AssuredPartners

Senior Claims Examiner, PLCA

Job ID
2022-10925
# of Openings
1
Category
Claims Service
Location
US-CA-Oakland
Agency
Full-Time

Overview

The Sr. Claims Examiner will be responsible for managing complex liability claims, employment & civil rights claims to their conclusion in the most cost-effective way possible for the client. In addition, the Sr. Claims Examiner will be responsible for recognizing claims involving coverage issues and bring to the Claims and Coverage Committees for referral to counsel.

Responsibilities

AP Keenan, an AssuredPartners company, is a successful insurance brokerage and consulting firm meeting the insurance needs of hospitals, public entities and California school districts. AP Keenan specializes in providing consulting services in the areas of: employee benefits, workers' compensation, loss control, financial, and property & liability. We have seen continuous growth and success, and are positioned to lead the industry into the 21st century. Together, with AssuredPartners, we continue to grow at a rapid pace, and so do the opportunities for our current and future employees.
 
This is a remote position based in California.
 
SUMMARY: The Sr. Claims Examiner will be responsible for managing complex liability claims, employment & civil rights claims to their conclusion in the most cost-effective way possible for the client. In addition, the Sr. Claims Examiner will be responsible for recognizing claims involving coverage issues and bring to the Claims and Coverage Committees for referral to counsel.
 
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:
- Review assigned claims within the PLCA guidelines.
- Prepare appropriate response letter to Government Claims within the required timelines.
- Assignment of Investigations.
- Review investigative reports, evaluate damages and make recommendations to clients regarding assigned files.
- Direct attorneys on litigated files and control defense costs.
- Prepare timely Reports to Reinsurers.
- Prepare appropriate write ups for JPA’s/ Superpools on a quarterly basis.
- Monitor/adjust reserves when developments occur.
- Review files for Subrogation potential and actively pursue subrogation.
- Review and manage client inquiries.
- Maintain accurate statistical data in computer.
- Assist in client file reviews.
- Attend Court ordered Mediations/MSC’s or any meeting required to facilitate settlement.
- Bill at minimum 80% of the work day.
- Other duties as assigned.
 
MINIMUM SUGGESTED QUALIFICATIONS:
- Bachelor’s Degree preferred.
- Minimum of 10 years Property & Casualty liability claims experience required.
- Public Entity claims handling experience preferred.
- Good written and verbal communication skills.
- Must be organized and detail oriented.
 
SOFTWARE: Proficient in Microsoft Outlook, Excel, PowerPoint and Word.  Adept at accessing business data from the Internet when required.

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