California Licensed Claim Examiner

Job Summary

Managing complex claims with minimal supervision, the full-time California Licensed Claim Examiner will investigate, settle, and analyze large loss claims while mentoring new hires and collaborating with legal counsel.

Key responsibilities

• Interprets complex policy coverages and determines liability for claims
• Manages investigative activities and directs litigation strategy for complex claims
• Establishes reserves and authorizes payments, ensuring timely claim settlements

Required qualifications

• Bachelor's degree or equivalent experience required; industry designations preferred
• 4-8 years of technical claims investigation and settlement experience
• Workers Compensation (WC) Adjuster License required according to jurisdictional requirements
• Ability to work independently while managing multiple projects
• Strong analytical skills with effective interpersonal abilities to interact with clients