Claim Examiner
2 weeks 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 to insurance companies that have superior ability to meet their financial obligations.” ?
- S&P Rating: A+ (Stable)
“The financial strength ratings reflect its very strong competitive position and lower adequate capital and earnings, excellent operating performance.”
[Job Description]
- Handle Liability Claims, claims involving Commercial General Liability claims including Bodily Injury, Slip and Falls, Premise Liability and Auto Bodily Injury Liability, including litigation.
- Manage and supervise TPA adjusters and outside vendors who directly handle the case.
- Work proactively towards claims resolution with defense counsel
- Determine if coverage applies for claims reported
- Evaluate damages to ascertain compensation amount
- Respond to claims calls and e-mails from agents and claimants
- Negotiate claim settlements
- Participate in claims related audits
- Prepare detailed claim reports to management for additional authority or coverage issues with recommendation.?
- Effectively manage and control litigation and claim expenses
[Qualifications]
-Over 5 years experience in an insurance company with regard to Commercial auto liability claims or Commercial general liability claims.
-Bachelor’s degree or equivalent professional work experience.
-Knowledge of Microsoft Office Suite as well as other business-related software.
-Capability to build and maintain positive relationships through teamwork.
[What's On Offer]
We offer competitive salary plus benefit package that includes health, vision, and dental insurance with 401K.
-Medical, Dental & Vision Insurance
-401(K)
-Paid Time Off Vacation
-Paid Sick Days
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