case manager

account manager

adjuster

assistant loss prevention manager Jobs in Los Angeles

assistant loss prevention manager

auto damage adjuster

claims adjuster

AmTrust Financial

<div>Overview:
<div>
Works independently to manage Workers' Compensation cases, including complex and catastrophic claims.</div><div></div><div> 
Note commercial Workers' Compensation experience in California is required.</div>
Responsibilities:

.<div>
DISTINGUISHING CHARACTERISTICS:</div>
Administers complex non-litigated and litigated workers&rsquo; compensation cases and integrates the delivery of benefits associated with sickness and long-term disability benefits. Provides technical guidance, mentoring and support to claims assistants and clerical staff.<div> 
ESSENTIAL DUTIES AND RESPONSIBILITIES:</div><div>
To perform this job successfully, the employee must be able to efficiently and effectively perform each of the following essential functions. Reasonable accommodation may be made for individuals with disabilities.</div><div></div><div> 
The functions of this job include but are not limited to;
</div><ul><li>Set up claims and make timely three point contacts</li><li>
Ensure the privacy and security of Protected Health Information (PHI)</li><li>
Analyze claim, investigate and estimate proper reserves</li><li>
Develop and maintain relevant plan of action</li><li>
Set up and maintain timely benefit payments (Includes wage statement calculation and diary management)</li><li>
Identification and pursuit of subrogation</li><li>
Timely review and maintenance of incoming mail</li><li>
Timely response to Request for Authorization or referral for Utilization Review</li><li>
Consistent communication and claim reviews with all parties, including our Claims Services Account Manager in relation to brokers and policy holders.</li><li>
The agricultural accounts are generally higher volume policies, fast-paced and seasonal, and special handling is oftentimes required.</li><li>
Timely evaluation of reserve adequacy</li><li>
Proactively maintaining current status of claims</li><li>
Identify, rate and reserve for possible permanent disability</li><li>
Evaluate claim for settlement purposes</li><li>
Timely excess Carrier Reporting</li><li>
Close cases in a timely and expedient manner</li><li>
Other duties as may be assigned</li><li>
Must be able to work at least 40 hours per week, Monday thru Friday and be available to work extended hours as situations arise.</li></ul>
Qualifications:
<ul><li>Requires 3 to 5 years of commercial Workers&rsquo; Compensation experience</li><li>
Any combination equivalent High School graduation and/or two year community college or experience in business or closely related field.</li><li>
Litigated and non-litigated claims experience required.</li><li>
Basic mathematical skills required for calculations and ratings.</li><li>
Knowledge and understanding of workers&rsquo; compensation claims administration required.</li><li>
Through knowledge of Self-Insurance regulations, Case Law, Labor Code.</li><li>
Must possess strong time management, organization and problem solving skills.</li><li>
Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents.</li><li>
Ability to write letters, memos and reports that conform to prescribed style, format and grammatical correctness.</li><li>
Ability to effectively present information to top management.</li><li>
Extensive clear and tactful communications required via writing, reading, telephone calls, note taking, letter writing, memoranda, etc.</li><li>
Must be able to negotiate.</li><li>
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages.</li><li>
Ability to define problems, collect data, establish facts, and draw valid conclusions.</li><li>
Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.</li><li>
Must be Current on Worker&rsquo;s Compensation education training hours.</li></ul><div></div><div> 
Your employer reserves the right to modify the description of the duties and the requirements of this job at any time upon reasonable notice.</div><div></div><div> 
The expected salary range for this role is $87,600-$100,000.00.</div><div></div><div> 
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.</div></div>

