Senior Claims Examiner managing claims and ensuring high service levels at ICW Group. Collaborating with different stakeholders while operating within legal guidelines and best practice.
Responsibilities
Handles moderate to complex claims with a focus on providing the highest level of service.
Manages all aspects of a California complex claims inventory.
Effectively communicates with policyholders, agents, attorneys, and witnesses to gather information.
Investigates claims to determine exposure and make strategic recommendations.
Operates within state and internal guidelines, directing defense counsel throughout litigation.
Provides knowledge transfer and mentorship to less experienced team members.
Requirements
Bachelor's degree from an accredited institution (or equivalent education and experience)
5+ years of related claims experience
Certification that meets the minimum standards of training, experience, and skill required for Workers' Compensation (WCCA and WCCP preferred)
State Workers Compensation License is required in some branches
Good understanding of laws and jurisdictional restraints to manage claims.
Excellent verbal communication skills, time management, attention to detail, and organizational skills required.
Ability to read, analyze, and interpret technical journals, financial reports, and legal documents.
Ability to write reports, business correspondence, and procedure manuals.
Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community.
Ability to effectively present information at meetings, to management and clients.
Must be adept at learning new technology and embrace change.
Auto Claims Examiner responsible for investigation and resolution of commercial auto claims at Arch Insurance. Collaborates on repair processes and coordinates with body shops nationwide.
Claims Adjuster I handling Vehicle Service Contracts at MAPFRE's Claims Department. Requires remote or hybrid work arrangement in Albuquerque, New Mexico with automotive industry experience.
Claims Examiner processing and adjudicating healthcare claims at WebTPA. Involves claims research and verifying insurance coverage in a customer service role.
Medical Claims Coordinator at IVI RMA managing insurance claims in Basking Ridge, NJ. Responsible for processing, submitting, and resolving claims with insurance companies.
Senior Claims Examiner at ICW Group managing complex workers' compensation claims with a focus on service excellence. Collaborating with teams and ensuring compliance with regulations and company standards.
Claims Adjuster handling customer service and claims calls for automotive parts. Managing claims files and interacting with various departments to ensure customer satisfaction.
RV Mechanical Claims Adjuster at APCO Holdings reviewing and processing claims for RV mechanical breakdowns. Utilizing technical knowledge to assist customers and facilitate repairs.
Claims Representative Intern assisting with insurance investigations and claim evaluations at Auto - Owners Insurance. Becoming familiar with coverage and ensuring timely payments in a supportive environment.
Claims trainee at Auto - Owners Insurance handling entry - level insurance claims under supervision. Involves investigation, evaluation, and training in Company’s claims training program.