3rd Party Claims Adjuster/Examiner - HYBRID

DB Insurance Co., Ltd. • Anaheim, CA

1d • Hybrid

About The Position

DB Insurance is seeking an experienced and detail-oriented 3rd Party Claims Adjuster/Examiner, especially with claims involving bodily injury and litigation, to join their team. In this role, the adjuster will handle claims involving third-party liability, specifically in commercial trucking and business policies, working to resolve them efficiently while ensuring fair settlements. The ideal candidate has a strong background in investigating, evaluating, and negotiating claims, with the ability to manage multiple cases simultaneously.

Requirements

• Minimum 3 years of experience as a 3rd Party Claims Adjuster, with experience handling bodily injury and property damage claims
• Strong knowledge of insurance policies, coverage, and third-party liability claims processes
• Excellent negotiation, investigation, and problem-solving skills
• Strong communication skills, both verbal and written, with the ability to explain complex claims clearly
• Ability to manage a high volume of claims and prioritize tasks effectively
• Proficiency MS Office/Google Workspace applications
• Familiarity with state-specific insurance regulations and legal processes
• Ability to work independently and as part of a team

Nice To Haves

• Experience in handling complex or high-value claims
• Bachelor’s degree in a related field or equivalent work experience preferred
• Experience working with attorneys, mediators, or in a litigation environment

Responsibilities

• Investigate, evaluate, and resolve third-party claims including bodily injury, property damage, and liability claims including ones in litigation for commercial trucking and business policies
• Gather and review all relevant documentation including statements, police reports, medical reports, and legal documents
• Handle claims in-house and oversee claims managed by TPA (Third-Party Administrator)
• Conduct interviews with claimants, witnesses, and other involved parties
• Determine coverage, injury evaluation, liability, and the appropriate settlement amount, ensuring claims are processed in accordance with policy terms and regulatory guidelines
• Communicate with claimants, attorneys, and other third parties to resolve claims promptly and fairly
• Prepare detailed reports outlining claim statuses, investigation results, and settlement recommendations
• Negotiate settlements in line with company policies and best practices
• Maintain accurate and detailed claim records in the claims management system
• Stay updated on state laws, industry trends, and changes in insurance regulations
• Collaborate with legal teams and other departments when necessary
• Attend mediations or trials as needed

Benefits

• Medical (PPO), dental (PPO), vision (PPO), and life insurance covered 100% by the company and 50% for dependents
• Paid time off and sick leave
• 13 annual paid holidays
• 401(k) plan with up to 4% company match
• Flexible Spending Account (FSA) & Dependent Care FSA
• Quarterly Fringe Benefit reimbursements
• Job-related training reimbursement
• Casual dress code

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 11-50 employees