Claims Director jobs in Santa Cruz, CA

Claims Director directs and oversees the operations of an insurance claims department to meet operational, financial, and service requirements. Establishes policies and procedures for the administration of insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Being a Claims Director is responsible for the strategic processing and payment of claims. Maintains up-to-date- knowledge of legislation, regulations, and industry events which pertain to insurance claims. Additionally, Claims Director provides expert guidance and consultation to staff on the most complex claims. Requires a bachelor's degree. Typically reports to top management. The Claims Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Claims Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)

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Claims Examiner III
  • Alliance Member Servic
  • Santa Cruz, CA FULL_TIME
  •  Claims Examiner III 

    Summary 

    Reporting to the Claims Manager and working independently with great latitude for independent action, manages an inventory of multi-line casualty claims having varying degrees of loss potential and complexity with commensurate reserving and settlement authority. Investigates, evaluates and settles claims within designated authority. Occasionally assigns and directs Independent Adjusters/Appraisers and attorneys. 

    The ideal candidate would have 5-8 years carrier experience and be capable of working independently as well as collaboratively and have prior experience working remotely from a home office. 


    Responsibilities

    The Claims Examiner III responsibilities include but are not limited to:  

    • Determines coverage(s) applicable to loss 
    • Sets and maintains adequate claim reserves based on facts of case and in accordance with company policy. 
    • Conducts investigation, assigning fieldwork as necessary and appropriate, in accordance with company standards. Determines liability. 
    • Evaluates and pays claims within designated authority. 
    • Prepares and presents verbal and written claim status reports in accordance with company policy. 
    • Recommends payment, evaluates and reserves claims and reports to supervisor cases in excess of designated authority. 
    • Manages legal aspects through timely assignment of litigated cases to defense counsel, and on-going evaluation of legal process and expenses. 
    • Represents the company at litigation related settlement conferences, mediation, and arbitration. 
    • Participates in marketing presentations and training programs as needed. 

      

     Required Competencies

    • Requires highly technical claim management skills and an orientation for excellent customer service. 
    • Ability to work in a paperless environment 
    • Demonstrated track record of successfully working remotely from a home office 
    • The incumbent will demonstrate a thorough knowledge of tort law, vehicle code, civil procedure, insurance policy(s) and contract(s).  
    • Requires the ability to analyze and apply creative solutions to claim issues.  
    • Ability to multi-task and appropriately prioritize and manage workload as assigned 
    • Strong negotiating skills, excellent telephone, written and verbal communication skills are essential.  
    • Requires willingness to handle smaller claims with same expertise as large, complex claims.  
    • Incumbent must be aware of and follow guidelines concerning confidentiality.  
    • The position communicates with legal and medical personnel, third party claimants, policyholders, producers, and senior level staff throughout the company.  
    • PC literacy required; proficiency in Windows, Word, and Outlook preferred. 
    • Experience in Commercial GL, Business Auto, BI is a huge plus. 
    • Experience in handling Employment Practices Liability Claims, Directors and Officers Claims, or Social Service Professional Liability claims is preferred, as is a willingness to challenge oneself to handle such claims.  
    • Demonstrated capability for working with a high level of independence 
    • Ability to deliver results in a fast-paced environment 
    • Positive approach, can-do attitude, flexibility and ability to operate with grace under pressure 
    • Ability to model and uphold appropriate professional boundaries in work with member-insureds 
    • Collaborate with other staff members and external partners  
    • Interest and commitment to the mission of the organization 
    • Commitment to inspired service 
    • Communicate effectively orally and in writing 
    • Travel required as necessary and must be able to be productive while traveling on business, including the ability to utilize laptops and other business tools as provided, subject to reasonable accommodation, if needed
    • Must have adequate hearing to perform job tasks 
    • While performing the duties of this job, the employee is regularly required to bend, reach or sit
      for up to 3 hours at a time
       
    • Must have adequate vision (with corrective lenses if needed) to clearly view computer screen 
    • Must have adequate hearing to perform job tasks 

      

    Experience 

    • The position generally requires a minimum of five to eight years progressively more difficult claims handling experience in commercial general liability, commercial property and commercial auto. D&O experience would be preferred.  

      

    Education 

    • Four year college degree or equivalent business experience strongly preferred.  


    Compensation: The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors including the location, skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for additional incentive compensation upon achievement of individual and company goals.

