Claims Adjuster II (Liability Claims Adjuster)

The Human Resources (HR) Department has an opportunity for a Claims Adjuster II to join the Liability Insurance team with the Risk Management Division located in Riverside.

The Claims Adjuster II will manage a caseload of liability claims filed against the County of Riverside.

This position performs skilled professional work involving the investigation, evaluation, and resolution of public liability claims.

Responsibilities include reviewing, analyzing, and managing a variety of claims-such as malpractice, property, and personal injury-while helping protect the County's financial and operational interests.

The role requires strong analytical skills, sound judgment, and the ability to work independently on complex cases.

A competitive candidate will be an experienced claims professional who can quickly adapt to a fast-evolving claims environment and provide immediate operational support.

The ideal individual will have experience assessing liability, conducting thorough investigations, interpreting medical and expert reports, and managing claims from intake through resolution.

Due to recent changes in PRISM's program structure, the successful candidate must be able to manage increased claim volume, maintain compliance, and ensure timely and accurate case handling.

Strong analytical judgment, excellent communication skills, and the ability to collaborate effectively with multiple departments are essential for success in this role.

Meet the Team!
The Human Resources Department seeks and develops talented professionals that fit a highly engaged and collaborative culture.


* Receive, review, and analyze public liability claims—including malpractice, property damage, and personal injury—to determine acceptance or denial.


* Evaluate medical reports, expert analyses, and supporting documentation to assess liability exposure and the extent of damages.


* Determine the merit of claims and recommend appropriate settlement, denial, or additional investigative action.


* Estimate anticipated settlement values; make adjustments and resolve claims within assigned monetary authority.


* Gather and review data, reports, and claim documentation; request clarification or additional information; monitor claim status and perform required follow-up.


* Conduct investigations to determine circumstances surrounding claims filed against the County, including interviewing witnesses and inspecting accident, injury, or property damage sites; prepare investigative findings reports.


* Interview individuals responsible for damage to County property or injuries to County employees to facilitate collections; contact public and private agencies to obtain collections information; recommend actions such as liens or court action to enforce recovery.

Experience: Extensive journey-level experience of at least 5 years reviewing and processing property damage liability claims including investigating, identification and investigation of fraud cases...