Senior Claims Examiner

Venbrook•Anaheim, CA

23h

About The Position

The Claims Adjuster, Public Entity is responsible for the end-to-end management of property and casualty claims on behalf of public entity clients, including municipalities, school districts, and government agencies. This role requires sound judgment, strong investigative skills, and an understanding of the unique legal and regulatory environment governing public sector claims. The Adjuster will manage litigation, communicate proactively with clients, and deliver high-quality outcomes consistent with client guidelines and best practices.

Requirements

3+ years of handling litigated auto and/or general liability property damage and bodily injury claims
Working knowledge of public entity claims handling, governmental immunities, and applicable statutes of limitations
Strong analytical, investigative, and problem-solving skills
Excellent verbal and written communication skills
Proficiency in claims management systems and Microsoft Office applications (Outlook, Word, Excel, PowerPoint)
Ability to read and interpret legal documents, coverage opinions, and reports
Ability to manage a high-volume caseload in a fast-paced environment
Some travel may be required for field investigations, depositions, and client meetings

Nice To Haves

public entity claims experience strongly preferred
Field investigation experience preferred
College degree in Business, Risk Management, or equivalent discipline preferred
Insurance designation (e.g., AIC, AIM, ARM, CPCU) and/or insurance-related coursework preferred

Responsibilities

Manage end-to-end handling of auto, general liability, property damage, and bodily injury claims for public entity clients, from first notice of loss through resolution.
Execute client strategies to achieve claims quality, customer service, and operational objectives in accordance with Claim Handling Guidelines and Best Practices.
Conduct thorough investigations, including field investigations when required, to establish coverage, liability, and damages.
Proactively work claims to ensure file quality meets client-specific handling requirements and internal quality standards.
Develop resolution strategies with clear, focused, and well-documented file notes reflecting control, momentum, and accuracy.
Identify, retain, and actively manage vendors and subcontractors to achieve satisfactory outcomes on both expense and indemnity costs.
Maintain a timely diary and caseload management consistent with the age and complexity of assigned files.
Achieve audit scores of 90% or above and maintain a high standard of work product quality.
Prepare and present client reports, claim reviews, and roundtable summaries as required.
Communicate clearly and regularly with clients, claimants, coverage counsel, and defense attorneys.
Identify potential fraud, subrogation, and recovery opportunities and take appropriate action.
Perform other duties as assigned.