Acadia Insurance (a Berkley Company) · 20 hours ago
Associate Claims Examiner
US-CA-San Diego
Full-time
Onsite
Entry Level
$60K/yr - $65K/yr
2+ years expAcadia Insurance, a Berkley Company, specializes in providing workers’ compensation insurance to California business owners. The Associate Claims Examiner will be responsible for entering claim indemnity payments, issuing Benefit Notices, and providing customer service to the claims department.
Commercial 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
Bachelor degree from an accredited college or university preferred
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
Knowledge of workers' compensation principles and policies equivalent preferred
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
Acadia Insurance (a Berkley Company)
Acadia Insurance specializes in commercial property casualty insurance. Our company began in 1992 insuring businesses in Maine.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Simone Grimes, CPA, MBA
Chief Financial Officer
Steve Rich, CPCU
Senior Vice President & Chief Claims Officer
Recent News
2024-03-06
Coverager - Insurance news and insights
2022-06-28
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