What are the responsibilities and job description for the Senior Claims Examiner position at Carl Warren & Company?
JOB TITLE : Senior Claims Examiner
DEPARTMENT : Claims Services
COMPANY OVERVIEW :
Carl Warren & Company is a leading nationwide Third-Party Administrator (TPA) founded in 1944. Carl Warren has been a trusted partner specializing in property and casualty claims management, subrogation recovery, and litigation management for private and public sectors, insurance companies, and captives.
Our clients count on us to care for their needs when the unexpected happens. Our culture is derived from the people that created it. We are not different in what we do. We are different in how we do it. Our culture helps us collaborate, unite, and create a diverse workforce. Our people are at the core of our purpose, vision, mission, and values.
We offer competitive compensation and a comprehensive benefits package :
- 401k employee match
- Medical, dental, vision, life, and disability insurance
- Paid Time Off (PTO)
- Paid Holidays
- Paid Sick leave
- Professional development programs
- Work-life quality and flexibility
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RESPONSIBILITIES
Executes client / Carl Warren strategies to achieve claims quality, customer service, and operational objectives.
Proactively work claims to ensure file quality meets Carl Warren & Company Claim Handling Guidelines and client requirements.
A high level of productivity measured according to the age and complexity of the assigned caseload.
Maintains a timely diary of claims.
Consistently achieves audit scores of 90% and above.
Focuses on providing the client with an outstanding work product.
Provides excellent customer service to internal and external customers.
May be required to prepare reports for clients and / or present claims in a roundtable setting or at a claim review.
Develops strategies for claims resolution with file notes reflecting clarity, focus, control / management, and momentum.
Identifies / utilizes vendors and effectively manages the vendors to achieve satisfactory results on both the expense and indemnity costs.
Other duties as assigned.
QUALIFICATIONS
Seven or more years of experience in the P&C industry is preferred.
Public Entity experience is a plus.
Bilingual Spanish
Five or more years of experience handling complex / litigated claims and litigation management.
Small Property experience
General Liability
Bodily Injury
College degree preferred
Insurance designation preferred
Excellent verbal and written communication
Strong computer skills and Microsoft applications preferred
Knowledge of claims processes and procedures, in addition to the overall knowledge of the insurance industry
Read and understand legal documents
Must be able to go into small claims court in person as needed