Liability Claims Specialist

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

📋 Description

• Oversee straightforward and uncomplicated medical-only claims as well as minor lost-time liability claims under direct supervision.

• Accept claims and verify policy coverage along with acknowledgment of the claim.

• Assess the validity and compensability of claims.

• Set reserves and authorize payments within established reserving authority limits.

• Inform customers, claimants, and clients about the status of claims.

• Follow client and carrier protocols strictly.

• Engage in claims reviews when necessary.

• Work together with team members on complex or challenging claims.

• Adhere to safety regulations and guidelines during working hours.

• Carry out other responsibilities as assigned.

⛳️ Requirements

• At least 1 year of experience in the industry and claims management is preferred.

• A bachelor's degree or a combination of education and relevant experience.

• A current Adjuster’s License in the state of operation is mandatory.

• A Multi-State license is a plus.

• Exceptional written and verbal communication abilities.

• Capacity to learn quickly and expand knowledge and understanding of claims practices.

• Skill in identifying, analyzing, and resolving issues.

• Proficiency in computer usage and technical skills, including Microsoft Office and Excel spreadsheets.

• Strong interpersonal skills, time management, and organizational abilities.

• Ability to meet or exceed performance goals.

• Capability to work independently as well as collaboratively in a team setting.

🏝️ 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

• Career advancement opportunities

• Supportive culture

• Equal Opportunity Employer

• Drug-free workplace