
Liability Claims Specialist
Posted 4 days ago

Posted 4 days ago
This is a fully remote position, open to applicants in California.
• Oversee simple and straightforward Liability claims under the direct guidance of a senior claims professional.
• Manage medical-only claims and minor lost-time liability claims with close supervision.
• Receive claims, verify policy coverage, and acknowledge claims.
• Assess the validity and compensability of claims.
• Set reserves and authorize payments within the limits of reserving authority.
• Update customers, claimants, and clients on the status of claims.
• Follow client and carrier guidelines diligently.
• Participate in claims reviews as required.
• Work collaboratively with team members on more complex or challenging claims.
• Manage litigated files with limited delegated authority.
• Adhere to safety regulations and rules during working hours.
• Execute additional responsibilities as assigned.
• A minimum of 1 year of experience in the industry and claims management is preferred.
• An active Adjuster’s License in the state of operation is mandatory.
• A Multi-State license is advantageous.
• A Bachelor's degree or an equivalent combination of education and relevant experience.
• Exceptional written and verbal communication skills.
• Ability to quickly learn and develop a thorough understanding of claims practices.
• Strong problem identification, analysis, and solving skills.
• Proficiency in computer use and technical skills.
• Competence in Microsoft Office applications, including Excel spreadsheets.
• Strong interpersonal, time management, and organizational abilities.
• Capability to meet or exceed performance expectations.
• Ability to work independently as well as collaboratively within a team environment.
• Medical (HDHP) with Pharmacy.
• Dental insurance.
• Vision insurance.
• Long Term Disability.
• Health Savings Account.
• Flexible Spending Account options.
• Life Insurance.
• Accident Insurance.
• Critical Illness Insurance.
• Pre-paid Legal Insurance.
• Parking and Transit FSA accounts.
• 401K.
• ROTH 401K.
• Paid time off.
• Opportunities for career advancement.
• A supportive culture.
• Comprehensive benefits package for full-time regular employees.
TRISTAR Insurance Group
TRISTAR Insurance Group
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