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Sr. Claims Examiner

Berkley Enterprise Risk Solutions (a Berkley Company)
Walnut Creek, CA Full Time
POSTED ON 3/7/2025 CLOSED ON 3/31/2025

What are the responsibilities and job description for the Sr. Claims Examiner position at Berkley Enterprise Risk Solutions (a Berkley Company)?

Company Details

Berkley Enterprise Risk Solutions is part of the Berkley Insurance Company. Berkley Enterprise Risk Solutions provides tailored workers’ compensation programs to large employers whose cost of insurance is material to their overall financial performance.

Company URL: www.berkleyenterpriserisk.com

The company is an equal opportunity employer.

Responsibilities

Under the supervision of the VP of Claims, handle all aspects of workers compensation claims, including complex and litigated workers' compensation claims from beginning to end. The Senior Claims Examiner should have strong technical knowledge in: claims adjusting, claims workflow, investigation, and time management. Claim professional is expected to travel as needed (about 15% - 30% of the time). Spanish speaking adjuster is highly desirable.

Actively engage in and embrace the company’s continued learning and innovation culture, including participation in innovation groups to identify solutions for enhancement and change.

Key Functions Include But Are Not Limited To

  • Adjusting all aspects of claims and loss notices, including but not limited to coverage & compensability analysis, reserve setting, reinsurance reporting and coverage litigation.
  • Attend mediations, settlement conferences, trials and other claims-related travels as needed or required.
  • Assist with or conduct large loss and reinsurance reporting.
  • Maintain adjuster’s certification in all states requiring certifications, or as requested.
  • Assist with marketing and development of risk management materials, as needed
  • Active engagement in the company’s innovation culture and group
  • Continued and self-driven learning
  • Must be able to travel for on short notice, as needed

Qualifications

  • Spanish speaking, is strongly preferred
  • BA or BS, preferred not required
  • Adjuster’s certification in California is required, other state licensing/certification is a plus
  • 8 years claims-related, adjusting experience handling workers compensation claims in California
  • Computer skills including, but not limited to, Word, Excel and PowerPoint

Additional Company Details

We do not accept any unsolicited resumes from external recruiting agencies or firms.

Benefits

The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include:

  • Base Salary Range: $95,000 – $123,000
  • Eligible to participate in annual discretionary bonus.
  • Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.

The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

Sponsorship Details

Sponsorship not Offered for this Role

Salary : $95,000 - $123,000

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