Senior Claims Examiner, PLCA

Keenan & Associates; Oakland (CA); Hybrid; USD 95,000 - 115,000; Full time

Job summary

A leading insurance brokerage is seeking a Sr. Claims Examiner to manage complex liability claims effectively while ensuring cost-efficient resolutions. This role requires extensive experience in handling Property & Casualty claims, alongside strong organizational skills and attention to detail. The company offers competitive salaries and comprehensive benefits, making it an excellent environment for professional growth.

Benefits

30+ Days Paid Time Off

Health benefits

Company matched 401(k) plan

Pet benefits & discounts

Access to licensed therapists

Qualifications

• 10 years Property & Casualty liability claims experience required.
• Public Entity claims handling experience preferred.
• Proficient in Microsoft Office.

Responsibilities

• Manage complex liability claims to cost-effectively achieve resolutions.
• Review assigned claims, prepare response letters and investigate.
• Control defense costs and monitor reserve adjustments.

Skills

Communication

Organization

Detail oriented

Education

Bachelor’s Degree

Tools

Microsoft Outlook

Microsoft Excel

Microsoft PowerPoint

Microsoft Word

Job description

Overview

Responsible for managing complex liability claims, employment & civil rights claims to their conclusion in the most cost-effective way possible for the client. In addition, the Sr. Claims Examiner will be responsible for recognizing claims involving coverage issues and bring to the Claims and Coverage Committees for referral to counsel.

Keenan, an Accretive company, is an insurance brokerage and consulting firm meeting the insurance needs of hospitals, public entities and California school districts. Keenan specializes in providing consulting services in the areas of: employee benefits, workers' compensation, loss control, financial, and property & liability.

What You'll Do

• Review assigned claims within the PLCA guidelines.
• Prepare appropriate response letter to Government Claims within the required timelines.
• Assignment of Investigations.
• Review investigative reports, evaluate damages and make recommendations to clients regarding assigned files.
• Direct attorneys on litigated files and control defense costs.
• Prepare timely Reports to Reinsurers.
• Prepare appropriate write ups for JPA’s/ Superpools on a quarterly basis.
• Monitor/adjust reserves when developments occur.
• Review files for Subrogation potential and actively pursue subrogation.
• Review and manage client inquiries.
• Maintain accurate statistical data in computer.
• Assist in client file reviews.
• Attend Court ordered Mediations/MSC’s or any meeting required to facilitate settlement.
• Bill at minimum 80% of the work day.
• Other duties as assigned.

What You'll Need

• Bachelor’s Degree preferred.
• Minimum of 10 years Property & Casualty liability claims experience required.
• Public Entity claims handling experience preferred.
• Good written and verbal communication skills.
• Must be organized and detail oriented.
• Proficient in Microsoft Outlook, Excel, PowerPoint and Word. Adept at accessing business data from the Internet when required.

What's in it For You?

To help you make the best decision for your personal growth, it’s important to us to share a glimpse of what we offer our top asset, our people:

• Competitive base salary.
• Generous 30+ Days Comprehensive Paid Time Off Package inclusive of Paid Time Off, 10 Company Holidays, 2 Floating Holidays, 5 Sick Days, and 2 Volunteer Days.
• Health benefit options with you in mind; 5 affordable medical plan options with rates based on your salary, company paid HSA contribution with eligible HSA plan selection, 2 dental plan options offering orthodontia coverage and 3 cleanings per year, and 2 vision plan options.
• Company match 401(k) plan – 50% up to 6%!
• Support of your fitness wellness goals! We offer up to 75% off at over 11,000 gyms and fitness centers.
• Opportunity to prioritize your mental health with 24/7 access to licensed therapists.
• Pet benefits & discounts.
• Access to our Employee-led Resource Groups (ERGs) that lend a voice to the variety of demographics represented throughout our company.

Compensation:

The target salary range for this position is $95,000.00 to $115,000.00 (US Dollar) annually. The actual salary will vary based on applicant’s education, experience, skills, and abilities, as well as internal equity and alignment with market data. The salary may also be adjusted based on applicant’s geographic location. Remote work environment flexibility but candidate must reside in California.

Grow, with us

Accretiveis a collection of elite specialty and wholesale agencies supported by experienced industry leaders. Our expertise is broad, and our innovative culture runs deep. We value relationships above all else and consistently deliver best in class customized solutions and service you can trust.

Accretiveis passionate about fueling our clients’ innovation and growth. That makes us the perfect place for creative, dynamic people who want to grow their career while helping businesses, families and people thrive.We are proud to be one of the largest brokers in the country,but we’re even prouder of the honest, caring relationships that our employees build with our clients every day.

Working with us will give you the opportunity to do work that matters while you learn with us, advance with us, and most importantly, grow with us. Accretive is committed to embracing diversity, equity and inclusion to create a workplace that welcomes and thrives on the unique experiences, perspectives and contributions of all team members. Accretive is bringing the best people and most diverse talent forward to drive growth, innovate and think bigger!