Claims Examiner

CWC01 Carl Warren & Company LLC; Los Angeles (CA); On-site; USD 69,750 - 85,250; Full time

Benefits offered by this job

401(k) + employee match

Medical, Dental, Vision, Life, and Disability Insurance

Paid Time Off (PTO)

Professional Development Programs

Job summary

CWC01 Carl Warren & Company LLC is searching for a skilled Senior Claims Examiner in Los Angeles. The successful candidate will handle property damage and bodily injury claims for public entity clients, ensuring compliance with client guidelines and delivering exceptional service.

Key responsibilities include investigating claims, managing communication with clients, and achieving quality outcomes. Candidates should have at least 3 years of relevant experience and possess strong analytical and communication skills.

The position offers comprehensive benefits, including health insurance, a 401(k) plan, and competitive salary up to $77,500.

Qualifications

• 3+ years of handling litigated auto and/or general liability claims.
• Proven ability to manage claims of moderate to high severity, including litigation oversight.
• Strong knowledge of claims processes and applicable insurance principles.

Responsibilities

• Manage communication with client employees throughout the claim.
• Investigate claims, gathering facts for liability and damages.
• Work effectively with partners and vendors for satisfactory results.
• Prepare reports for clients and present claims in meetings.

Skills

Claims management

Problem-solving

Communication skills

Client service orientation

Interpersonal skills

Accountability

Analytical skills

Education

College degree preferred

Insurance designation (AIC, AIM, ARM, CPCU)

Tools

Claims management systems

Microsoft Office

Job description

Job Summary

Carl Warren & Company is seeking a skilled Senior Claims Examiner, Public Entity to manage property damage and bodily injury claims for public entity clients from assignment through resolution. In this role, you will apply your expertise in litigated auto and general liability claims to deliver quality outcomes, exceptional client service, and sound claims management in accordance with Carl Warren and client guidelines.

Competencies

• Communication Skills: Communicates clearly and effectively with a diverse range of stakeholders, including clients, claimants, attorneys, and internal teams. Demonstrates strong listening skills and the ability to convey complex claims information in a concise, audience-appropriate manner, both verbally and in writing.
• Problem Solving & Decision Making: Identifies root causes and develops sound strategies to achieve optimal outcomes in claim resolution. Weighs short‑ and long‑term consequences during the decision‑making process and keeps all relevant stakeholders informed throughout.
• Client Service Orientation: Aligns file handling practices with client expectations and Carl Warren's service standards. Proactively communicates status updates, responds to client inquiries in a timely manner, and consistently delivers high‑quality work product that reflects positively on the organization.
• Interpersonal Skills: Builds productive working relationships with clients, partners, vendors, and internal colleagues. Maintains professionalism and composure under pressure, approaches interactions with a collaborative mindset, and earns trust through consistent, reliable follow‑through.
• Strategic Thinking: Evaluates claims from a broad perspective, identifying opportunities to control indemnity and expense costs while achieving fair and appropriate resolutions. Monitors industry developments and incorporates best practices into day‑to‑day file handling.
• Functional/Technical Expertise: Demonstrates the ability to investigate, evaluate and resolve claims. Maintains own technical expertise through projects, designations, continuing education, etc. Models learning and growth by having a solid understanding of best practices. Has a working knowledge of claims workflow and a strong sense of the processes—proven track record of performance.
• Accountability & Results Orientation: Takes ownership of assigned caseload and consistently meets productivity, diary, and audit benchmarks. Focuses on delivering measurable outcomes for both the client and the organization, and proactively addresses barriers to timely file closure.

Duties & Responsibilities

• Manages communication with client employees and designated points of contact throughout the life of each assignment, from initial intake through final resolution.
• Proactively works claims to ensure file quality meets Claim Handling Guidelines, Best Practices, and client requirements.
• Maintains a timely diary of claims and consistently achieves audit scores of 90% and above.
• Investigates claims, including field investigation where applicable, to gather facts and determine liability, coverage, and damages.
• Develops clear, focused strategies for claims resolution with file notes reflecting control, momentum, and sound judgment.
• Works effectively with partners, subcontractors, and vendors to achieve satisfactory results on both expense and indemnity costs.
• Manages litigation in coordination with assigned defense counsel, including setting strategy, reviewing invoices, and attending mediations or roundtables as needed.
• Prepares reports for clients and presents claims in roundtable settings or at formal claim reviews.
• Provides excellent customer service to internal and external stakeholders and maintains a high level of productivity measured against the age and complexity of the assigned caseload.

Required Skills & Abilities

• 3+ years of handling litigated auto and/or general liability property damage and bodily injury claims.
• Proven ability to manage claims of moderate to high severity, including litigation oversight.
• Strong knowledge of claims processes, procedures, and applicable insurance principles.
• Excellent verbal and written communication skills with the ability to present clearly to clients and stakeholders.
• Proficiency in claims management systems and Microsoft Office applications (Outlook, Word, Excel, PowerPoint).
• Strong analytical and problem‑solving skills with demonstrated ability to exercise sound judgment.
• Ability to read and interpret legal documents, coverage determinations, and medical records.
• Capacity to manage a high‑volume caseload in a fast‑paced environment with competing priorities.
• Some travel may be required for field investigation, depositions, mediations, or client meetings.

Education & Experience

• Field investigation experience preferred.
• Public entity experience is a plus.
• College degree preferred; equivalent professional experience will be considered.
• Insurance designation (e.g., AIC, AIM, ARM, CPCU) and insurance‑related coursework are a plus.

Benefits & Compensation

• 401(k) + employee match
• Medical, Dental, Vision, Life, and Disability Insurance
• Paid Time Off (PTO)
• Paid Holidays
• Paid Parental Leave
• Paid Sick Leave
• Professional Development Programs
• Work‑life quality and flexibility
• Salary up to $77,500