Claims Analyst I (Analyst I - CPPW)

Summary

The City of Portland administers self-insured liability and workers’ compensation programs and supports municipal risk management. The Claims Analyst investigates, evaluates, manages, negotiates, and resolves claims involving the City and its employees while maintaining accurate records and minimizing financial exposure.

Responsibilities

• 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

Skills

• • 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 accurate reports and correspondence; and represent an organization authoritatively when negotiating claim settlements
• • Experience establishing and maintaining effective working relationships with diverse internal and external stakeholders, such as employees, legal counsel, managers, claimants, members of the public, and others encountered in the course of claims administration
• • A valid state driver's license and acceptable driving record
• • Experience investigating and resolving public entity or governmental liability claims
• • Professional insurance or risk management designations such as Associate in Risk Management (ARM), Associate in Claims (AIC), or Casualty Claim Law Associate (CCLA)
• • Experience using Marsh ClearSight/Riskonnect or a comparable Risk Management Information System (RMIS)

Qualifications

Must Haves

• • 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 accurate reports and correspondence; and represent an organization authoritatively when negotiating claim settlements
• • Experience establishing and maintaining effective working relationships with diverse internal and external stakeholders, such as employees, legal counsel, managers, claimants, members of the public, and others encountered in the course of claims administration
• • A valid state driver's license and acceptable driving record

Nice to Haves

• • Experience investigating and resolving public entity or governmental liability claims
• • Professional insurance or risk management designations such as Associate in Risk Management (ARM), Associate in Claims (AIC), or Casualty Claim Law Associate (CCLA)
• • Experience using Marsh ClearSight/Riskonnect or a comparable Risk Management Information System (RMIS)

Benefits

• Fully remote work; remote work must be performed within Oregon or Washington.