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Job Description
Grade 18 - Starting Annual Salary: $55,037.00. Rate of pay depends on qualifications.
Job Description
JOB SUMMARY
The Claims Adjuster is responsible for investigating, evaluating, reserving, negotiating, and settling property, casualty, or workers' compensation claims in accordance with Best Practices and in compliance with all City, State, and Federal regulatory laws. This position promptly and equitably resolves claims to minimize SAWS' liability and reduces overall claims costs.
ESSENTIAL FUNCTIONS- Adjust claims, to include handling workers' compensation, liability and subrogation claims for SAWS.
- Investigates all relevant facts and evaluates findings to determine coverage, negligence, and liability issues for each claim submitted to SAWS.
- Researches historical evidence through review of service requests, work orders, maps, emails, statements, medical reports, appraisal reports and other technical means.
- Establishes appropriate reserves based on the estimated probable cost of the claim with the proper file documentation to explain the rationale behind the computation.
- Issues payments in a timely manner to claimants and vendors in accordance with all regulatory standards and laws.
- Negotiates claim settlements for monetary recoveries for damages to SAWS' assets.
- Documents claim file activities in accordance with established procedures.
- Prepares claims narrative report(s) for documentation purposes outlining the facts of the case, applying the applicable sections of the Texas Tort Claims Act and a recommendation on claim resolution.
- Communicates effectively, written and orally, with customers including, but not limited to claimants, witnesses, employees, attorneys, medical professionals, governmental entities, and contractors.
- Determines the value and extent of related damages and/or workers compensation injuries by verifying support documentation and reviewing medical bills.
- Performs other duties as assigned.
DECISION MAKING- The Claims Adjuster receives general supervision.
MINIMUM REQUIREMENTS- High School Diploma or GED.
- One year's experience investigating, evaluating, reserving, negotiating, and settling claims. Experience should be in one or more of the following claims disciplines: workers' compensation, casualty (auto & property), appraising, personal injury and/or subrogation.
- State of Texas Multi-Line Claims Adjusters License as required by TIC 4101 or the ability to acquire a license within six [6] months of hire.
- Valid Class "C" Texas Driver's License.
- Knowledge of general negligence principals and their application within governmental community in particular the Texas Tort Claims Act.
- Skill in using a computer and job related applications.
- Skill in using various Risk Management Information Systems to document claim activity and maintain claim diary system.
- Ability to analyze a proof of loss and/or property appraisal to determine actual cash value owed to claimants.
- Ability to maintain and submit accurate records within the required time periods.
- Ability to estimate time and materials needed for projects.
- Ability to maintain confidential information.
- Ability to perform all the physical requirements of the position.
- Ability to communicate clearly and effectively, both verbally and in writing.
- Ability to establish and maintain effective working relationships with staff, management, property owners, vendors, and governmental agencies.
PHYSICAL DEMANDS AND WORKING CONDITIONS
Physical requirements include lifting up to 20 pounds occasionally. Subject to sitting for long periods of time to perform job scope. Occasionally subject to standing, walking and climbing. Requires visual acuity, speech and hearing. Working conditions are primarily in an office environment, with occasional field visits requiring operation of company/personal vehicle.
May be required to work hours other than regular schedule such as days, nights, weekends, holidays, and flexible work schedule.
San Antonio Water System values the contributions of all its employees, providing them the best in compensation and benefits. The benefits package is designed to attract and retain a workforce of qualified employees who share a responsibility in providing quality water to 1 million consumers.
From an affordable medical and dental plan to life-sustaining retirement and insurance plans, we offer benefits that reward employees for their commitment to a challenging career at SAWS. Employee benefits include the following:- Competitive, market-based salaries
- Performance-based incentives
- Medical benefits
- Dental benefits
- Life insurance
- Prescription drug program
- Vision care plan
- Two retirement plans
- Deferred compensation plans (457 plan)
- Disability income
- Paid leave (vacation, sick, personal)
- Education assistance program
- Employee assistance program
- Flexible, tax-deferred health and dependent care spending accounts
- Wellness programs
- On-Site Fitness Facilities
- Community service opportunities
Closing Date/Time: 1/19/2025 11:59 PM Central -
ABOUT THE COMPANY
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San Antonio Water System
Show moreThe San Antonio Water System (SAWS) is a public utility owned by the City of San Antonio. SAWS serves 2 million people in Bexar County as well as parts of Medina and Atascosa counties. The population includes more than 511,300 water customers and 457,600 wastewater customers. SAWS actively seeks out public participation in its operations and planning, while SAWS volunteers strive to help their neighbors in need.
As an industry leader in conservation and water and wastewater management, SAWS provides sustainable, affordable water services. To deliver responsible water services, our investment in our employees – one of our greatest assets – ranks as a top priority.
San Antonio Water System's Board of Trustees has adopted mission, vision and values statements that serve as a foundation to move the utility forward through 2050 and reinforce San Antonio's much-deserved reputation as Waterful.
Our Mission: Sustainable, Affordable Water Services / Our Vision: To be leaders in delivering responsible water services for life. / Our Values: Excellence, Integrity, Respect and Safety.
SAWS is a values-based organization that believes in diversity in all aspects of our business. At SAWS, we attract and retain the finest individuals whose diverse talents drive innovation. We recognize that differences in race, ethnicity, religion, gender, gender identity, sexual orientation, nationality, physical ability or any characteristic protected by law, enrich and empower our work environment. We respectfully infuse diversity in our daily work lives with the knowledge that people from a variety of backgrounds and life experiences make connections that make SAWS a success.
SAWS is committed to providing our employees with a healthy, safe, and rewarding work environment where all employees have an equal opportunity for professional and personal growth. SAWS employees go beyond what is expected – developing remarkable, award-winning programs in conservation, water resources, watershed protection and wastewater treatment.
Why Choose a Career at SAWS?
For Your Work-Life Balance: SAWS is proud to invest in its employees by offering a variety of paid time off to help meet the work-life balance goals of you and your family.
For Your Professional Growth: Professional growth is key to both our employees’ success as well as SAWS’. That’s why SAWS offers a number of professional development opportunities that achieve both personal and company goals.
For Your Future: Achieving your personal financial goals is an important part of your life. SAWS makes it easy for employees to save for retirement by providing several retirement plan options.
For Your Health: SAWS offers a range of health, dental and vision benefits, and Wellness Programs to help meet each employee’s needs.
For your Protection: SAWS offers life insurance and disability coverage to meet the need for protection against life’s unexpected events.
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