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Claims Adjuster - Remote

Work from home Full-time role Hiring

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Claims Adjuster - Remote Lancer Claims Services specialize in the handling of liability insurance claims with an emphasis on errors and omissions claims. With over 35 years of experience providing innovative claim management solutions, our clients can expect personalized service and exceptional results from a team of dedicated professionals. The main duty of the Claims Adjuster is to adjust difficult losses for the program to which they are assigned. ESSENTIAL DUTIES & FUNCTIONS include the following.

  • The Claims Adjuster is involved in complicated programs that generate high awareness among the client, the underwriting carrier, the sponsoring company, and CalSurance Associates. The Claims Adjuster will often be called upon to make presentations to these groups.
  • Research applicable coverage for our insureds. Document coverage dates, limits, and restrictions.
  • Identify and resolve any potential coverage questions. Draft reservation of rights and coverage denials for review and approval by the Coverage Senior Claims Adjuster.
  • Secure supporting documentation for assigned claims, e.g. insured's file materials and notes, underwriting guidelines, underwriting carrier's investigation package, phone logs, etc. Investigate facts of underlying loss by securing statements and supporting documentation such as copy of policy, police reports, estimates of repair, new account profile, risk tolerance questionnaire, etc.
  • Exercise judgment in applying legal liability to assigned claims and will have full settlement authority up to their specific authority, which may vary from carrier to carrier.
  • Assign defense counsel to answer and defend lawsuits when appropriate. Monitor and direct defense counsel, independent adjusters, and experts.
  • Identify claims with potential exposure in excess of authority and advise the Claims Supervisor/Team Lead.
  • Handle claims within guidelines of the Fair Claims Practices 790.03
  • Provide insureds, claimants and sponsoring companies with regular updates on status of file handling.
  • Discuss unique and complex files or issues with Claims Supervisor/Team Lead.
  • This position may require routine or periodic travel which may require the teammate to drive their own vehicle or a rental vehicle. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. Job Requirements
  • 3-5 years claims handling experience required, professional liability claims handling preferred.
  • College degree (B.A or B.S.) required, J.D. helpful
  • Must be licensed as a Qualified Claims Manager in the State of California within 90-days of hire and any other states as needed.
  • Must be detail oriented, self-motivated, and can handle multiple and changing priorities, and have good organization skills.
  • Critical thinking and excellent communication skills are required.
  • Proficient computer skills including Microsoft Office Outlook, Word and Excel. Pay Range 70,000 - 85,000 Annual The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role. Teammate Benefits & Total Well-Being We go beyond standard benefits, focusing on the total well-being of our teammates, including
  • Health Benefits Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
  • Financial Benefits ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
  • Mental Health & Wellness Free Mental Health & Enhanced Advocacy Services
  • Beyond Benefits Paid Time Off, Holidays, Preferred Partner Discounts and more. Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations. The Power To Be Yourself As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, "The Power to Be Yourself". Apply tot his job Apply To this Job

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