Claims Specialist

Job Summary
Our client is seeking a detail-oriented and analytical Claims Specialist to manage and process claims efficiently. In this role, you will be responsible for reviewing, investigating, and resolving claims, ensuring compliance with company policies, being a skilled negotiator, and following industry regulations. The ideal candidate is a critical thinker and problem solver with strong investigative skills and excellent communication abilities. You thrive in a fast-paced environment, can manage multiple claims simultaneously, and work collaboratively with vendors, clients, and legal teams to ensure fair and timely resolutions.

This position is 100% on-site at our client's Irvine, CA office. If you're a dedicated claims professional looking for an opportunity to make an impact, we’d love to hear from you!

Responsibilities

• Receive, review, and analyze claims for accuracy and completeness, ensuring that all necessary documentation is included.
• Communicate with vendors and clients, providing updates on claims status and addressing any questions or concerns.
• Conduct thorough investigations into claims by gathering evidence, reviewing claims, and consulting relevant parties to determine their validity.
• Classify claims based on type (e.g., transportation damage, spoilage) and conduct a detailed investigation to determine the root causes.
• Handle the processing of claims, ensuring that all steps comply with company policies and procedures while maintaining high standards of customer service.
• Keep accurate and organized records of claims, correspondence, and related documents for easy retrieval and compliance with regulatory requirements.
• Prepare reports on claims activity, trends, and outcomes for management.
• Collaborate with legal teams in preparation for litigation or arbitration related to disputed claims.
• Keep up to date with changes in insurance legislation, practices, and procedures to ensure compliance. Identify potential risks and recommend preventive measures to minimize future claims.

Qualifications

• Must have previous claims experience.
• Intermediate proficiency in Excel.
• Exceptional negotiation skills with the ability to resolve conflicts effectively.
• Strong analytical and mathematical abilities.
• Excellent written and verbal communication skills.
• Detail-oriented with a focus on accuracy and efficiency.
• Able to work independently and as part of a team.
• Strong problem-solving skills and research skills.
• Bilingual Spanish/English a plus.

Compensation & Benefits

• Full range of benefits, including medical, dental, and vision coverage.
• Company-paid Life and Disability Insurance.
• 401(k) with company match.
• Generous PTO accrual, increasing each year.
• Free lunch daily.
• Unlimited snacks and refreshments.
• Company is experiencing hyper-growth, offering lots of opportunities for advancement.
• Base Pay: $65,000 - $73,000.

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Job Type: Full-time

Pay: $65,000.00 - $73,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Shift:

• Day shift

Ability to Commute:

• Irvine, CA 92614 (Required)

Ability to Relocate:

• Irvine, CA 92614: Relocate before starting work (Required)

Work Location: In person

Salary : $65,000 - $73,000