity 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 factor.
If you are a veteran, a spouse of a 100% disabled veteran, or a surviving spouse of a veteran who died of service-connected causes, submit a copy of your (or your spouse's) Member-4 Form DD-214 (or NGB-22) indicating dates of service, and a copy of your spouse's letter of disability (if applicable) to the Human Resources Department at recruiting@rivco.org. 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. All documentation referenced above should be submitted to recruiting@rivco.org before this job posting expires. Please remember that you will need to resubmit your Member-4 Form DD-214 (or NGB-22), and a copy of your letter of disability (if applicable) for some public safety positions even if you have submitted one in the past to the County of Riverside.

This position will remain open until filled. The preliminary closing date for this posting is Tuesday June 18, 2019 11:59pm, however postings may close at any time. Applications received prior to the closing date will be considered based on the information submitted. Changes or alterations cannot be accepted. No late applications will be permitted. Applications must be submitted through Job Gateway at http://www.rc-hr.com/Careers/JobGateway.aspx Include relevant work experience details on resume and/or application. Applicants who fail to provide information demonstrating they possess the position requirements may not be considered further in the application process. A description of job duties directly copied from the job classification or job posting will not be considered. Upload a copy of any license(s), degrees, and/or related employment documents to your Job Gateway account. Based on the number of applications received, this posting may close without notice.
For questions about this job posting, contact Anabel Mulhern at 951-955-9993 or amulhern@rivco.org.

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