Claims Adjuster

• Handle low to moderate-complexity claims involving material damage, property, and/or liability lines of insurance
• Conduct liability investigation, coverage evaluation, and negotiation of claims
• Communicate with insureds, claimants, and other individuals about benefits, coverages, fault, and the claims process
• Conduct phone and/or field investigations to determine liability and damages
• Attend and participate in legal proceedings as needed
• Identify and obtain statements from insureds, claimants, and witnesses
• Evaluate and determine claim values using property, bodily injury, and liability data
• Negotiate within settlement authority to resolve first- and third-party claims
• Handle administrative functions and update database production reports
• Document and update claim files using company systems including CACS, HUON, HOC, and GUIDEWIRE
• Verify and interpret coverage and gather information to ensure policy applicability
• Coordinate with internal and external departments as required
• Independently resolve claim exposures within level of authority
• Respond quickly to customer needs and problems

Claims Casualty Adjuster

• Complete field inspections, including reading maps and aerial photos and measuring fields and storage bins
• Discuss crop-loss findings with farmers on complex, non-routine, problematic, and controversial claims
• Convey complex regulations and interpretations to claimants, agents, and industry people
• Perform fact finding regarding crop damage
• Record and transmit loss information to accurately determine potential indemnities
• Gather relevant facts, utilize applicable law, and establish basic principles of negligence
• Complete claim reviews and audits on lower-level adjusters as assigned
• Maintain working knowledge of regulatory and company policies and procedures to ensure legal compliance
• Contribute to team projects and related results
• Service agricultural counties within a 50-mile radius of Fresno, Tulare, Kern, and Madera, California
• Travel approximately 50% to cover the territory
• For the Crop Claims Specialist, travel outside the assigned area, participate on CAT teams, and/or provide remote assistance for CROP Claims Care Center calls and CCP claims

Claims Adjuster jobs in California

Claims Casualty Adjuster

RCIS Crop Claims Field Adjuster, Specialist