Talent.com
W.R. Berkley
Claims Examiner/Associate Claims ExaminerW.R. Berkley • San Diego, CA, United States
No longer accepting applications
Claims Examiner/Associate Claims Examiner

Claims Examiner/Associate Claims Examiner

W.R. Berkley • San Diego, CA, United States
30+ days ago
Salary
$60,000.00 yearly
Job type
  • Full-time
Job description

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.

Create a job alert for this search

Claims Examiner/Associate Claims Examiner • San Diego, CA, United States

Similar jobs

Content Claims Specialist - Field - Level I

Crawford & CompanySan Diego, CA, United States
Full-time

Content Claims Specialist Field (Level I).Your next career move starts here join us in California!.Position: Content Claims Specialist Field (Level I) Work Setup: Hybrid Work From Home + Drivin... Show more

 • Promoted

Workers Compensation Claims Examiner

SedgwickSan Diego, CA, United States
Full-time

Workers Compensation Claims Examiner.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the un... Show more

 • Promoted

Associate Claims Specialist - Workers Compensation - West Region

Liberty Mutual Insurance GroupSan Diego, CA, United States
Full-time

Under direct supervision, develops the knowledge and skills needed to conduct thorough investigations, make decisions about liability / compensability, evaluate losses, negotiate settlements and ma... Show more

 • Promoted

Workers Compensation Claims Examiner | Dedicated Account | 3 Days Remote

SedgwickSan Diego, CA, United States
Remote
Full-time

Workers Compensation Claims Examiner.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the un... Show more

 • Promoted

Insurance Claims Manager

Whiteboard Risk & Insurance SolutionsSan Diego, CA, US
Full-time
Quick Apply

Recruiters & Staffers - We prefer to hire direct.Please do not solicit your services to any member of our organization.Interested Applicants - The hiring team for this position will handle all ... Show more

Field Claims Adjuster (LOS ANGELES)

USAASan Pasqual, California, United States
Full-time

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice.We seek to be the #1 choice for the military... Show more

 • Promoted

Experienced Claims Adjuster

Berkshire Hathaway Homestate CompaniesSan Diego, CA, United States
Full-time

Berkshire Hathaway Homestate Companies has an immediate opportunity for an experienced workers compensation adjuster.We're looking for self-starters who can work under minimum direction, can achiev... Show more

 • Promoted

Workers Compensation Claims Examiner | Dedicated Account | 3 Days Remote

Sedgwick Claims Management Services, Inc.San Diego, CA, United States
Remote
Full-time

By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected.We invite you to grow your c... Show more

 • Promoted

Claims Examiner Trainee

Berkshire Hathaway Homestate CompaniesSan Diego, CA, United States
Full-time

Workers' Compensation Claims Adjuster.Are you searching for a unique opportunity that offers exceptional training and career growth with a dynamic and growing organization? Berkshire Hathaway Homes... Show more

 • Promoted

Claims Analyst

TALENT Software ServicesSan Diego, CA, United States
Full-time

Are you an experienced Claims Analyst with a desire to excel? If so, then Talent Software Services may have the job for you! Our client is seeking an experienced Claims Analyst to work at their com... Show more

 • Promoted

Claims Representative (IAP) - Workers Compensation Training Program

SedgwickSan Diego, CA, United States
Full-time

Claims Representative (IAP) - Workers Compensation Training Program.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around ... Show more

 • Promoted

Large Loss Property Field Claims Adjuster (San Diego, CA)

American Family InsuranceSan Diego, CA, United States
Full-time

Lead level role that investigates and maintains highly complex property claims.Determine liability, secure information, reviews coverages, arrange appraisals, and settles claims.Demonstrate experie... Show more

 • Promoted

Insurance Agent

HealthMarketsEscondido, CA, US
Full-time

If you’re looking for an exciting opportunity where you can change people’s lives and achieve financial success as an independent insurance agent, you’ve come to the right place.Becoming an indepen... Show more

 • Promoted

Collections

TradeJobsWorkforce92196 San Diego, CA, US
Full-time

Responsible for performing various collection duties on consumer or mortgage accounts in various stages of risk or performance to effectively reduce delinquency, losses and increase recoveries.Area... Show more

 • Promoted

Workers Compensation Senior Claims Examiner

ICW GroupSan Diego, CA, United States
Full-time

Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are re... Show more

 • Promoted

Workers Compensation Claims Examiner III _ Temp /Perm

TRISTAR Insurance GroupSan Diego, CA, United States
Full-time

Workers Compensation Claims Examiner III Temp/Perm.Fully Remote San Diego Office - San Diego, CA 92111.Salary Level Experienced Position Type Temporary Job Shift Day Education Level High School Di... Show more

 • Promoted

HealthMarkets Insurance Agent

HealthMarketsSan Diego, CA, US
Full-time

If you’re looking for an exciting opportunity where you can change people’s lives and achieve financial success as an independent insurance agent, you’ve come to the right place.Becoming an indepen... Show more

 • Promoted

Experienced Insurance Agent

HealthMarketsEscondido, CA, US
Full-time

If you’re looking for an exciting opportunity where you can change people’s lives and achieve financial success as an independent insurance agent, you’ve come to the right place.Becoming an indepen... Show more

 • Promoted

Insurance Representative

HealthMarketsEscondido, CA, US
Full-time

If you’re looking for an exciting opportunity where you can change people’s lives and achieve financial success as an independent insurance agent, you’ve come to the right place.Becoming an indepen... Show more

 • Promoted

Donation Center Associate

TradeJobsWorkforce92126 San Diego, CA, US
Full-time

Now hiring a Donation Center Associate, where you will respond to questions by phone, email, or in-person, assist with packaging, labeling, and preparing items for delivery, and manage simple recor... Show more