Claims Examiner/Associate Claims Examiner jobs in United States
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Acadia Insurance (a Berkley Company) · 1 day ago

Claims Examiner/Associate Claims Examiner

positionUS-CA-San Diego
timeFull-time
remoteOnsite
seniorityEntry, Mid, Senior Level
money$60K/yr - $116K/yr

Acadia Insurance, a Berkley Company, specializes in providing workers’ compensation insurance to California business owners. They are looking for passionate professionals to join their Claims team, which manages workers’ compensation claims with integrity and accuracy, ensuring timely and fair resolution in compliance with California WCAB rules and regulations.

Commercial InsuranceInsurance

Responsibilities

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
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

Qualification

Workers' compensation claimsNegotiation skillsAnalytical skillsCommunication skillsEagerness to learnPC literateOrganizational skills

Required

1–10 years of workers' compensation claims experience
Professional certification as applicable
Strong negotiation, analytical, and communication skills

Preferred

Bachelor's degree preferred
Strong written/verbal communication and organizational skills
Analytical mindset and eagerness to learn
PC literate

Benefits

Health
Dental
Vision
Life
Disability
Wellness
Paid Time Off
401(k)
Profit-Sharing plans

Company

Acadia Insurance (a Berkley Company)

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Acadia Insurance specializes in commercial property casualty insurance. Our company began in 1992 insuring businesses in Maine.
dateFounded in 1992
location
Westbrook, Maine, USA
people-size201-500 employees
web-link
https://www.acadiainsurance.com/

Funding

Current Stage
Growth Stage

Leadership Team

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Simone Grimes, CPA, MBA
Chief Financial Officer
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Steve Rich, CPCU
Senior Vice President & Chief Claims Officer
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Recent News

PRNewswire
UVeye Collaborates with Acadia Insurance to Transform Auto Claims with AI
2024-03-06
Coverager - Insurance news and insights
Acadia Insurance celebrates 30 years serving northeast businesses
2022-06-28
Company data provided by crunchbase