Liability Claims Specialist

Posted 4 days ago

This is a fully remote position, open to applicants in California.

📋 Description

• 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.


⛳️ Requirements

• 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.


🏝️ Benefits

• 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.

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