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A bit about us:

Client offers tailored solutions in Claims, Medical and Disability Management.

Why join us?

Competitive Compensation Package
Comprehensive Benefits
Career Development/Growth
Industry Leader

Job Details

As a Permanent Senior Claims Examiner, you will be at the forefront of managing and resolving high complexity claims. You will be part of a dynamic team that handles a wide variety of claims, including large loss claims, and you will be responsible for investigating, evaluating, and settling these claims. This role is a unique opportunity to leverage your analytical skills, problem-solving abilities, and industry knowledge to make a significant impact on our business and clients.

Responsibilities:
  • Manage a caseload of high complexity claims, including large loss claims, from start to finish.
  • Conduct thorough investigations of each claim, including interviewing claimants, witnesses, and experts; reviewing documents and evidence; and visiting the scene of the loss, if necessary.
  • Evaluate the validity and value of each claim based on your investigation and industry standards.
  • Negotiate and settle claims in a fair and timely manner, while maintaining a focus on customer satisfaction and company profitability.
  • Collaborate with legal counsel, medical professionals, and other experts as needed to resolve claims.
  • Maintain accurate and up-to-date claim files and documentation.
  • Stay current on industry trends, regulations, and best practices, and apply this knowledge to your work.
  • Mentor and guide junior claims examiners, sharing your expertise and fostering a positive, collaborative team environment.

Qualifications:
  • 5+ years of experience as a Claims Examiner, with a focus on handling high complexity and large loss claims.
  • Strong investigative skills, including the ability to gather and analyze evidence, draw conclusions, and justify decisions.
  • Excellent negotiation and conflict resolution skills, with a proven track record of settling claims fairly and efficiently.
  • Deep understanding of the Technology industry and its unique risks and challenges.
  • Ability to work independently and manage a large caseload, while maintaining attention to detail and meeting deadlines.
  • Strong communication and interpersonal skills, with the ability to interact effectively with claimants, colleagues, and other stakeholders.
  • Proficiency in claims management software and other relevant technology.
  • Bachelor's degree in a related field is preferred.
  • Professional certification in claims management or a related area is a plus.
Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance.
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