Claims Adjuster
Location
California
Posted
4 days ago
Salary
$70K - $85K / year
Bachelor Degree3 yrs expEnglish
Job Description
• The main duty of the Claims Adjuster is to adjust difficult losses for the program to which they are assigned.
• The Claims Adjuster is involved in complicated programs that generate high awareness among the client, the underwriting carrier, the sponsoring company, and CalSurance Associates.
• The Claims Adjuster will often be called upon to make presentations to these groups.
• Research applicable coverage for our insureds.
• Document coverage dates, limits, and restrictions.
• Identify and resolve any potential coverage questions.
• Draft reservation of rights and coverage denials for review and approval by the Coverage Senior Claims Adjuster.
• Secure supporting documentation for assigned claims.
• Investigate facts of underlying loss by securing statements and supporting documentation.
• Exercise judgment in applying legal liability to assigned claims and will have full settlement authority up to their specific authority.
• Assign defense counsel to answer and defend lawsuits when appropriate.
• Monitor and direct defense counsel, independent adjusters, and experts.
• Identify claims with potential exposure in excess of authority and advise the Claims Supervisor/Team Lead.
• Provide insureds, claimants and sponsoring companies with regular updates on status of file handling.
Job Requirements
- 3-5 years claims handling experience required, professional liability claims handling preferred.
- College degree (B.A or B.S.) required, J.D. helpful
- Must be licensed as a Qualified Claims Manager in the State of California within 90-days of hire and any other states as needed.
- Must be detail oriented, self-motivated, and can handle multiple and changing priorities, and have good organization skills.
- Critical thinking and excellent communication skills are required.
- Proficient computer skills including Microsoft Office Outlook, Word and Excel.
Benefits
- Health Benefits : Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
- Financial Benefits : ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
- Mental Health & Wellness : Free Mental Health & Enhanced Advocacy Services
- Beyond Benefits : Paid Time Off, Holidays, Preferred Partner Discounts and more.