Claims ExaminerAssociate Claims Examiner
Share
Job Location:
San Diego, CA - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Company Details
Preferred Employers Insurance A Berkley Company specializes in providing workers compensation insurance to California business owners. The company serves three major Product/Client Segments: Small Business Mid-Larger Businesses and Group Association Members (Programs). The companys distribution partners (agents & brokers) number just under 400 locations throughout the state. Preferred serves thousands of policyholders and provides medical claims handling and claims management as needed to care for injured workers. The company is rated A Superior by industry-rating organization AM Best & Company.
The company is an equal opportunity employer.
Responsibilities
Preferred Employers Insurance is entering an exciting chapter of growth and our Claims team will play a pivotal role in shaping our success in the year ahead. Were looking for passionate professionals to join us in delivering exceptional service and results.
Opportunities:
- Experienced Claims Adjusters & Senior Adjusters Bring your expertise and make an immediate impact.
- Associate Claims Examiner (ACE) Ideal for high-potential individuals with little to no prior claims experience who are eager to learn and grow.
If youre ready to be part of a dynamic team and help shape the future of our organization wed love to hear from you!
Our Claims team manages workers compensation claims with integrity accuracy and a commitment to exceptional service. Whether youre an experienced examiner or just starting your career youll play a key role in ensuring timely and fair resolution of claims in compliance with California WCAB rules and regulations.
For Experienced Claims Examiners:
- Analyze and process workers compensation claims determining coverage compensability and exposure.
- Negotiate settlements within authority limits and manage litigation when necessary.
- Calculate and assign reserves; ensure reserve adequacy throughout the life of the claim.
- Prepare state filings and manage vendor referrals for investigations or litigation.
- Actively pursue recoveries including subrogation and other offsets.
- Maintain professional relationships and deliver consistent high-quality claims service.
For Associate Claims Examiners:
- Participate in comprehensive training on workers compensation laws and claims handling.
- Handle medical-only and minor indemnity claims under supervision.
- Conduct three-point contact investigations and determine compensability for uncomplicated claims.
- Develop action plans and manage claims to timely resolution.
- Provide excellent customer service and complete work queues and diaries promptly.
Qualifications
Experienced Examiners:
- Bachelors degree preferred
- 110 years of workers compensation claims experience
- Professional certification as applicable
- Strong negotiation analytical and communication skills
Associate Examiners:
- Bachelors degree preferred
- Strong written/verbal communication and organizational skills
- Analytical mindset and eagerness to learn
- PC literate
Additional Company Details
The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include:
Base Salary Range: $60000 - $116000
Benefits: Health Dental Vision Life Disability Wellness Paid Time Off 401(k) and Profit-Sharing plans.
The actual salary for this position will be determined by a number of factors including the scope complexity and location of the role; the skills education training credentials and experience of the candidate; and other conditions of employment.
Required Experience:
IC
Key Skills
- Auditing
- GAAP
- Military Experience
- Phlebotomy
- Conflict Management
- Vital Signs Experience
- Computer Forensics
- Research Experience
- Securities Law
- Operating Systems
- PTSD Care
- RMF
About Company
Berkley is a leader in commercial lines insurance, with over 60+ specialized businesses - each with deep expertise in an industry, product, or regional niche.
