Senior Claims Examiner
Irvine, CA - USA
Job Summary
Company Details
Berkley Enterprise Risk Solutions A Berkley Company specializes in working with large motivated employers operating in a broad range of industries. We seek companies who are looking for customized risk management solutions to their workplace safety challenges and who at the time of account submission generate a minimum of $400000 in annual workers compensation addition to basic Guaranteed Cost BERS offers a variety of loss sensitive plans including Retrospectively Rated and Large Deductible. BERS is an open brokerage market. The company is rated A XV by AM Best & Company.
The company is an equal employment opportunity employer.
Responsibilities
Under the supervision of the Vice President of Claims the Senior Claims Examineris responsible for managing all aspects of workers compensation claims including complex and litigated matters from inception through resolution.
This role actively supports and participates in the companys culture of continuous learning and innovation including engagement in innovation groups focused on identifying opportunities for process improvement enhancement and transformational change.
Our ideal Claims professional will demonstrate strong technical expertise in claims adjusting claims workflow investigation and effective time management. Travel is required approximately 30% of the time. Spanish-speaking adjusters are highly preferred.
Key functions include but are not limited to:
- Adjust all aspects of complex claims and loss notices including coverage and compensability analysis reserve setting reinsurance reporting and coverage litigation.
- Attend and participate in mediations settlement conferences trials and other claimrelated proceedings including required travel.
- Assist with or conduct large loss handling and reinsurance reporting ensuring accuracy and timeliness.
- Maintain adjuster licenses and certifications in all required states and obtain additional certifications as requested.
- Actively engage in the companys innovation culture and crossfunctional collaboration initiatives.
- Demonstrate continued selfdriven professional learning and development.
- Travel as needed to support claim resolution and business needs.
Qualifications
- Spanish speaking is strong preferred
- BA or BS preferred not required
- Adjusters certification in California is required other state licensing/certification is a plus
- 8 years claims-related adjusting experience handling workers compensation claims in California
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: $110000 $125000
Eligible to participate in annual discretionary bonus.
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:
Senior IC
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.