The main duty of the Claims Adjuster is to adjust difficult losses for the program to which they are assigned.
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.
Investigate facts of underlying loss by securing statements and supporting documentation.
Exercise judgment in applying legal liability to assigned claims and will have full settlement authority up to their specific authority.
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.
Provide insureds, claimants and sponsoring companies with regular updates on status of file handling.

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.

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.

Claims Adjuster

Key skills