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Claims Adjuster
Ref No.: 17-00456
Location: Newbury Park, California
Claims Adjuster
SEARCH Group Partners, a premier recruiting firm, is looking for an experienced Claims Adjuster for one of our clients located in Newbury Park, CA. For this partiacular position, you must have your Texas license.

Essential Duties and Responsibilities include the following. Other duties may be assigned.
  1. Identification and investigation of fraudulent claim activity.
  2. Utilized web based sources and coordinate with local agencies.
  3. Obtain recorded statements, photos, videos & other means to determine fraud.
  4. Reports fraudulent claims to the Department of Insurance
  5. Develop and maintain relationships with law enforcement agencies and district attorneys
  6. Coordinate activities surrounding prosecution and recovery of monies paid
  7. Handles newly assigned and existing files to their conclusion.
  8. Responsible for all aspects of handling claims on injury and non-injury files.
  9. Confirms and determines coverage and investigates all coverage issues.
  10. Investigates and determines liability.
  11. Evaluate bodily injury, BI, MP, and UM claims.
  12. Negotiates settlements within authority.
  13. Directs independent appraisers, investigators and defense counsel on cases assigned.
  14. Reviews all files thoroughly for proper claims handling through regular use on diary.
  15. Duties may also include any reasonable company related assignments as directed by management.
  16. Conducts files work as requested by management.
  17. Perform collections and subrogation duties.
  18. Perform other duties as assigned by the Claims Supervisor/Manager/COO.
    Education and/or Experience:
    2+ years prior claims experience, prior SIU experience preferred. Must be highly motivated, results based individual comfortable in high pressure environments. Candidate must possess extraordinary communication skills and the ability to clearly express ideas to both senior level management and law enforcement agencies alike. Knowledge of tort and state laws preferred.

    Technical/Language/Mathematical Skills:
    A minimum alpha/numeric data entry speed of 7,000 KSPH required. Bi-lingual Spanish is big plus.

    Reasoning Ability:
    Perform duties within acceptable time and quality standards as set by the company. Have the ability to define problems, collect data, establish facts, and draw valid conclusions.

    Physical Demands:
    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    While performing the duties of this job, the employee is regularly required to sit, talk, hear, stand, and walk. The position also requires that the employee have the ability to reach, twist, turn, and bend. The employee must occasionally lift and/or move up to 25 pounds.

About SEARCH Group Partners:
SGP provides professional talent acquisition and consulting services. The services we offer include temporary, temporary-to-hire, permanent placement, executive search, consulting, interim management transitions, on-site solutions, outsourcing, talent development and human resources. SGP believes in and understands the importance of investing time into both our clients and candidates. We know what it takes to forge successful, professional, long-lasting relationships and partnerships. We represent an exclusive network of professionals and take the time to get to know every one of our clients and candidates personally.

At SEARCH Group Partners, we celebrate and support diversity and are proud to be an Equal Opportunity & Affirmative Action employer. In order to comply with federal regulations, we maintain records of the race and gender of applicants. For this reason and this reason only, we ask that you indicate your gender, race and ethnicity. If you do choose to answer these questions, this information will not affect your being considered for employment opportunities for which you are qualified.