Public Entities Claims Examiner III

Job Details

Level

Experienced

Job Location

Chino Hills - Chino Hills, CA

Remote Type

Optional Work from Home

Position Type

Full Time

Education Level

High School Diploma or GED

Salary Range

$80,000.00 - $95,000.00 Salary

Travel Percentage

None

Job Shift

Job Category

Insurance

Public Entities Claims Examiner III

POSITION SUMMARY : Responsible for the prompt review of claims to determine coverage for loss / damage / injury. Conduct an efficient claim examination and investigation leading to the final resolution of liability claims, including matters in litigation.

Frequent contact and interaction with involved parties including claimants and their legal representatives will be required along with Defense Counsel.

Recommendations regarding loss exposure and associated reserve and settlement strategy will be effectively communicated to the client.

DUTIES AND RESPONSIBILITIES :

• Review, process and conclude assigned claims including investigation and evaluation mid-level exposure to complex Public Entity Auto and / or General Liability Casualty Claims.
• Review and interpret Memorandum of Coverage.
• Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to advance the claim to conclusion.
• Maintain an ongoing diary.
• Continually assess exposure and evaluate for accurate reserves and settlement recommendation.
• Prepare Loss Reports providing thorough analysis of liability and damages.
• Where applicable, determine if subrogation and / or risk transfer exists and initiate recovery efforts at the direction of the client.
• Document all correspondence, reports, discussions and decisions in the claim file record.
• Provide outstanding service to the client.
• Assist Supervisors and Claim Department with requested tasks or special projects.
• Other duties as assigned.

Position can be Hybrid or Full Time remote / working from home

Qualifications

Education / Experience : High School Diploma or GED required; Bachelor's degree in related field (preferred) and a minimum of three to five (3 to 5) years Public Entity Auto and General Liability Casualty related experience;

or equivalent combination of advanced education and experience.

Special Requirements :

• At least 3 years of Commercial Automobile and General Liability claims experience required.
• Knowledge of claims handling concepts, practices and techniques, including but not limited to coverage issues and product line knowledge.
• Demonstrated verbal and written communications skills.
• Demonstrated advanced analytical, decision-making and negotiation skills.
• Computer proficiency.

Preferred Skills :

• Ability to communicate effectively and clearly, both orally and in writing.
• Ability to manage relationships in a fast-paced environment, while demonstrating problem solving and decision-making skills to work with customers.
• Good analytical abilities to review, exercise judgment and evaluate claims in order to make sound decisions with a minimal amount of supervision.
• Excellent customer service skills.
• An understanding of the litigation process and case valuation in multiple jurisdictions.
• Ability to carry out detailed written or verbal instructions, ability to respond to requests effectively and efficiently and exhibit good common sense.
• An ability to handle assigned claims following company guidelines and industry best practices with a minimal amount of supervision.
• Time management skills, organizational skills and ability to prioritize issues and tasks.
• Ability to effectively operate computer equipment and applications.
• Independence, flexibility, and creativity.

Other Qualifications :

• California Adjuster License considered a plus.
5 days ago