auto damage adjuster

claims casualty adjuster Jobs in Los Angeles

claims casualty adjuster

claims examiner - liability (must reside in la) Jobs in Los Angeles

claims specialist ii

claims technical director – excess claims Jobs in Los Angeles

claims examiner liability must reside

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
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)

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

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

<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>Overview:
<div><div><div><div><div><div><div><div>
This will be for the Central Los Angeles area.</div></div></div></div></div></div></div></div> 
Position Summary:
If you are passionate about helping people restore their lives when the unexpected happens, and providing the best experience, 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.
Under general supervision, as an Auto Appraiser Sr. you will travel to various locations in your assigned territory to inspect and evaluate physical damage to vehicles for first and third-party claims. You will assess the current market value and estimate the cost of repair.
At Mercury, we believe in nurturing growth, making time to have fun, and working together to make great things happen. 

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><div>
$55,318 to $96,646 (CA, NJ, NY, WA, HI, AK, MD, CT, RI, MA)</div><div>
$50,289 to $87,860 (NV, OR, AZ, CO, WY, TX, ND, MN, MO, IL, WI, FL, GA, MI, OH, VA, PA, DE, VT, NH, ME)</div><div>
$45,260 to $79,074 (UT, ID, MT, NM, SD, NE, KS, OK, IA, AR, LA, MS, AL, TN, KY, IN, SC, NC, WV)</div><div>
The expected base salary for this position will vary depending on a number of factors, including relevant experience, skills and location.</div> 
<div></div>
Responsibilities: Essential Job Functions:<ul><li>Ensures equitable settlement of damages and maintains good customer service and shop relations. Inspects and evaluates the degree of physical damage to vehicles for first and third-party claims; completes detailed summary of damage and estimates cost of repair based on knowledge of equipment, parts, and present values.</li><li>Presents estimates and reaches agreed upon price with repair facility and confirms assessment of damages and costs; negotiates settlements with related parties, as necessary. Researches total cash value of vehicle and parts by gathering and analyzing current market information to support total losses settlements.</li><li>Takes photographs of vehicles and physical damage to aid in the determination of liability and to substantiate findings; submits compliant reports and documentation. Performs re-inspections and authorizes supplemental repairs as necessary to ensure quality service and thorough restoration of damage.</li><li>Maintains communication with clients throughout repair process; reports initial evaluation and summary of damage, explains relevant procedures, responds to customer inquiries; provides complete, courteous, and timely customer service.</li></ul><ul><li> 
Stays updated on current vehicle values, industry and market trends, and Company policy and procedures.</li></ul>
Qualifications: Education:
Minimum:<ul><li>High School Diploma or GED.</li><li>6 months technical training.</li><li>You may be required to obtain a Company sponsored Adjuster&rsquo;s license to handle claims, to be secured upon hire.</li></ul>
Preferred:<ul><li>Advanced technical automotive repair training/certification.</li><li>Bachelor&rsquo;s Degree.</li></ul>
Experience:
Minimum:<ul><li>2 years auto appraising experience.</li><li>Knowledge of Mitchell or CCC.</li></ul>
Preferred:<ul><li>Body or mechanical repair facility management experience.</li></ul>
Skills &amp; Abilities
Minimum:<ul><li>Collaborates with the Claims Branch staff to confirm coverage, determine available limits, identify possible fraudulent activity, and obtain settlement approval.</li><li>Comprehensive knowledge of Company procedures and insurance contracts.</li><li>Solid understanding of automobile components, current values, and repair estimating practices to resolve and settle physical damage claims.</li><li>A general knowledge of automotive repair including mechanical, sheet metal, paint and frame repair is beneficial.</li><li>Technical skills to read and understand frame and alignment specifications.</li><li>Strong analytical ability to make complex, accurate assessments of damage and repairability.</li><li>Possessing a knowledge of current estimating software such as Mitchell or CCC is recommended.</li><li>Able to communicate effectively and professionally to insured&rsquo;s, claimants, attorneys, etc. in explaining the estimation and repair process while negotiating fair settlements with repair facilities.</li><li>Acting with initiative and passion, balancing decisiveness, and attention to detail, to drive results while working independently and under minimum supervision.</li><li>Requires organizational and time management skills to complete field assignments in a timely and accurate manner (automobile travel up to 50%).</li><li>Position includes use of a Company car in compliance with the Company Vehicle Use and Rules agreement.</li><li>Must meet established Company standards regarding personal driving history and current license status to be eligible for position.</li></ul>
Preferred:<ul><li>Demonstrates intellectual curiosity by seeking out efficiencies through process improvement or technology.</li><li>Take ownership of any process they can improve.</li><li>Assumes positive intent in all interactions.</li><li>Seeks growth within and beyond this role.</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:
<div>
Why choose a career at Mercury?</div><div>
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.</div><div>
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.</div><div>
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.</div><div></div><div> 
Learn more about us here: https://www.mercuryinsurance.com/about/careers</div>
Perks and Benefits:
<div>
We offer many great benefits, including:</div><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, 9 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><div>
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.</div>
Pay Range: USD $56,701.00 - USD $102,219.00 /Yr.</div>

