account manager

case manager

claims casualty adjuster Jobs in Los Angeles

claims casualty adjuster

adjuster

Sedgwick

<div>By joining Sedgwick, you'll be part of something truly meaningful. It&rsquo;s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there&rsquo;s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America&rsquo;s Greatest Workplaces National Top Companies
Certified as a Great Place to Work&reg;
Fortune Best Workplaces in Financial Services &amp; Insurance
Adjuster
PRIMARY PURPOSE : To handle losses and claims for property and casualty insurers.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
<ul><li>Examines insurance policies and other records to determine insurance coverage.
</li><li>Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim.
</li><li>Consults police and hospital records and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance.
</li><li>Estimates cost of repair, replacement, or compensation.
</li><li>Prepares report of findings and negotiates settlement with claimant.
</li><li>Recommends litigation by legal department when settlement cannot be negotiated.
</li><li>Attends litigation hearings.
</li><li>Revises case reserves in assigned claims files to cover probable costs.
</li><li>Assists in preparing loss experience report to help determine profitability and calculates adequate future rates.
</li></ul>ADDITIONAL FUNCTIONS and RESPONSIBILITIES
<ul><li>Performs other duties as assigned.
</li><li>Supports the organization's quality program(s).
</li><li>Travels as required.
</li></ul>QUALIFICATIONS
Education &amp; Licensing
 
Bachelor's degree from an accredited college or university preferred. Obtain IIA-AIC designation within 12 to 18 months. Appropriate state adjuster license is required.
Experience
 
None.
Skills &amp; Knowledge
<ul><li>Strong oral and written communication, including presentation skills
</li><li>PC literate, including Microsoft Office products
</li><li>Demonstrated commitment to timely reporting
</li><li>Strong customer service skills
</li><li>Strong interpersonal skills
</li><li>Attention to detail and accuracy
</li><li>Good time management and organizational skills
</li><li>Ability to work independently or in a team environment
</li><li>Ability to meet or exceed Performance Competencies
</li></ul>WORK ENVIRONMENT
 
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental : Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical :
<ul><li>Must be able to stand and/or walk for long periods of time.
</li><li>Must be able to kneel, squat or bend.
</li><li>Must be able to work outdoors in hot and/or cold weather conditions.
</li><li>Have the ability to climb, crawl, stoop, kneel, reaching/working overhead
</li><li>Be able to lift/carry up to 50 pounds
</li><li>Be able to push/pull up to 100 pounds
</li><li>Be able to drive up to 4 hours per day.
</li><li>Must have continual use of manual dexterity.
</li></ul>Auditory/Visual : Hearing, vision and talking
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
<h2 class="jobSectionHeader">If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.</h2></div>

Adjuster

AAA Auto Club Enterprises

Job Summary
 
The Claims Casualty Adjuster handles low to moderate-complexity claims involving material damage, property, and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include liability investigation, coverage evaluation and negotiation of low to moderate-complexity claims in compliance with established company technical and customer service Best Practices. Under moderate supervision, works within specific limits of authority to resolve claims with well-defined procedures.
 
Job Duties
 
Communicate and interact with a variety of individuals including insureds and claimants. Explain benefits, coverages, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Recognize and appropriately address common coverage issues.
 
Conduct phone and/or field investigations to determine liability and damages. May attend and participate in legal proceedings. Identify and obtain statements from insureds, claimants and witnesses.
 
Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data.
 
Negotiate within settlement authority with insureds and claimants to resolve their first and third party claims.
 
Handle administrative functions, update database production reports, and document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, etc.
 
Verify and interpret/resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required.
 
Independently resolve claim exposures within level of authority.
 
Respond quickly to customer needs and problems.
 
Qualifications
 
Bachelors Equivalent combination of education and experience Preferred
 
4-6 years Prior claims handling experience. Required
 
4-6 years Property or Casualty claims administration experience. Preferred
 
Working knowledge of claims best practices and procedures.
 
Moderate understanding of building and vehicle repair practices.
 
General knowledge of insurance, fault assessment, negligence and subrogation principles.
 
Working knowledge of Microsoft Office suite, general computer software and claims software.
 
Advanced organization and planning recognition skills required.
 
Advanced oral and written communication skills required.
 
Advanced interpersonal skills required.
 
Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State Required
 
Associate in Claims - Insurance Institute of America Preferred
 
An insurance/claims adjuster license may be required for claims administration in specific states. Preferred
 
The starting pay range for this position is: 
$33.43 - $44.53
 Additionally, for full time positions, you will be eligible to participate in our incentive program based upon the achievement of organization, team and personal performance.
 .
 
Remarkable benefits: 
<ul>
<li>Health coverage for medical, dental, vision</li>
<li>401(K) saving plans with company match AND Pension</li>
<li>Tuition assistance</li>
<li>Floating holidays and PTO for community volunteer programs</li>
<li>Paid parental leave</li>
<li>Wellness programs</li>
<li>Employee discounts (membership, insurance,</li>
</ul>
travel, entertainment, services and more!)
 
Auto Club Enterprises is the largest club within the national AAA federation. We have nearly 17,000 employees in 24 states helping more than 18 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity – we win. All of Us! With our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team.
 
“Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value.”
 
AAA is an Equal Opportunity Employer
 
Our organization participates in E-Verify
 
The Automobile Club of Southern California will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance (FCIHO), the Unincorporated Los Angeles County (ULAC) regulation, and the California Fair Chance Act (CFCA).

Claims Casualty Adjuster

California Fair Plan Association

<div>POSITION SUMMARY 
The Claims Quality Assurance Supervisor leads a team of Quality Assurance Representatives or Quality Analysts. This role is responsible for reviewing claim files for accuracy, compliance with policies and procedures, as well as CA Department of Insurance guidelines. This role will also include managing communications with the Department of Insurance as well as assisting with coverage analysis for Claims Examiners.<div> 

PRINCIPAL DUTIES &amp; RESPONSIBILITIES 
<ul><li>Assist the Claims Quality Assurance Manager in managing and leading the Quality Assurance Department.</li><li>Collaborate with and support Claims Quality Analysts and QA Representative teams to maintain the daily workflow across the Quality Assurance Department.</li><li>Hire, train, and coach Quality Assurance Representatives and Claims Quality Analysts.</li><li>Provide file data for file reviews and maintain the audit platform.</li><li>Direct and oversee file reviews and Department of Insurance complaint responses.</li><li>Provide feedback/results/trends to Claims Examiners, Supervisor, Managers, and Claims Quality Manager based on review results and findings and make recommendations for training or improvement</li><li>Review, analyze, and provide suggestions for claim handling practices handled by Desk Examiners and Independent Adjusters.</li></ul>
Review repair estimates for technical accuracy and adherence to industry/CFP guidelines/standards, as well as client requirements. 
<ul><li>Compile estimate revision requests and coordinate with network contractors to obtain estimate corrections.</li><li>Verify file documentation is included for completion of the review process.</li><li>Create and maintain workbooks, questionnaires, processes, and training materials to promote accuracy and consistency.</li><li>Take lead on various projects, including but not limited to QA software and report implementation.</li><li>Manage CEA Liaisons and support CEA training and reporting.</li><li>Adhere to Federal and State laws and regulation.</li><li>Any other duties needed to help fulfill the Associations Mission, abide by the Association&rsquo;s Values, and fulfill the Association&rsquo;s Strategic Objectives.</li></ul></div><div> 

EDUCATION &amp; EXPERIENCE 
<ul><li>Bachelor&rsquo;s degree or equivalent preferred.</li><li>Strong knowledge of property claims. Minimum of 5-10 years&rsquo; property insurance claims experience, 2+ years of Quality Assurance experience and 1 year of supervisory experience.</li><li>Strong organizational, file management and time management skills.</li><li>Attention to detail; ability to prioritize and strong decision-making skills.</li><li>Excellent written and oral communication skills.</li><li>Adaptability and demonstrated ability to manage change.</li><li>Working experience with MS-Office (especially Word and Excel) is required.</li><li>Proficient in the Xactimate estimating program.</li><li>Certified in CEA and Fair Claims Settlement Practices.</li></ul></div></div>

Property Claims Quality Assurance Supervisor (Remote)

Explore 3+ Adjuster in Los Angeles this April. Find roles across top companies and apply now to boost your career.

3 adjuster jobs In Los Angeles

Adjuster

Claims Casualty Adjuster

Property Claims Quality Assurance Supervisor (Remote)