Workers Compensation Claims Examiner II Job in San Diego 92127, California US
AmTrust Financial Services is currently seeking a Workers Compensation Claims Adjuster for their San Diego, CA location.
Position Summary:
Responsible for the prompt and efficient examination, investigation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds and claimants, ensuring that company resources are utilized in a cost effective manner in the process.
Essential Job Functions
- Continually assess exposure and evaluate for accurate reserves.
- Prepare Large Loss Reports and maintain ongoing claim updates.
- Complete quality investigations by gathering all pertinent information (recorded statements, review of police and medical reports, photographs and appraisals/estimates of damages, etc.).
- Determines if subrogation exists and takes steps necessary to initiate recovery efforts.
- Maintains appropriate financial accountabilities (reserving) and controls loss adjustment expenses.
- Document all correspondence, reports, discussions and decisions.
- Fulfill state licensing agreements/requirements (if applicable) and apply knowledge of state laws and regulations pertaining to the insurance industry.
- Provides quality service to all customers.
- Mentor less experienced staff members.
- Assist Supervisors and Claim Department with requested tasks or special projects.
Position Requirements
- Ability to manage relationships in a fast paced environment, while demonstrating persistence along with problem solving and decision making skills to work with customers through a variety of challenging situations.
- Good analytical abilities to review, exercise judgment and evaluate claims in order to make sound decisions.
- Good knowledge of claim procedures, policies, technology, state and federal laws and insurance regulations.
- Ability to multi-task and handle large volumes of work in a short period of time.
- Ability to communicate effectively and clearly, both orally and in writing.
- Ability to carry out detailed written or verbal instructions, ability to respond to requests effectively and efficiently and exhibit good common sense.
- Ability to work independently with self-initiative.
- Time management skills, organizational skills and ability to prioritize issues and tasks.
- Ability to effectively operate computer equipment and applications.
Education/Experience
- College degree is not a prerequisite for this position; however employee should possess such skills and knowledge as are normally gained in the successful completion of a four-year college program.
- A valid California adjusters’ license
- Minimum of two years experience in workers compensation claims
- Insurance coursework (e.g. IIA, CPCU, SCLA and AEI) is beneficial.
- Good knowledge of insurance theory and practices; insurance contracts and their application.
July 9, 2011
• Tags: California Us, Workers Compensation Claims Examiner II Job in San Diego 92127 • Posted in: General