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JOB TITLE: Senior Claims Examiner
LOCATION: Los Angeles, California (in-person)
COMPANY OVERVIEW:
Carl Warren & Company is a leading nationwide Third-Party Administrator (TPA) founded in 1944. Carl Warren has been a trusted partner specializing in property and casualty claims management, subrogation recovery, and litigation management for private and public sectors, insurance companies, and captives.
Our clients count on us to care for their needs when the unexpected happens. Our culture is derived from the people that create it. We are not different in what we do. We are different in how we do it. Our culture helps us collaborate, unite, and create a diverse workforce. Our people are at the core of our purpose, vision, mission, and values.
We offer competitive compensation and a comprehensive benefits package:
- 401k + employee match
- Medical, dental, vision, life, and disability insurance
- Paid Time Off (PTO)
- Paid Holidays
- Paid Sick leave
- Professional development programs
- Work-life quality and flexibility
RESPONSIBILITIES
- Executes client/Carl Warren strategies to achieve claims quality, customer service, and operational objectives.
- Proactively work claims to ensure file quality meets Carl Warren & Company Claim Handling Guidelines and client requirements.
- A high level of productivity measured according to the age and complexity of the assigned caseload.
- Maintains a timely diary of claims.
- Consistently achieves audit scores of 90% and above.
- Focuses on providing the client with an outstanding work product.
- Provides excellent customer service to internal and external customers.
- Develops strategies for claims resolution with file notes reflecting clarity, focus, control/management, and momentum.
- Identifies/utilizes vendors and effectively manages the vendors to achieve satisfactory results on both the expense and indemnity costs.
- Up to 25% travel for field work and court appearances.
QUALIFICATIONS
- Four or more years handling auto and/or general liability claims for a standard auto and/or general liability insurance carrier
- Two or more years experience handling litigated claims with a well-developed understanding of the litigation process
- College degree preferred
- Strong claim evaluation skills with the ability to identify the issues involved, formulate an action plan, assess liability, evaluate the damages involved, and put a settlement number on the claim and explain why
- Strong negotiation skills
- Must be able to function and support others in a team environment
- High level of personal responsibility and pride in work product
Visit us online at www.carlwarren.com
Senior Client Executive- Employee benefits
Summary
Acts as an agent of Producer assigned accounts, including servicing and/or solicitation activities. Manages book of business and partners with the service team.
Essential Duties And Responsibilities
- Manages all client required services and maintains client relationship with minimal input from Producers
- Manages large book of business through direction of employees on service team
- Receives and develops new business leads from Producers or identifies and develops cross-sell opportunities
- Acts as direct point of contact for client from time of lead
- Acts as the lead representative to an assigned book-of-business
- Participates in team selling process including finalist interviews and RFP responses
- Prepares and presents to client renewal analysis
- Sells renewal business to existing clients and where applicable, sells additional lines of coverage
- Promotes to clients other services offered by our agency by way of preparing Producer Service Proposals
- Provides analysis and recommendations concerning client's existing coverages
- Selects carriers for solicitation and negotiates with carriers for benefit and premium considerations
- Receives and responds to client inquiries including benefit and claim questions and issues
- Reviews client coverage contracts and amendments for accuracy
- Manages and negotiates third party vendor relationships and contracts on behalf of the client
- Manages dedicated service team
- Serves as technical expert, assisting department members to resolve complex issues
- Provides mentoring and coaching to departmental staff
- Complies with agency management system data standards and data integrity (enters and maintains complete and accurate information)
- Other duties as assigned
Qualifications
EDUCATION / EXPERIENCE
- Bachelor’s degree or equivalent combination of education and experience
- Eight (8) or more years’ related work experience
- Valid insurance license
- Must continue to meet Continuing Education requirements for license renewal
Skills
- Proficient in Microsoft Office Suite
- Excellent verbal and written communication skills
- Good problem solving and time management skills
- Ability to work within a team and to foster teamwork
- Good planning, organizational and prioritization skills
Expected Salary Range: $90K-$147K
Job Description:
Bring your Workers’ Compensation expertise to a national commercial insurance brokerage. The Workers Compensation Specialist serves as a liaison between our customers (Insureds) and the insurance carriers on new and existing Workers’ Compensation claims throughout the country. Join our growing Risk Control Team!
