What are the responsibilities and job description for the Senior Claims Examiner position at Carl Warren & Company?
JOB TITLE: Senior Claims Examiner
DEPARTMENT: Claims Services
LOCATION: Remote/Southern California
COMPANY OVERVIEW:
Carl Warren & Company is a leading nationwide Third-Party Administrator (TPA) founded in 1944. Carl Warren has been a trusted partner specializing in property and casualty claims management, subrogation recovery, and litigation management for private and public sectors, insurance companies, and captives.
Our clients count on us to care for their needs when the unexpected happens. Our culture is derived from the people that create it. We are not different in what we do. We are different in how we do it. Our culture helps us collaborate, unite, and create a diverse workforce. Our people are at the core of our purpose, vision, mission, and values.
We offer competitive compensation and a comprehensive benefits package:
• 401k employee match
• Medical, dental, vision, life, and disability insurance
• Paid Time Off (PTO)
• Paid Holidays
• Paid Sick leave
• Professional development programs
• Work-life quality and flexibility
Visit us online at www.carlwarren.com
RESPONSIBILITIES
• Executes client/Carl Warren strategies to achieve claims quality, customer service, and operational objectives.
• Proactively work claims to ensure file quality meets Carl Warren & Company Claim Handling Guidelines and client requirements.
• A high level of productivity measured according to the age and complexity of the assigned caseload.
• Maintains a timely diary of claims.
• Consistently achieves audit scores of 90% and above.
• Focuses on providing the client with an outstanding work product.
• Provides excellent customer service to internal and external customers.
• Develops strategies for claims resolution with file notes reflecting clarity, focus, control/management, and momentum.
• Identifies/utilizes vendors and effectively manages the vendors to achieve satisfactory results on both the expense and indemnity costs.
• Up to 25% travel for field work and court appearances.
QUALIFICATIONS
• Four or more years handling auto and/or general liability claims for a standard auto and/or general liability insurance carrier
• Two or more years' experience handling litigated claims with a well-developed understanding of the litigation process, public entity experience preferred
• College degree preferred
• Strong claim evaluation skills with the ability to identify the issues involved, formulate an action plan, assess liability, evaluate the damages involved, and put a settlement number on the claim and explain why
• Strong negotiation skills
• Must be able to function and support others in a team environment
• High level of personal responsibility and pride in work product