Claims Adjuster

CANDIDATE MUST RESIDE IN NORTHERN CALIFORNIA

Job description

RESPONSIBILITIES

• Executes on client / Carl Warren strategies to achieve claims quality, customer service, and operational objectives.
• Proactively work claims to ensure file quality meets Carl Warren & Company Claim Handling Guidelines as well as any client requirements.
• High level of productivity measured according to the age and complexity of the assigned caseload.
• Maintains a timely diary of claims.
• Consistently achieves audit scores of 90% and above.
• Focuses on providing the client with an outstanding work product.
• Provides excellent customer service to internal and external customers.
• May be required to prepare reports for clients and / or present claims in a roundtable setting or at a claim review.
• Develops strategies for claims resolution with file notes reflecting clarity, focus, control / management, and momentum.
• Identifies / utilizes vendors and effectively manages the vendors to achieve satisfactory results on both the expense and indemnity costs.
• Other duties as assigned.

REQUIREMENTS

• Two or more years of experience in the P&C industry preferred, Public Entity experience a plus
• Two or more years of experience handling complex / litigated claims and litigation management
• College degree preferred
• Insurance designation preferred
• Excellent verbal and written communication
• Strong computer skills and Microsoft applications preferred
• Knowledge of claims processes and procedures, in addition to the overall knowledge of the insurance industry
• Read and understand legal documents

COMPETENCIES

Communication Skills : Consistently and effectively communicates with a diverse spectrum of people across the organization and team.

Must seek answers and clarification from management on information that is not understood to ensure the proper message is communicated.

Problem Solving & Decision Making : Determines steps to obtain the best outcome of claim resolution. Considers short and long-term outcomes through decision-making sessions to ensure all stakeholders are involved.

Customer Service : Aligns and supports goals that promote client-centric culture. Services the needs of both internal and external clients, understands all expectations of performance, committed to delivering high-quality service, ability to communicate often and be responsive to all requests timely.

Has the passion to deliver high-quality work.

Interpersonal skills : Ability to read and work with a variety of people, assess credibility, maintain optimism, build relationships, be resilient and approachable. Leads by example.

Strategic Thinking : Understands multiple resources assist in claim resolution and facilitates these resources. Continuously monitors the effectiveness of the current strategy and makes recommendations for necessary changes.

Continually accesses the success of the strategy and ultimate claim outcome against the market and competitors

Functional / Technical Expertise : Demonstrates the ability to investigate, evaluate and resolve claims. Maintains own functional / technical expertise through projects, designations, continuing education, etc.

Models expert learning and growth by having a strong understanding of best practices within the function. Has a working knowledge of claims workflow and a strong understanding of the processes.

Proven track record of sustained performance as measured by performance indicators.

Job Type : Full-time

Pay : $75,000.00 - $85,000.00 per year