Claims Analyst ; Analyst - CPPW Job Portland Oregon USA,Insurance

Position: Claims Analyst I (Analyst I - CPPW)

The Position

Job Appointment:
Full Time, Regular

Work Schedule:

Monday
- Friday, 8:00 AM - 5:00 PM. Alternate schedules may be available.

Work Location:

Fully Remote. Remote work must be performed within Oregon or Washington. Union Representation:
City of Portland Professional Workers Union (CPPW). Starting Pay:
The City of Portland follows the Oregon Equal Pay Act. Your salary is determined based on the experience listed in your resume that is directly related and equivalent to the position for which you are applying.

Position Summary:

The Claims Analyst is part of the Risk Management Division within the Office of the Chief Financial Officer. Risk Management administers the City's self-insured general liability and workers' compensation programs, procures commercial insurance for property and other risks, and supports City bureaus with employee safety, loss prevention, risk assessment, and third-party subrogation.

The Claims Analyst is responsible for investigating, evaluating, managing, and resolving a variety of claims involving the City and its employees. Claims may include general liability, auto liability, law enforcement liability, employment practices tort claims, and federal claims involving alleged constitutional violations.

The successful candidate will help minimize the City's financial exposure through thorough investigations, thoughtful claim evaluation, effective negotiation, accurate documentation, and sound professional judgment. This position requires the ability to independently manage a caseload while working collaboratively with claimants, attorneys, City employees, bureau leadership, and other stakeholders.

Claims Analysts are expected to exercise initiative, independence, discretion, and sound legal and professional judgment when evaluating claims and determining appropriate courses of action.

What You'll Do:

Investigate claims by interviewing involved parties, obtaining statements, reviewing records, conducting research, and gathering information necessary to determine the City's potential liability.
Conduct site inspections and document accident or incident scenes when appropriate.
Evaluate repair estimates, invoices, medical information, and other documentation supporting claimed damages.
Identify and investigate potential third-party liability and opportunities for recovery or subrogation.
Determine whether City employees were acting within the course and scope of their employment and coordinate indemnification and defense when appropriate.
Evaluate liability and damages by applying applicable laws, defenses, immunities, comparative negligence principles, tort limitations, and other relevant considerations.
Establish and maintain appropriate claim reserves within established authority levels and guidelines.
Negotiate and resolve claims with claimants, attorneys, insurers, and other representatives, including issuing timely settlements or denials when appropriate.
Monitor litigated claims and help forecast and control litigation expenses and potential damage awards throughout the life of the claim.
Collect, evaluate, and maintain accurate claims data within the City's Risk Management Information System (RMIS) to support tracking, forecasting, analysis, and reporting.
Maintain organized, accurate, complete, and current electronic claim files and documentation.
Communicate claim analyses, recommendations, and decisions to City staff, attorneys, management, elected officials, claimants, and other stakeholders.

Ideal Candidate Profile:
The ideal candidate is an experienced claims professional who can independently investigate complex situations, analyze competing information, apply applicable laws and policies, and make well-supported decisions. They are comfortable handling sensitive and sometimes contentious matters while maintaining professionalism, objectivity, confidentiality, and excellent customer service.

To Qualify

Applicants must demonstrate how their education, training, and experience meet each of the minimum qualifications listed below:

Experience investigating, evaluating, and resolving general liability and auto liability claims.

Experience applying laws, regulations, and legal principles affecting potential liability, exposure, or settlement limitations, including comparative negligence, immunities, defenses, Medicare reimbursement requirements, and tort claim limitations.

Experience applying best practices for managing electronic claim files and records, including using online research tools, claims data or risk management information systems, and Microsoft Office applications.

Ability to communicate effectively verbally and in writing regarding sensitive or complex matters and provide clear claim analyses, evaluations, and recommendations to a variety of audiences, such as claimants, attorneys, City management, external partners, and elected officials.

Ability to understand, interpret, explain, and apply complex laws, rules, regulations, policies, and procedures; prepare clear, concise, and…