Claims Examiner

cesna
Anaheim, CA Full Time
POSTED ON 4/17/2024
[Position]
Claims Examiner

[About Our Client]
One of the largest non-life insurance companies based in South Korea. We currently writes all lines of property and casualty insurance in CA, NY, OH, IN, PA, TX and HI State.

Financial Ratings:
 - A.M. Best Rating: A (Superior)
“Superior: A to A grade assigned to insurance companies that have superior ability to meet their financial obligations.”  
 - S&P Rating: A (Stable)
“The financial strength ratings reflect its very strong competitive position and lower adequate capital and earnings, excellent operating performance.”

[Job Descriptions]
-Handle Liability Claims, claims involving Commercial General Liability claims including Bodily Injury, Slip and Falls, Premise Liability and Auto Bodily Injury Liability, including litigation.
-Manage and supervise TPA adjusters and outside vendors who directly handle the case.
-Work proactively towards claims resolution with defense counsel
-Determine if coverage applies for claims reported
-Evaluate damages to ascertain compensation amount
-Respond to claims calls and e-mails from agents and claimants
-Negotiate claim settlements
-Participate in claims related audits
-Prepare detailed claim reports to management for additional authority or coverage issues with recommendation. 
-Effectively manage and control litigation and claim expenses

[Qualifications]
Job Qualifications:
-Over 5 years experience in an insurance company with regard to Commercial auto liability claims or Commercial general liability claims.
-Bachelor’s degree or equivalent professional work experience.
-Knowledge of Microsoft Office Suite as well as other business-related software.
-Capability to build and maintain positive relationships through teamwork.


Compensation: $70,000 - 100,000 / yr
We offer competitive salary plus benefit package that includes health, vision, and dental insurance with 401K.
•    Medical, Dental & Vision Insurance
•    401(K)
•    Paid Time Off Vacation
•    Paid Sick Days
 
Other qualification:
-Must be authorized to work in the United States
-Limited business travel may be required
-Interpersonal skills to interact with customers and team members
-Good communication skills

Salary.com Estimation for Claims Examiner in Anaheim, CA
$82,334 to $101,616
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