Duties and Responsibilities:
- Analyze new and existing Workers’ Compensation claims by gathering information to determine exposure of the claim.
- Maintain diary/suspense high exposure/complex open claims that involve litigation, rehabilitation etc.
- Respond to Workers’ Compensation questions from clients and Insurers.
- Prepare and present “Claims Reviews” to client.
- Present findings to the client, account executive or producer.
- Use appropriate cost containment techniques (reserve management) including strategic vendor partnerships to reduce overall cost of claims for our clients.
- Set up a proactive “Plan of Action” on open claims.
- Prepare Unit Statistical Filing and Experience Modification projections.
- Prepare claims status reports and send to client per the “Risk Management Client Service Guidelines”.
- Attend seminars, conventions and on-line training to keep abreast of the changing rules and regulations related to Workers’ Compensation.
- Coordinate Workers’ Compensation seminar presentations for our clients.
- Up to 25% travel
Competencies:
- Oral Communication – Speaks clearly and can respond well in positive or negative situations; listens and gets clarification as needed; responds well to questions.
- Planning and multitasking skills – Exceptional organizational skills, meet deadlines, plan and schedule and multitask various assignments, tasks and events.
- Written communication – Writes clearly and concisely; edits work for spelling and grammar; presents numerical data effectively.
- Teamwork – Balances needs of team in addition to individual responsibilities; willing to assist others as needed.
- Presentation skills – Begins to develop presentation skills; maintains a professional appearance.
- Commits to following company procedures; demonstrates ethical behavior in all business dealings.
- Working knowledge of Microsoft products (Outlook, Word, Excel, PowerPoint)
Education and Experience:
- Minimum 5 years Workers’ Compensation claims experience
- Bachelor’s degree preferred, from an accredited college or university
- P&C license required
- Professional certification as applicable to Workers’ Compensation preferred
While performing the duties of this job, the employee may exert up to 20 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift and/or move objects. The employee is regularly required to reach with hands and arms; use hands and fingers to grasp, perform repetitive motions; talk and hear. The employee is occasionally required to climb, balance, kneel, crouch, crawl, stand, walk, push, pull, lift and feel. This job requires the employee to have close visual acuity.
Physical Demands:
While performing the duties of this job, the employee may exert up to 20 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift and/or move objects. The employee is regularly required to reach with hands and arms; use hands and fingers to grasp, perform repetitive motions; talk and hear. The employee is occasionally required to climb, balance, kneel, crouch, crawl, stand, walk, push, pull, lift and feel. This job requires the employee to have close visual acuity.
Job Type: Full-time
Salary: $70,000.00 - $85,000.00 per year
Carl Warren & Company is a leading nationwide Third-Party Administrator (TPA) founded in 1944. Carl Warren has been a trusted partner specializing in property and casualty claims management, subrogation recovery, and litigation management for private and public sectors, insurance companies, and captives.
Our clients count on us to care for their needs when the unexpected happens. Our culture is derived from the people that create it. We are not different in what we do. We are different in how we do it. Our culture helps us collaborate, unite, and create a diverse workforce. Our people are at the core of our purpose, vision, mission, and values. We are looking for a Support Specialist to join our team.
We offer competitive compensation and a comprehensive benefits package:
- 401k + employee match
- Medical, dental, vision, life, and disability insurance
- Paid Time Off (PTO)
- Paid Holidays
- Paid Sick leave
- Professional development programs
- Work-life quality and flexibility
Visit us online at www.carlwarren.com
RESPONSIBILITIES
- Completes forms, letters, and other communications. Sets up paper/electronic files and databases.
- Processes incoming/outgoing mail.
- Route internal/external inquiries to the proper source
- Responsible for administrative tasks such as expenses, maintaining supplies, assembling certified mail, copying, faxing, scanning and filing
- Additional duties as directed
QUALIFICATIONS
- 1+ years of office/clerical experience
- 2+ years of customer service experience
- Basic computer skills and knowledge of Microsoft applications
- High school degree or equivalent, college degree preferred
Up to $20.00 per hour