AUTO CLAIMS EXAMINER/ADJUSTER_ San Diego, CA Residents
Anchor General Insurance Company is excited to be recruiting ambitious, investigation-minded claims professionals. We have employment opportunities to work as an in-office employee with potential hybrid options for those residing in California.
Are you interested in the small business feel with growth aspirations? Do you want to be a part of a growing team where you can make an immediate impact? Do you love to learn about law, fraud, body shops, medical claims, and how the world of insurance connects us all?
** Apply NOW, don't wait for your future to begin. **
Claims Examiner- you are a focused auto claims professional capable of managing coverage, liability, and fraud detection investigations expeditiously for a non-standard auto insurance carrier. Your tenacity keeps you on top of a challenging pace that gets you excited to build upon a strong foundation of claims experience. When faced with a problem, you can navigate through it, around it, and everywhere in between to get it done.
Position Summary:
As an experienced claims professional you will play a critical role by being part of our claims team that focus on delivering an empathetic voice and provide exceptional customer service by achieving a prompt, fair and equitable settlement according to fair claims handling requirements. In this role, you will investigate, evaluate and negotiate claims of varying complexity. This includes knowledge of contracts, investigation, and determination of coverage, liability, damages, and the setting of proper reserves. This may also include the ability to investigate, evaluate and negotiate bodily injury claims with both attorney represented claimants as well as claimants without attorney representation.
Duties and Responsibilities:
Empathize and assist our customers that have been involved in an auto accident.
Evaluate losses utilizing critical thinking and solid judgment to solve problems, make decisions and resolve complex issues inherent in handling claims by using the claim report, the insurance policy and administers applicable state statues in accordance with established company guidelines.
Conducts a prompt, thorough and fair investigation by obtaining relevant facts to determine coverage, origin and extent of loss.
Engages and manages with parties involved in the claims process by determining facts, causation, damages and exposure; monitors costs to endure they are reasonable and necessary.
Keeps the insured and others informed about the claims status with patience, clarity, timely and accurate written/verbal communications to resolve claims efficiently and effectively.
Confirms or denies coverage of the claim based on the facts and the policy terms and conditions.
Develops information necessary to make advance, partial and final payments when appropriate.
Effectively negotiates the settlement of claims of varying complexity with little direction and more complex claims under the direction of their supervisor/manager.
Achieves a prompt, fair and equitable settlement of a claim, where there is policy liability.
Maintains a diary system for file review and document files to reflect status of work being performed on the file.
Documents and communicates all claims activities timely and effectively and in a manner which supports the outcome of the claims file
Other duties as assigned by Supervisor/Manager
Experience and Skills:
Qualifications:
To be successful an individual must have a disciplined approach to all job-related activities. A solid foundation of personal organization, sound decision making and analytical skills, customer service skills, and a clear understanding
of team commitment are required. Previous experience in the workplace, academics, or school sponsored extra-curricular participation that provided an opportunity to develop these skills is preferred. This individual should demonstrate the ability to communicate
in a clear manner, possess excellent interpersonal skills and must also demonstrate confidence in their decision-making ability. A college degree is preferred.
2 or more years of experience preferred in insurance automobile claims experience.
Exercise sound financial judgment and discretion in handing insurance claims.
Knowledge of automobile claims, coverage evaluation, claims investigation, loss assessment, evaluation and reserves, insurance regulation, negotiation and settlement.
Knowledge of investigation management including but not limited to taking and using recorded statements, determining coverage and application of coverage to claims, negotiation and resolution of claims.
Knowledge of California specific adjusting issues including California insurance claims regulatory compliance, relevant case law and California claims legal framework.
Arizona, Texas, Washington, and Oregon claims knowledge a plus.
Self-directed individual who works well with minimal supervision.
Must have strong analytical skills necessary to make decisions, resolve issues inherent in handling claims effectively by dealing with situations at various levels of intensity and reach a resolution.
Must be able to interpret insurance policies and various contracts, perform analytical research and make sound decisions using good judgment.
Interpersonal skills and ability to work with all levels of the organization.
Ability to effectively operate a computer and have working knowledge of MS Office applications.
Auto Liability CLAIMS EXAMINER - On site and potential for hybrid options depending on performance and experience.