Insurance Claim Examiner

Anaheim, CA
Full Time
Experienced
[Position]
Claims Examiner for Insurance Industry.

[About Our Client]
One of the largest non-life insurance companies based in South Korea. We currently writes all lines of property and casualty insurance in CA, NY, OH, IN, PA, TX and HI State.

Financial Ratings:
- A.M. Best Rating: A+ (Superior)
“Superior: A++ to A+ grade assigned to insurance companies that have superior ability to meet their financial obligations.” ?
- S&P Rating: A+ (Stable)
“The financial strength ratings reflect its very strong competitive position and lower adequate capital and earnings, excellent operating performance.”


[Job Description]
  • Handle Liability Claims, claims involving Commercial General Liability claims including Bodily Injury, Slip and Falls, Premise Liability and Auto Bodily Injury Liability, including litigation.
  • Manage and supervise TPA adjusters and outside vendors who directly handle the case.
  • Work proactively towards claims resolution with defense counsel
  • Determine if coverage applies for claims reported
  • Evaluate damages to ascertain compensation amount
  • Respond to claims calls and e-mails from agents and claimants
  • Negotiate claim settlements
  • Participate in claims related audits
  • Prepare detailed claim reports to management for additional authority or coverage issues with recommendation.?
  • Effectively manage and control litigation and claim expenses

[Qualifications]
-Over 5 years experience in an insurance company with regard to Commercial auto liability claims or Commercial general liability claims.
-Bachelor’s degree or equivalent professional work experience.
-Knowledge of Microsoft Office Suite as well as other business-related software.
-Capability to build and maintain positive relationships through teamwork.

[What's On Offer]
We offer competitive salary plus benefit package that includes health, vision, and dental insurance with 401K.
-Medical, Dental & Vision Insurance
-401(K)
-Paid Time Off Vacation
-Paid Sick Days
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