Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted. - Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel. - Analyzes claims activity and prepares reports for clients/carriers and management. - Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements. - Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits. - Develops subrogation and third party recovery potential and follows reclaim procedures. - Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews.
Skills:
Ability to work independently while assimilating various technical subjects. - Strong written and oral communication, negotiation and presentation skills. - Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.
Education:
Bachelor's degree or equivalent experience. - Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization. Workers Compensation (WC) Adjuster License required according to jurisdictional requirements. Preferred: - Industry designations such as IIA, AIC, AEI and/or CPCU
Location
Client Location
Country:
United States
State/Province:
California
City:
Brea
Address:
675 Placentia Avenue, Suite 350, CA0001
POSTAL CODE:
92821
Work Location
Same as Client Location
Other Client Location
Work Completed Offsite
Country:
United States
State/Province:
California
City:
brea
Street Address:
Street Address 2:
POSTAL CODE:
92821
Schedule
Start Date:
09/28/2026
Hours Per Week:
40.00
Est. End Date:
01/01/2027
Hours Per Day:
8.00
Schedule Notes:
Days Per Week:
5.00
Part Time or Full Time:
Part Time
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Numbers & Facts
Location
Brea, CA (Remote)
Skills
Analysis Skillsunmatched
Claims Processingunmatched
Disbursementsunmatched
Establish Prioritiesunmatched
Institute of Internal Auditors (IIA)unmatched
Legalunmatched
Litigationunmatched
Multitaskingunmatched
Negotiation Skillsunmatched
Presentation/Verbal Skillsunmatched
Problem Solving Skillsunmatched
Reporting Skillsunmatched
Subrogationunmatched
Time Managementunmatched
Worker's Compensationunmatched
Writing Skillsunmatched
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