Tpa Claims Examiner

Schifrin, Gagnon, & Dickey, Inc.; Los Angeles (CA); Remote; USD 72,000 - 85,000; Full time

Job summary

Join a leading insurance firm as a TPA Claims Examiner, specializing in commercial auto and transportation claims. The role entails thorough investigation and resolution of claims, requiring strong communication and analytical skills. Ideal candidates will have a minimum of 5 years' experience and a valid Adjuster License in relevant states. Work remotely with an attractive compensation ranging from $72,000 to $85,000 annually.

Qualifications

• Minimum 5 years experience in commercial auto and transportation claims handling.
• Adjuster License in CA, NV, AZ, WA, UT, OR, AL, or residential state required.
• Experience dealing with TPA advantageous.

Responsibilities

• Investigating, evaluating, and resolving commercial auto liability claims.
• Documenting investigations, evaluations, and drafting reports.
• Ensuring compliance with state and federal regulations.

Skills

Communication

Analytical Thinking

Negotiation

Organizational Skills

Tools

Microsoft Office

ClaimCenter/Guidewire

ImageRight

Job description

Are you a detail-oriented and enthusiastic claims professional? Join our team at SGD as a TPA Claims Examiner, working remotely. You will play a crucial role in evaluating insurance claims and facilitating the resolution process for clients. This position requires excellent communication skills, experience with handling auto/commercial auto liability and transportation claims, and the ability to work efficiently under pressure. If you find satisfaction in investigating all avenues to reach the best possible resolution for claims and clients, this position is for you! Sound like a perfect fit? Apply today! Responsibilities: As part of your role, you will be responsible for a range of tasks, including but not limited to: • Investigating, evaluating, and resolving commercial auto liability and transportation claims. • Thoroughly documenting investigations, evaluations, recommendations, and action plans. • Drafting professional letters, memos, and comprehensive reports. • Reviewing independent adjuster reports for accuracy and compliance. • Ensuring the continuous settlement of claims in alignment with industry best practices and adherence to all state and federal regulations. • Strategizing and taking decisive actions to achieve the best possible outcomes for each claim. • Demonstrating exceptional organizational abilities, effective communication skills, and proficiency in analytical thinking, writing, negotiation, and follow-up. • Ensuring full compliance with state and federal laws, Department of Insurance criteria, and the policies and procedures for the company and clients. Qualifications: To excel in this role, the following qualifications and skills are essential: • Proficiency in comprehending and applying commercial policy terms and endorsement forms. • Capability to draft memos for review and approval by the supervisor. • Proven ability to effectively manage a full caseload within a fast-paced environment. • Outstanding organizational skills, including the maintenance of a robust diary system. • A minimum of 5 years of experience in commercial auto and transportation claims handling. • Prior experience with TPAs is advantageous. • Proficiency in Microsoft Office products (Outlook, Word, Excel, Teams), ClaimCenter/Guidewire, and ImageRight. • Possession of an Adjuster License in the following states: CA, NV, AZ, WA, UT, OR, and AK, or in your own residence state. Compensation: $72,000 – $85,000 per year

• As part of your role, you will be responsible for a range of tasks, including but not limited to: • Investigating, evaluating, and resolving commercial auto liability and transportation claims. • Thoroughly documenting investigations, evaluations, recommendations, and action plans. • Drafting professional letters, memos, and comprehensive reports. • Reviewing independent adjuster reports for accuracy and compliance. • Ensuring the continuous settlement of claims in alignment with industry best practices and adherence to all state and federal regulations. • Strategizing and taking decisive actions to achieve the best possible outcomes for each claim. • Demonstrating exceptional organizational abilities, effective communication skills, and proficiency in analytical thinking, writing, negotiation, and follow-up. • Ensuring full compliance with state and federal laws, Department of Insurance criteria, and the policies and procedures for the company and clients.

Compensation:
$72,000-$85,000 per year