Sr Auto Appraiser

Great American Insurance Group

<div>Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group&rsquo;s member companies are subsidiaries of American Financial Group. We combine a &quot;small company&quot; culture where your ideas will be heard with &quot;big company&quot; expertise to help you succeed. With over 30 specialty property and casualty operations, there are always opportunities here to learn and grow.
At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered and enabled to perform at their best.
Great American Custom, an underwriting division of Great American Insurance Group, dedicates itself to serving client needs and delivering outstanding service. We have made a name for ourselves as a full-service underwriting organization focused on long-term client relationships and customized business solutions. We specialize in providing primary casualty products as well as umbrella and capacity excess products that meet the needs of the commercial market. Our policy holders range from small businesses to complex multi-national corporations and Fortune 1000 accounts.
https://www.gamcustom.com
We are looking for a Claims Technical Director - Excess Claims to join our team in Los Angeles, CA.
Essential Job Functions and Responsibilities<ul><li>
Manages a book of excess claims for a significant size, complex product(s) or for the line of business. Claims managed would include complex coverage and mass tort matters.</li><li>
Responsible for conducting thorough investigations, critically assessing coverage and liability, and formulating strategic approaches to claim resolution.</li><li>
Analyzes and negotiates settlements within prescribed authority, and participates in arbitrations, mediations, depositions, or trials.</li><li>
Develops and implements strategic coverage decisions, determining outcomes, and formulating negotiation strategies for stakeholders.</li><li>
Oversees the issuance of payments within assigned authority limits, ensuring accuracy and timeliness.</li><li>
Ensures all correspondence, reports, and settlement agreements are accurately documented and strategically managed.</li><li>
Serves as the technical expert on a product(s).</li><li>
Evaluates and makes recommendations to executive management on internal and external issues of strategic importance to a product(s).</li><li>
Accountable for achieving performance targets/business results.</li><li>
Performs other duties as assigned.</li></ul>
Job Requirements<ul><li>
Bachelor&rsquo;s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience.</li><li>
Generally, a minimum of 15 years of experience in property and casualty claims handling. Completion of a professional designation preferred, such as Associate in Claims (AIC).</li><li>
Operates at the highest authority level on complex, high-impact assignments, possessing extensive technical knowledge and skills in both product and industry.</li><li>
Ensures all correspondence, reports, and settlement agreements are accurately documented and strategically managed.</li><li>
Serves as the technical expert on a product(s).</li><li>
Excellent analytical, negotiation, and problem-solving skills.</li><li>
Ensures compliance with all legal, statutory, and regulatory requirements.
</li><li>Accountable for achieving performance targets/business results. Provides technical advice and support to lower-level positions, management, and other departments.</li><li>
Requires prolonged sitting.</li><li>
Requires continuous use of computer.</li><li>
May lift, carry, push, or pull objects up to 10 lbs.</li><li>
Great American&rsquo;s culture is built on connection, shared learning, and strong relationships. To support this, employees in this role are expected to be on-site at our Downtown Los Angeles office four days a week, with the flexibility to work one day remotely. Core in‑office days are Tuesday&ndash;Thursday, with the fourth day determined by business needs.</li></ul>
Company:
GAIC Great American Insurance Company 
Salary Range:
$123,280.00 -$168,820.00
Benefits:
We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits. 
Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers.<ul><li> 
Excludes seasonal employees and interns.</li></ul></div>

Claims Technical Director – Excess Claims

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

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