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TPA Claims Examiner Position

In Capellen United States

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TPA Claims Examiner Position   

JOB TITLE:

TPA Claims Examiner Position

JOB TYPE:

Full-time

JOB LOCATION:

Simi Valley Capellen United States

JOB DESCRIPTION:

Job Description

As part of your role, you will be responsible for a range of tasks, including but not limited to:

  • Investigating, evaluating, and resolving personal auto or commercial auto liability and transportation claims.
  • Thoroughly documenting investigations, evaluations, recommendations, and action plans.
  • Drafting professional letters, memos, and comprehensive reports.
  • Reviewing independent adjuster reports for accuracy and compliance.
  • Ensuring the continuous settlement of claims in alignment with industry best practices and adherence to all state and federal regulations.
  • Strategizing and taking decisive actions to achieve the best possible outcomes for each claim.
  • Demonstrating exceptional organizational abilities, effective communication skills, and proficiency in analytical thinking, writing, negotiation, and follow-up.
  • Ensuring full compliance with state and federal laws, Department of Insurance criteria, and the policies and procedures of insurance carriers.

Qualifications and Skills:

To excel in this role, the following qualifications and skills are essential:

  • Proficiency in comprehending and applying commercial and/or personal lines policy terms and endorsement forms.
  • The capability to draft memos for review and approval by supervisor.
  • Proven ability to effectively manage a full caseload within a fast-paced environment.
  • Outstanding organizational skills, including the maintenance of a robust diary system.
  • A minimum of 5 years of experience in adjusting.
  • Prior experience with TPAs is advantageous.
  • Proficiency in Microsoft Office products (Outlook, Word, Excel, Teams).
  • An aptitude for quickly learning new IT applications.
  • Possession of an Adjuster License in the following states: CA, NV, AZ, WA, UT, OR, and AK, or the ability to obtain licenses in these states within a reasonable timeframe.

Job Type: Full-time

Salary: $72,000.
00 $85,000.
00 per year

Benefits:

  • Health insurance
  • Dental insurance
  • Vision insurance
  • Life insurance
  • 401(k)
  • Paid time off
  • Continuing education credits
  • Flexible spending account
  • Remote/Flexible work allowed
  • Opportunities for advancement

E-mail, fax or mail your resume to SGD at the following
E-mail: apply@sgdinc.
com
Fax: 818-909-7365
Address: Schifrin, Gagnon & Dickey, Inc.

980 Enchanted Way, Suite 105
Simi Valley, CA 93065-0912

Position Details

POSTED:

EMPLOYMENT:

Full-time

SALARY:

85000 per year

SNAPRECRUIT ID:

S-1707241748-e09e9db44f3975d1883dd01ad11b6579

LOCATION:

Capellen United States

CITY:

Simi Valley

Job Origin:

jpick2

A job sourcing event
In Dallas Fort Worth
Aug 19, 2017 9am-6pm
All job seekers welcome!

TPA Claims Examiner Position    Apply

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Job Description

As part of your role, you will be responsible for a range of tasks, including but not limited to:

  • Investigating, evaluating, and resolving personal auto or commercial auto liability and transportation claims.
  • Thoroughly documenting investigations, evaluations, recommendations, and action plans.
  • Drafting professional letters, memos, and comprehensive reports.
  • Reviewing independent adjuster reports for accuracy and compliance.
  • Ensuring the continuous settlement of claims in alignment with industry best practices and adherence to all state and federal regulations.
  • Strategizing and taking decisive actions to achieve the best possible outcomes for each claim.
  • Demonstrating exceptional organizational abilities, effective communication skills, and proficiency in analytical thinking, writing, negotiation, and follow-up.
  • Ensuring full compliance with state and federal laws, Department of Insurance criteria, and the policies and procedures of insurance carriers.

Qualifications and Skills:

To excel in this role, the following qualifications and skills are essential:

  • Proficiency in comprehending and applying commercial and/or personal lines policy terms and endorsement forms.
  • The capability to draft memos for review and approval by supervisor.
  • Proven ability to effectively manage a full caseload within a fast-paced environment.
  • Outstanding organizational skills, including the maintenance of a robust diary system.
  • A minimum of 5 years of experience in adjusting.
  • Prior experience with TPAs is advantageous.
  • Proficiency in Microsoft Office products (Outlook, Word, Excel, Teams).
  • An aptitude for quickly learning new IT applications.
  • Possession of an Adjuster License in the following states: CA, NV, AZ, WA, UT, OR, and AK, or the ability to obtain licenses in these states within a reasonable timeframe.

Job Type: Full-time

Salary: $72,000.00 $85,000.00 per year

Benefits:

  • Health insurance
  • Dental insurance
  • Vision insurance
  • Life insurance
  • 401(k)
  • Paid time off
  • Continuing education credits
  • Flexible spending account
  • Remote/Flexible work allowed
  • Opportunities for advancement

E-mail, fax or mail your resume to SGD at the following
E-mail: apply@sgdinc.com
Fax: 818-909-7365
Address: Schifrin, Gagnon & Dickey, Inc.
980 Enchanted Way, Suite 105
Simi Valley, CA 93065-0912


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