Claims Adjuster

Full TimeRemoteTeam 10,001+Since 1939H1B No SponsorCompany SiteLinkedIn

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.

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