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Anchor General Insurance Agency · 10 hours ago

CLAIMS EXAMINER

San Diego, CA 92131

Full-time

Hybrid

Entry, Mid Level

$25/hr - $35/hr

2+ years exp

Anchor General Insurance Agency is seeking an experienced claims professional to join their claims team. The role involves delivering exceptional customer service and achieving fair settlements by investigating, evaluating, and negotiating claims of varying complexity.

Financial Services

Responsibilities

Empathize and assist those that have been involved in an auto accident

Evaluate losses utilizing critical thinking and solid judgment to solve problems, make decisions, and resolve complex issues

Conduct prompt, thorough and fair investigations by obtaining relevant facts to determine coverage, origin and extent of loss

Monitor costs to ensure they are reasonable and customary

Keep the insured and others informed about the claim status with timely and accurate written/verbal communications to resolve claims efficiently and effectively

Confirm or deny coverage of the claim based on the facts and the policy terms and conditions

Negotiate the settlement of claims, based on experience, under varying levels of oversight from supervisor and management according to authority levels and file complexity. Maintain a diary system for file review and document files to reflect status of work being performed on the file

Document and communicate all claims activities timely and effectively and in a manner which supports the outcome of the claims file

Answer phone calls and respond to emails and voicemails in a timely manner

Other duties as assigned

Qualification

Automobile claims knowledgeClaims investigationCalifornia claims regulationsNegotiation skillsAnalytical skillsCustomer service skillsMS Office proficiencySelf-directedInterpersonal skillsCommunication skillsAttention to detail

Required

A disciplined approach to all job-related activities

A solid foundation of personal organization

Sound decision making

Analytical skills

Customer service skills

A clear understanding of team commitment

Ability to communicate in a clear manner

Excellent interpersonal skills

Confidence in decision-making ability

Exercise sound financial judgment and discretion in handling insurance claims

Knowledge of automobile claims: coverage evaluation, claims investigation, loss assessment, evaluation, reserves, insurance regulations, negotiation, and settlement

Knowledge of investigation management, including but not limited to taking and using recorded statements, determining coverage and application of coverage to claims, negotiation, and resolution of claims

Knowledge of California-specific adjusting, including California insurance claims regulatory compliance, relevant case law, and California claims legal framework

Arizona, Texas, Washington, and Oregon claim knowledge as a plus

Self-directed individual who works well with minimal supervision

Strong analytical skills necessary to make decisions, resolve issues inherent in handling claims effectively by dealing with situations at various levels of intensity and reach a resolution

Ability to interpret insurance policies and various contracts, perform analytical research, and make sound decisions using good judgment

Ability to effectively operate a computer and have working knowledge of MS Office applications

Ability to multitask

Ability to adapt quickly in a fast-paced environment and strong attention to detail

An effective listener with the ability to manage, analyze, and execute directions

Excellent verbal and written communication skills and the ability to interact professionally with a diverse group of co-workers, supervisors, managers, internal customers, external customers, vendors, and other insurance professionals

A Texas All Claims Insurance License may be required, depending on company forecasts

Able to meet minimum efficiency standards for customary business applications such as Word, Excel, Google Sheets, and Teams