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Claims Examiner

Location : Calabasas, CA
Job Type : Temp/Contract to Direct
Hours : Full Time
Travel : No
Relocation : No

Job Description :

Primarily responsible for the complete handling, including establishing of coverage, liability, and damages, to enable equitable resolutions of all claims assignments. Undertake responsibility for complex and/or high exposure claim assignments in all lines.


Essential job functions include:

  • Responsible for investigation, analysis, and evaluation of all claim assignments to include the issues of coverage, liability, and damages.

  • Negotiates equitable settlements and produce successful resolutions in accordance with company policies and department guidelines.

  • Exercise independent judgment and employs sound decision making in undertaking the above responsibilities.

  • Comply with all aspects of the Fair Claims Settlement Practices Regulations.

  • Properly document all claim files with dated progress notes and reports to record results of investigation and handling, stating reasons for decisions and evaluations in accordance with guidelines.

  • Establish and maintain appropriate reserves on all claims that reflect company policies and guidelines.

  • Attend settlement conferences, other meetings, and hearings as required.

  • Assist in reaching the company and department objectives by reducing pending files and successfully concluding all claim assignments, maintains 100% closing ratio.

  • Undertake responsibility for re‐insurance reporting.

  • Analyze and evaluate converge issues and prepare a communication for coverage positions.

  • Analyze and evaluate complex claim issues and high exposure claims with plans for implementing resolutions and conducting the activity to reach a resolution

  • Conduct study and research in related claims areas as may be requested by Claims Management.



Required Qualifications :

Job Qualifications:


  • 10 years of claims experience

  • Litigation management

  • Coverage analysis

  • Experience with Commercial transportation, excess liability, and complex litigation

  • Construction defect experience preferred

  • Ability to do overnight travel for mediations

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