Claims Adjuster III, Agriculture

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

GEICO

<div>At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.
Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers&rsquo; expectations while making a real impact for our company through our shared purpose.
When you join our company, we want you to feel valued, supported and proud to work here. That&rsquo;s why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.<ul><li>
Experienced Auto Damage Adjuster- Ventura, CA 
Salary: Starting pay rate varies based upon position and location. Ask your Recruiter for details!
We are looking for talented Auto Damage Adjusters to join our team in South Los Angeles, CA. As an experienced Adjuster, you should have a minimum of 12 months of Auto Damage experience and demonstrated a track record of success delivering excellent customer service while promptly and accurately settling claims. The ideal candidate will have the ability to handle complex claims using their technical and industry knowledge.
Qualifications &amp; Skills:</li><li>
Motor Vehicle Damage Adjuster/Appraiser's License *required*</li><li>
Valid driver&rsquo;s license (must meet company underwriting guidelines for at least the past 3 consecutive years) and the ability to maintain applicable state and federal certifications and permits</li><li>
Willingness to be flexible with primary work location &ndash; position may require either remote/field/in-office work</li><li>
Solid computer, mechanical aptitude, and multi-tasking skills</li><li>
Effective attention to detail and decision-making skills</li><li>
Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities</li><li>
Minimum of high school diploma or equivalent</li></ul> 
Annual Salary
$36.63 - $57.49
The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate&rsquo;s work experience, education and training, the work location as well as market and business considerations. 

At this time, GEICO will not sponsor a new applicant for employment authorization for this position. 
The GEICO Pledge:
Great Company: At GEICO, we help our customers through life&rsquo;s twists and turns. Our mission is to protect people when they need it most and we&rsquo;re constantly evolving to stay ahead of their needs.
We&rsquo;re an iconic brand that thrives on innovation, exceeding our customers&rsquo; expectations and enabling our collective success. From day one, you&rsquo;ll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people&rsquo;s lives.
Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career &ndash; and your potential &ndash; in mind. You&rsquo;ll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels.
Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers.
Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future.<ul><li>
Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family&rsquo;s overall well-being.</li><li>
Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.</li><li>
Access to additional benefits like mental healthcare as well as fertility and adoption assistance.</li><li>
Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.</li></ul>
The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.
GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.</div>

Auto Damage 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

<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
Claims Examiner - Liability (MUST RESIDE IN LA)
<div>Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world&rsquo;s best brands?
<ul><li>Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
</li><li>Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world&rsquo;s most respected organizations.
</li><li>Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
</li><li>Leverage Sedgwick&rsquo;s broad, global network of experts to both learn from and to share your insights.
</li><li>Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
</li><li>Enjoy flexibility and autonomy in your daily work, your location, and your career path.
</li><li>Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
</li></ul>ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
PRIMARY PURPOSE : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements..
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
<ul><li>Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
</li><li>Assesses liability and resolves claims within evaluation.
</li><li>Negotiates settlement of claims within designated authority.
</li><li>Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
</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.
Experience :
Five (5) years of Liability claims management experience or equivalent combination of education and experience required.
TAKING CARE OF YOU
<ul><li>Flexible work schedule.
</li><li>Referral incentive program.
</li><li>Career development and promotional growth opportunities.
</li><li>A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
</li></ul>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.
</div>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>

Claims Examiner - Liability (MUST RESIDE IN LA)

Mercury Insurance Company

<div>Overview:

Join an amazing team that is consistently recognized for our achievements and culture, including our most recent Forbes award of being one of America's Best Midsize Employers for 2024! 
Training consists of 8 weeks of paid training. Monday through Friday from 8:00am-4:45pm PST. After training we offer a fixed schedule of 40 hours per week Monday through Friday from 8:00am-4:45pm PST.
Geo-Salary Information:
<div>
An in-person interview may be required during the hiring process</div><div></div><div> 
State specific pay scales for this role are as follows:</div>
$29.33 per hour (CA, NJ, NY, WA, HI, AK, MD, CT, RI, and MA)
$26.92 per hour (NV, OR, AZ, CO, WY, TX, ND, MN, MO, IL, WI, FL, GA, MI, OH, VA, PA, DE, VT, NH, and ME).
$24.52 per hour (UT, ID, MT, NM, SD, NE, KS, OK, IA, AR, LA, MS, AL, TN, KY, IN, SC, NC, and WV)<div> 
This position is a work from home position that requires a dedicated workspace, free from distractions</div>
Responsibilities:

