Claims Examiner, Sr. jobs in Berkeley, CA
Claims Examiner, Sr. reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner, Sr. studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Additionally, Claims Examiner, Sr. determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner, Sr. occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Claims Examiner, Sr. typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)
Recently Added Claims Examiner, Sr. jobs
- Berkley
-
Walnut Creek, CA
OTHER
-
Company Details
Berkley Enterprise Risk Solutions will offer specialized workers’ compensation solutions to California-based clients with sophisticated risk management capabilities and interests. We are pleased to be expanding our expertise to this segment of the market with dedicated capabilities and expertise.
The company is an equal opportunity employer.
Responsibilities
The Senior Claims Examiner handles all aspects of claims notices and files related to workers compensation and accompanying coverages, including but not limited to claims and coverage analysis, liability and damages analysis, reserve setting, reporting, reinsurance analysis and reporting, and travel. This role manages outside defense and coverage counsel that are assigned on claim or pre-claim files, including cost containment and litigation management, and supports and assists with marketing and loss prevention education, including development of educational materials, for assigned product lines, as requested or needed. It will support and assist functional departments, including marketing, risk management, finance and actuarial, including any related travel, as needed or requested and actively engage in and embrace the company’s continued learning and innovation culture, including participation in innovation groups to identify solutions for enhancement and change.
Key functions include but are not limited to:
- Adjusting all aspects of claims and loss notices, including but not limited to claims and coverage analysis, liability and damages analysis, reserve setting, reporting, reinsurance analysis and reporting and coverage litigation.
- Attend mediations, settlement conferences, trials and other claims-related travel as needed or required.
- Support the marketing, risk management, finance and actuarial departments, including any related travel, as needed or requested.
- Assist with or conduct large loss and reinsurance reporting.
- Maintain adjuster’s licenses in all states requiring licenses, or as requested.
- Possible product line oversight.
- Business-related travel as require or needed.
- Assist with marketing and development of risk management materials, as needed
- Active engagement in the company’s innovation culture and group
- Continued and self-driven learning
Qualifications
- BA or BS optional or at least 8 - 10 years experience
- Must be bilingual (English/Spanish).
- Ability to travel up to 30% of the time.
- Computer skills including, but not limited to, Word, Excel and PowerPoint.
- Preferred: Adjuster’s licenses in multi - states requiring a license, but California is a must.
Additional Company Details
We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include: • Base Salary Range: $85,000 – $110,000 • Eligible to participate in annual discretionary bonus. • Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. - 1 Month Ago
- Hancock Claims Consultants
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Oakland, CA
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- Five Star Cleaners
-
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- Come train as a Claims Assitant and be part Restoration team at a company that offers you the opportunity to help others, be challenged daily, and grow as an employee and individual.The Company: Renew...
- Just Posted
- Zenith American
-
Alameda, CA
OTHER
- Title: Claims Processor Department: Claims Bargaining Unit: Teamsters 853 Grade: 4 Position Type: Non-exempt Hours per Week: 40 Date Posted: 04/17/2024 Position Summary The Claims Processor provides c...
- 5 Days Ago
- Five Star Cleaners
-
Richmond, CA
FULL_TIME
- Claims Manager Are you ready for a new career? One that will allow you to help people on a daily basis One that will challenge you every day. One that will require you to constantly learn and grow as ...
- 10 Days Ago
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