Claim Examiner

Insure National; California; Vor Ort; USD 80.000 - 120.000; Vollzeit

Benefits dieser Stelle

Comprehensive medical benefits

401(k)

Employee Stock Ownership opportunities

Zusammenfassung

Insure National seeks a Claims Oversight & Authority In Box Specialist or Paralegal to join its Legal Department in a high-visibility role supporting claims oversight, delegated authority administration, litigation management, regulatory compliance, and corporate legal operations.

You will work closely with the General Counsel and senior leaders, oversee TPAs, manage AIB requests, and assist with Department of Insurance matters, litigation support, and compliance initiatives.

Qualifikationen

• 2+ years of experience within an insurance carrier, TPA, MGA, law firm, corporate legal department, or claims organization.
• Direct insurance industry experience preferred.
• Claims handling experience with reserve and settlement authority exposure preferred.
• Experience with TPAs and outsourced claims programs is a plus.
• Paralegal experience supporting insurance defense, insurance litigation, or regulatory matters will be considered.
• Knowledge of California claims practices and insurance regulations preferred.
• Strong organizational, analytical, and problem-solving abilities.
• Exceptional attention to detail and ability to manage multiple priorities.
• Professional communication skills and ability to work effectively with internal and external stakeholders.
• Highly collaborative, coachable, and eager to learn.

Aufgaben

• Review and monitor claims handled by TPAs to ensure compliance with company standards and service expectations.
• Manage Authority In Box (AIB) requests involving reserve increases, settlement authority, defense counsel assignments, and expert retention approvals.
• Coordinate communications between TPAs, legal counsel, claims professionals, executives, and business stakeholders.
• Assist with oversight of litigated and non-litigated claims across multiple lines of business.
• Review significant claim developments and assist with management reporting.
• Monitor claims handling quality and identify issues requiring escalation.
• Support Department of Insurance (DOI) complaints, inquiries, filings, and regulatory requests.
• Assist with litigation management activities, including subpoena responses, document collection, and legal file maintenance.
• Review legal billing and defense counsel invoices for compliance with company guidelines.
• Maintain litigation calendars, claim documentation, and matter management systems.
• Assist with corporate governance activities, entity records, corporate filings, and board documentation.
• Support compliance initiatives, internal audits, and special projects assigned by leadership.
• Partner with executives and department leaders on strategic insurance and operational initiatives.

Kenntnisse

Organizational skills

Analytical thinking

Problem solving

Communication

Collaborative

Jobbeschreibung

Claims Oversight & Authority In Box Specialist | Paralegal

Ideal for Claims Examiners, Insurance Professionals, and Paralegals Looking to Expand Their In-House Insurance Career

About the Opportunity

A growing insurance organization within a highly successful insurance group is seeking a Claims Oversight & Authority In Box Specialist or Paralegal to join its Legal Department in a highly visible role supporting claims oversight, delegated authority administration, litigation management, regulatory compliance, and corporate legal operations.

This is a unique opportunity for an insurance claims professional, claims examiner, or experienced paralegal to move into a broader in-house role with direct exposure to executive leadership, claims strategy, legal operations, and insurance company management. Working closely with the General Counsel, President, and senior business leaders, the successful candidate will play an important role overseeing claims activity managed by third-party administrators (TPAs), managing Authority In Box (AIB) requests, supporting Department of Insurance matters, and assisting with litigation and compliance initiatives.

The ideal candidate will have insurance industry experience, strong organizational skills, and a desire to expand beyond traditional claims handling or legal support responsibilities.

Candidates with experience in insurance, litigation, claims, corporate legal departments, or regulatory compliance are strongly encouraged to apply.

Key Responsibilities

• Review and monitor claims handled by TPAs to ensure compliance with company standards and service expectations.
• Manage Authority In Box (AIB) requests involving reserve increases, settlement authority, defense counsel assignments, and expert retention approvals.
• Coordinate communications between TPAs, legal counsel, claims professionals, executives, and business stakeholders.
• Assist with oversight of litigated and non-litigated claims across multiple lines of business.
• Review significant claim developments and assist with management reporting.
• Monitor claims handling quality and identify issues requiring escalation.
• Support Department of Insurance (DOI) complaints, inquiries, filings, and regulatory requests.
• Assist with litigation management activities, including subpoena responses, document collection, and legal file maintenance.
• Review legal billing and defense counsel invoices for compliance with company guidelines.
• Maintain litigation calendars, claim documentation, and matter management systems.
• Assist with corporate governance activities, entity records, corporate filings, and board documentation.
• Support compliance initiatives, internal audits, and special projects assigned by leadership.
• Partner with executives and department leaders on strategic insurance and operational initiatives.

Qualifications

• 2+ years of experience within an insurance carrier, TPA, MGA, law firm, corporate legal department, or claims organization.
• Direct insurance industry experience strongly preferred.
• Claims handling experience with reserve authority and settlement authority exposure highly preferred.
• Experience working with TPAs and outsourced claims programs is a plus.
• Paralegal experience supporting insurance defense, insurance litigation, or regulatory matters will also be considered.
• Knowledge of California claims practices and insurance regulations preferred.
• Strong organizational, analytical, and problem-solving abilities.
• Exceptional attention to detail and ability to manage multiple priorities.
• Professional communication skills and ability to work effectively with internal and external stakeholders.
• Highly collaborative, coachable, and eager to learn.

Why Join?

• Rare opportunity to combine claims, legal, compliance, governance, and regulatory experience in one role.
• Direct visibility with senior leadership, including the General Counsel and executive team.
• Join a growing insurance organization with a strong reputation and entrepreneurial culture.
• Broad exposure to personal auto, commercial auto, and specialty insurance programs.
• Work in a collaborative, highly visible environment where your contributions will have immediate impact.
• Comprehensive medical benefits, 401(k), and Employee Stock Ownership opportunities.
• Excellent long-term advancement potential within a stable and growing insurance platform.