Senior Claims Examiner

2 weeks ago


Anaheim, California, United States Carl Warren & Company Full time

COMPANY OVERVIEW:

Carl Warren & Company is a leading nationwide Third-Party Administrator (TPA) founded in 1944. Carl Warren has been a trusted partner specializing in property and casualty claims management, subrogation recovery, and litigation management for private and public sectors, insurance companies, and captives.

Our clients count on us to care for their needs when the unexpected happens. Our culture is derived from the people that create it. We are not different in what we do. We are different in how we do it. Our culture helps us collaborate, unite, and create a diverse workforce. Our people are at the core of our purpose, vision, mission, and values.

We offer competitive compensation and a comprehensive benefits package:

  • + employee match
  • dental, vision, life, and disability insurance
  • Time Off (PTO)
  • Holidays
  • Sick leave
  • development programs
  • quality and flexibility

Visit us online at

RESPONSIBILITIES

The full job description covers all associated skills, previous experience, and any qualifications that applicants are expected to have.

Executes 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 and client requirements.

A 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.

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.

Up to 25% travel for field work and court appearances.

QUALIFICATIONS

Four or more years handling auto and/or general liability claims for a standard auto and/or general liability insurance carrier

Two or more years experience handling litigated claims with a well-developed understanding of the litigation process

College degree preferred

Strong claim evaluation skills with the ability to identify the issues involved, formulate an action plan, assess liability, evaluate the damages involved, and put a settlement number on the claim and explain why

Strong negotiation skills

Must be able to function and support others in a team environment

High level of personal responsibility and pride in work product

Salary Range 85k-95k


  • Floating Receptionist

    2 weeks ago


    Anaheim, California, United States ExamWorks Full time

    The Ideal Candidate for the Position of Floating Receptionist:Ensures patients receive personalized attention and careMaintains a smooth flow of examinationsResponsibly covers the front desk and handles inquiriesThis is a full-time position in Anaheim, CA, with occasional weekends. The hours are from 9am to 5:30pm, offering a competitive pay range of...


  • Anaheim, California, United States Firmenich Full time

    Press Tab to Move to Skip to Content LinkWithin dsm-firmenich Sales, we o wn the voice of the customer, company and market. We I nspire product innovation and drive revenue as we work with a variety of companies and brands across all segments; Savory, Sweet Goods and Beverage. While doing w hat you know and love , we are a key part of our North America...


  • Anaheim, United States DB Insurance Full time

    Company and Position Overview DB Insurance Co Ltd (US Branch) is looking for a full-time LIABILITY CLAIMS ADJUSTER/EXAMINER who has experience handling Commercial General Liability/Auto BI Liability claims. **About DB Insurance** DB Insurance Co., Ltd. Is one of the largest non-life insurance companies based in South Korea. DB Insurance Co., Ltd. (U.S....

  • Claim Examiner

    3 months ago


    Anaheim, United States cesna Full time

    Job DescriptionJob Description[Position]Claims Examiner for Insurance Industry.[About Our Client]One of the largest non-life insurance companies based in South Korea. We currently writes all lines of property and casualty insurance in CA, NY, OH, IN, PA, TX and HI State.Financial Ratings:- A.M. Best Rating: A+ (Superior)“Superior: A++ to A+ grade assigned...


  • Anaheim, United States cesna Full time

    Job DescriptionJob Description[Position]Claims Examiner for Insurance Industry.[About Our Client]One of the largest non-life insurance companies based in South Korea. We currently writes all lines of property and casualty insurance in CA, NY, OH, IN, PA, TX and HI State.Financial Ratings:- A.M. Best Rating: A+ (Superior)“Superior: A++ to A+ grade assigned...


  • Anaheim, United States cesna Full time

    Job DescriptionJob Description[Position]Claims Examiner for Insurance Industry.[About Our Client]One of the largest non-life insurance companies based in South Korea. We currently writes all lines of property and casualty insurance in CA, NY, OH, IN, PA, TX and HI State.Financial Ratings:- A.M. Best Rating: A+ (Superior)“Superior: A++ to A+ grade assigned...


  • Anaheim, United States SCUFCW Trust Fund Full time

    Job DescriptionJob Description***This position is located in Cypress, CA Southern California United Food & Commercial Workers Unions & Food Employers Joint Benefit Funds Administration, LLC (The Funds) were created more than 40 years ago as a result of collective bargaining between the Southern California Retail Food Employers and the Southern California...


  • Anaheim, United States SCUFCW Trust Fund Full time

    Job DescriptionJob Description***This position is located in Cypress, CA Southern California United Food & Commercial Workers Unions & Food Employers Joint Benefit Funds Administration, LLC (The Funds) were created more than 40 years ago as a result of collective bargaining between the Southern California Retail Food Employers and the Southern California...


