Claims Examiner, Sr. jobs in Oakland, CA

Company Details

Berkley Enterprise Risk Solutions will offer specialized workers’ compensation solutions to California-based clients with sophisticated risk management capabilities and interests. We are pleased to be expanding our expertise to this segment of the market with dedicated capabilities and expertise. 

The company is an equal opportunity employer.

Responsibilities

The Senior Claims Examiner handles all aspects of claims notices and files related to workers compensation and accompanying coverages, including but not limited to claims and coverage analysis, liability and damages analysis, reserve setting, reporting, reinsurance analysis and reporting, and travel. This role manages outside defense and coverage counsel that are assigned on claim or pre-claim files, including cost containment and litigation management, and supports and assists with marketing and loss prevention education, including development of educational materials, for assigned product lines, as requested or needed. It will support and assist functional departments, including marketing, risk management, finance and actuarial, including any related travel, as needed or requested and actively engage in and embrace the company’s continued learning and innovation culture, including participation in innovation groups to identify solutions for enhancement and change.

Key functions include but are not limited to:

• Adjusting all aspects of claims and loss notices, including but not limited to claims and coverage analysis, liability and damages analysis, reserve setting, reporting, reinsurance analysis and reporting and coverage litigation.
• Attend mediations, settlement conferences, trials and other claims-related travel as needed or required.
• Support the marketing, risk management, finance and actuarial departments, including any related travel, as needed or requested.
• Assist with or conduct large loss and reinsurance reporting.
• Maintain adjuster’s licenses in all states requiring licenses, or as requested.
• Possible product line oversight.
• Business-related travel as require or needed.
• Assist with marketing and development of risk management materials, as needed
• Active engagement in the company’s innovation culture and group
• Continued and self-driven learning

Qualifications

• BA or BS optional or at least 8 - 10 years experience
• Must be bilingual (English/Spanish).
• Ability to travel up to 30% of the time.
• Computer skills including, but not limited to, Word, Excel and PowerPoint.
• Preferred: Adjuster’s licenses in multi - states requiring a license, but California is a must.

Additional Company Details