Preferred Employers Insurance (a Berkley Company) · 16 hours ago
Associate Claims Examiner
San Diego, CA
Full-time
Onsite
Entry Level
$60K/yr - $65K/yr
2+ years expPreferred Employers Insurance, a Berkley Company, specializes in providing workers’ compensation insurance to California business owners. The Associate Claims Examiner is responsible for processing claim indemnity payments, issuing benefit notices, and assisting with customer service in the claims department while ensuring compliance with state regulations.
Financial ServicesHealth InsuranceInsurance
No H1B
Responsibilities
Make indemnity payments to claimants, both lump sum and ongoing payments, including initial, final and retroactive periods
Issue Benefit Notices as required with regards to the start, changing and ending of benefits
Will issue Permanent Disability denials in certain circumstances and notify claims examiner with an Activity
Transmit Second Report of Information (SROI) to the State of California as required
Gather and document information from medical providers on disability status of claimants
Referral to Return to Work Coordinator who will gather and document information from insureds on return to work status of their injured employees as well as availability of modified or alternate duties. Follow up on return to work status, through coordinator, until an offer is made or a final decision not to accommodate is made
Refers cases as appropriate to management by setting an activity for review
Maintains professional client relationships
Timely and appropriate notification to examiner on cases with indemnity payments, on need for appropriate reserves to ensure adequacy for life of claim
Coordinate and process void, stop pay, and reissue Indemnity payments
Offer and, if accepted, enroll claimants in our EFT program
Attend Examiner Certification training as directed by Supervisor
Upon certification as an Experienced Examiner, additional duties may be added including, but not limited to, drafting of settlement documents and calculation of wage statements
Assist technical and operations with other duties as needed and as time allows
Qualification
Required
2+ years of related administrative office work experience
Strong written and verbal communication skills, attention to detail and deadline structures
Ability to work both independently and collaboratively with all levels of staff
Proficient with MS Office software and PC applications and systems
Preferred
Bachelor degree from an accredited college or university preferred
Baccalaureate degree from an accredited college or university preferred
Knowledge of workers' compensation principles and policies equivalent preferred
Benefits
Health
Dental
Vision
Life
Disability
Wellness
Paid Time Off
401(k)
Profit-Sharing plans
Company
Preferred Employers Insurance (a Berkley Company)
Preferred Employers Insurance, a Berkley company, is a specialty provider of workers’ compensation insurance.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Eric Hansen
Senior Vice President - Underwriting
Stephanie Graham
Vice President of Claims
Recent News
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