    Salary Range

    $66,000 - $96,000

  • 16 Days Ago

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Senior Claims Examiner
  • Alliance Member Servic
  • Santa Cruz, CA FULL_TIME
  • Senior Claims ExaminerSummaryReporting to the Claims Manager or Chief Claims Officer and working independently and with great latitude for independent action, the Senior Claims Examiner manages an inv...
  • 17 Days Ago

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Independent Insurance Claims Adjuster in Scotts Valley, California
  • MileHigh Adjusters Houston Inc
  • Scotts, CA FULL_TIME
  • ADJUSTERS NEEDED NOW!ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND fo...
  • 24 Days Ago

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Independent Insurance Claims Adjuster in Aptos, California
  • MileHigh Adjusters Houston Inc
  • Aptos, CA FULL_TIME
  • ADJUSTERS NEEDED NOW!ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND fo...
  • 1 Day Ago

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Independent Insurance Claims Adjuster in Santa Cruz, California
  • MileHigh Adjusters Houston Inc
  • Santa Cruz, CA FULL_TIME
  • ADJUSTERS NEEDED NOW!ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND fo...
  • 1 Month Ago

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Independent Insurance Claims Adjuster in Watsonville, California
  • MileHigh Adjusters Houston Inc
  • Watsonville, CA FULL_TIME
  • ADJUSTERS NEEDED NOW!ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND fo...
  • 1 Month Ago

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0 Claims Director jobs found in Santa Cruz, CA area

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Porter
  • Portola Hotel & Spa
  • Monterey, CA
  • Job Description Job Description JOB DESCRIPTION POSITION TITLE: Bell Attendant - Porter DEPARTMENT: Front Office REPORTS...
  • 3/28/2024 12:00:00 AM

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Environmental Studies Lecturer Pool
  • San Jose State University
  • San Jose, CA
  • Department Summary The Environmental Studies Department at San Jose State University has over 300 majors and minors who ...
  • 3/27/2024 12:00:00 AM

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Assistant Director of Human Resources
  • TEAM SAN JOSE
  • San Jose, CA
  • Job Description Job Description Assistant Director of Human Resources Human Resources Department POSITION SUMMARY The As...
  • 3/27/2024 12:00:00 AM

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Clinical Documentation Specialist (Academic Medical Center Exp) - 100% Remote
  • Amerit Consulting
  • San Jose, CA
  • Overview: Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest...
  • 3/26/2024 12:00:00 AM

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Human Resources Director
  • Anatomage Inc.
  • Santa Clara, CA
  • Who is Anatomage? Founded in 2004, Anatomage is a world-leading health care technology company. Anatomage offers 3D medi...
  • 3/26/2024 12:00:00 AM

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Home Care Service Coordinator/ Scheduler
  • Addus
  • Palo Alto, CA
  • **Job Details** **Home Care Service Coordinator/ Scheduler** **Requisition #:** 21-2640 **Location:** Palo Alto, CA 9430...
  • 3/26/2024 12:00:00 AM

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Human Resources Business Partner
  • Heritage Grocers Group
  • San Jose, CA
  • At Heritage Grocers Group, how we work is defined by shared values that include absolute integrity, respect, and collabo...
  • 3/24/2024 12:00:00 AM

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Community Manager III & Night Manager + 2 Bedroom (734)
  • Eden Housing
  • Marina, CA
  • Job Description Job Description:\n\nPOSITION SUMMARY Under the direction of the Property Supervisor oversees a property ...
  • 3/24/2024 12:00:00 AM

Santa Cruz (/ˈsæntə ˈkruːz/, Spanish: Holy Cross) is the county seat and largest city of Santa Cruz County, California. As of 2013 the U.S. Census Bureau estimated Santa Cruz's population at 62,864. Situated on the northern edge of Monterey Bay, about 32 mi (51 km) south of San Jose and 75 mi (120 km) south of San Francisco, the city is part of the 12-county San Jose-San Francisco-Oakland Combined Statistical Area. Santa Cruz is known for its moderate climate, natural environment, coastline, redwood forests, alternative community lifestyles, and socially liberal leanings. It is also home to th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Director jobs
$203,978 to $294,998
Santa Cruz, California area prices
were up 2.5% from a year ago

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Conducts audits of the claims process to include coverage analysis, investigation, valuation, scope, estimate, reserving and the accurate disposition of claims.
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