  • Anaheim, United States SCUFCW Trust Fund Full time

    Job DescriptionJob Description***This position is located in Cypress, CA Southern California United Food & Commercial Workers Unions & Food Employers Joint Benefit Funds Administration, LLC (The Funds) were created more than 40 years ago as a result of collective bargaining between the Southern California Retail Food Employers and the Southern California...


  • Anaheim, United States Providence Health & Service Full time

    The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, per diem, case rate etc.) and adjudication and claims research when necessary. Senior Claims Specialist must have k Claims Specialist, Claims, Specialist, Senior, Processing, Healthcare


  • Anaheim, United States Lobel Financial Full time

    Join one of the top Auto Finance companies in the industry! Lobel Financial is a full-spectrum lender that specializes in the acquisition and servicing of prime and sub-prime auto loans. We offer competitive salaries, great benefits, work-life balance, and job stability. **Job Summary**: You will be responsible for processing auto insurance claims full...


  • Anaheim, United States LOBEL FINANCIAL Full time

    Join one of the top Auto Finance companies in the industry! Lobel Financial is a full-spectrum lender that specializes in the acquisition and servicing of prime and sub-prime auto loans. We offer competitive salaries, great benefits, work-life balance, and job stability. Job Summary: You will be responsible for processing auto insurance claims full cycle...


  • Anaheim, United States Lobel Financial Full time

    Join one of the top Auto Finance companies in the industry Lobel Financial is a full-spectrum lender that specializes in the acquisition and servicing of prime and sub-prime auto loans. We offer competitive salaries, great benefits, work-life balance, and job stability.Job Summary:You will be responsible for processing auto insurance claims full cycle...


  • Anaheim, United States Examworks Group, Inc. Full time

    Overview: Quality health care doesn’t just happen. It requires the help of a person who can follow the directions of a doctor while also making the patient feel comfortable. As the **Medical Office Assistant** in our **Anaheim, CA office. **You will be the person to provide the same level of attention and detail to each and every patient, maintain a...


  • Anaheim, United States L'Auberge Full time

    General Description: As a member of the Human Resources staff, he/she will work with the Corporate Director of Human Resources to carry out employee relations matters at the different entities along with ensuring compliance. The Senior Employee Relations Manager will be involved in company-wide Employee Relations such as investigations, complaints,...


  • Anaheim, United States Wincome Hospitality Full time

    General Description:As a member of the Human Resources staff, he/she will work with the Corporate Director of Human Resources to carry out employee relations matters at the different entities along with ensuring compliance. The Senior Employee Relations Manager will be involved in company-wide Employee Relations such as investigations, complaints,...


  • Anaheim, United States Wincome Hospitality Full time

    General Description:As a member of the Human Resources staff, he/she will work with the Corporate Director of Human Resources to carry out employee relations matters at the different entities along with ensuring compliance. The Senior Employee Relations Manager will be involved in company-wide Employee Relations such as investigations, complaints,...


  • Anaheim, United States L'Auberge Full time

    General Description: As a member of the Human Resources staff, he/she will work with the Corporate Director of Human Resources to carry out employee relations matters at the different entities along with ensuring compliance. The Senior Employee Relations Manager will be involved in company-wide Employee Relations such as investigations, complaints,...

  • Floating Receptionist

    2 weeks ago


    Anaheim, United States ExamWorks Full time

    Overview: Quality health care doesnt just happen. It requires the help of a person who can follow the directions of a doctor while also making the patient feel comfortable. As the Floating Receptionist (Internally named Medical Office Assistant) in our Anaheim, CA office. You will be the person to provide the same level of attention and detail to each and...


  • Anaheim, United States City Of Anaheim, CA Full time

    Description The City of Anaheim is seeking a highly qualified, candidate for the position of ,  within the Human Resources Department, to supervise, coordinate, and administer the self-administered liability claims program and the self-administered unemployment claims; to assist the Risk Manager in developing and implementing the activities and...


  • Anaheim, United States Wincome Hospitality Full time

    General Description:As a member of the Human Resources staff, he/she will work with the Corporate Director of Human Resources to carry out employee relations matters at the different entities along with ensuring compliance. The Senior Employee Relations Manager will be involved in company-wide Employee Relations such as investigations, complaints,...


  • Anaheim, United States Wincome Hospitality Full time

    General Description:As a member of the Human Resources staff, he/she will work with the Corporate Director of Human Resources to carry out employee relations matters at the different entities along with ensuring compliance. The Senior Employee Relations Manager will be involved in company-wide Employee Relations such as investigations, complaints,...