Claims Examiner Positions
Preferred Employers Insurance is entering an exciting chapter of growth, and our Claims team will play a pivotal role in shaping our success in the year ahead. We're looking for passionate professionals to join us in delivering exceptional service and results.
Opportunities:
- Experienced Claims Adjusters & Senior Adjusters Bring your expertise and make an immediate impact.
- Associate Claims Examiner (ACE) Ideal for high-potential individuals with little to no prior claims experience who are eager to learn and grow.
If you're ready to be part of a dynamic team and help shape the future of our organization, we'd love to hear from you!
Our Claims team manages workers' compensation claims with integrity, accuracy, and a commitment to exceptional service. Whether you're an experienced examiner or just starting your career, you'll play a key role in ensuring timely and fair resolution of claims in compliance with California WCAB rules and regulations.
For Experienced Claims Examiners:
- Analyze and process workers' compensation claims, determining coverage, compensability, and exposure.
- Negotiate settlements within authority limits and manage litigation when necessary.
- Calculate and assign reserves; ensure reserve adequacy throughout the life of the claim.
- Prepare state filings and manage vendor referrals for investigations or litigation.
- Actively pursue recoveries, including subrogation and other offsets.
- Maintain professional relationships and deliver consistent, high-quality claims service.
For Associate Claims Examiners:
- Participate in comprehensive training on workers' compensation laws and claims handling.
- Handle medical-only and minor indemnity claims under supervision.
- Conduct three-point contact investigations and determine compensability for uncomplicated claims.
- Develop action plans and manage claims to timely resolution.
- Provide excellent customer service and complete work queues and diaries promptly.
Qualifications
For Experienced Examiners:
- Bachelor's degree preferred
- 110 years of workers' compensation claims experience
- Professional certification as applicable
- Strong negotiation, analytical, and communication skills
For Associate Examiners:
- Bachelor's degree preferred
- Strong written/verbal communication and organizational skills
- Analytical mindset and eagerness to learn
- PC literate
Additional Company Details
We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include: Base Salary Range: $60,000 - $116,000 Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.