Position Overview
If you&rsquo;re passionate about helping people restore their lives when the unexpected happens, and providing high-quality customer experiences, then our Mercury Insurance Claims team could be the place for you! We offer dynamic and challenging opportunities to those who want to make a meaningful impact. 
With ongoing guidance and support, the Claims Specialist II takes the lead in guiding customers through the claims process. You will investigate and process claims for damage to vehicles and other property as well as moderate bodily injury claims. You will focus on accurate and efficient claims to prevent unnecessary expense to the Company and policyholders. You will provide excellent customer service to ensure our customers have a positive experience and feel valued and supported. 
At Mercury, we believe in nurturing growth, making time to have fun, and working together to make great things happen. 
Key Responsibilities:
Customer Interaction and Claims Process Management: Review and explain coverage details and the claims process to customers. Set reserves for anticipated expenses and arrange vehicle inspections and rental authorizations. Address customer inquiries and concerns throughout the claim process to ensure satisfaction and retention. 
Investigation and Evidence Gathering: Utilize various communication methods (phone calls, emails, texts, letters) to obtain information from involved parties, including witnesses. Review law enforcement reports and seek out additional evidence (dash cam, surveillance video) to assess the facts of loss and determine liability. 
Risk Assessment and File Management: Identify and escalate high-risk files with significant indemnity exposure or suspected fraud to supervisors for further review or investigation. 
Bodily Injury Claims Management: Analyze medical records to evaluate, negotiate, and settle moderate bodily injury claims with legal counsel for represented claimants and unrepresented parties. 
Cross-Department Collaboration: Serve as the primary point of contact for customers, coordinating with other departments to ensure a smooth claims experience and complete customer satisfaction. 
Team Collaboration: Collaborate with a team to address the needs of shared customers when necessary. 

Qualifications:
<ul><li>High school diploma or equivalent, Bachelor&rsquo;s degree preferred</li><li>
6 months&rsquo; customer service experience in a high-volume work environment or equivalent combination of education and experience</li><li>
6-12 months&rsquo; claims adjusting experience, preferred</li><li>
Prior experience working in a remote environment is a plus</li></ul>
Physical Requirements:
<div>
Continuously (66%-100%): 
<ul><li>Must be able to maintain a sedentary position for extended periods.</li><li>Must be able to communicate (electronically and telephonically) with team members, customers, and external parties.</li><li>Must be able to operate and type on a computer, laptop, and/or other Company-issued electronic device for extended periods of time.</li><li>Must be able to access and operate Company computer system, including preparing documents, entering data into computer system, and reading documents from a computer database or email system.</li></ul>
Occasionally (Up to 33%): 
<ul><li>Must be able to bend, stoop, reach, climb, and/or stand to access files, documents, and other equipment.</li><li>Must be able to grasp, open, and close drawers, filing cabinets, and other equipment.</li></ul></div>
About the Company:

Why choose a career at Mercury?
At Mercury, we have been guided by our purpose to help people reduce risk and overcome unexpected events for more than 60 years. We are one team with a common goal to help others. Everyone needs insurance and we can&rsquo;t imagine a world without it.
Our team will encourage you to grow, make time to have fun, and work together to make great things happen. We embrace the strengths and values of each team member. We believe in having diverse perspectives where everyone is included, to serve customers from all walks of life.
We care about our people, and we mean it. We reward our talented professionals with a competitive salary, bonus potential, and a variety of benefits to help our team members reach their health, retirement, and professional goals.
Learn more about us here: https://www.mercuryinsurance.com/about/careers
Mercury Insurance is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other characteristic protected by federal, state, or local law.
Perks and Benefits:

At Mercury, we seek a better way to serve our customers, own every interaction, do the right thing in every situation, and move quickly to deliver exceptional results. Join our team and make an impact today!
We offer many great benefits, including:<ul><li>Competitive compensation</li><li>Flexibility to work from anywhere in the United States for most positions</li><li>Paid time off (vacation time, sick time, paid Company holidays, volunteer hours)</li><li>Incentive bonus programs (potential for holiday bonus, referral bonus, and performance-based bonus)</li><li>Medical, dental, vision, life, and pet insurance</li><li>401 (k) retirement savings plan with company match</li><li>Engaging work environment</li><li>Promotional opportunities</li><li>Education assistance</li><li>Professional and personal development opportunities</li><li>Company recognition program</li><li>Health and wellbeing resources, including free mental wellbeing therapy/coaching sessions, child and eldercare resources, and more.</li></ul>
Pay Range: USD $44,466.00 - USD $77,881.00 /Yr.</div>

Claims Specialist II

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 31+ Claims adjuster in Los Angeles this April. Find roles across top companies and apply now to boost your career.