Senior Claims Examiner

Berkley•Irvine, CA

1d•Onsite

About The Position

Under the supervision of the Vice President of Claims, the Senior Claims Examiner is responsible for managing all aspects of workers’ compensation claims, including complex and litigated matters, from inception through resolution. This role actively supports and participates in the company’s culture of continuous learning and innovation, including engagement in innovation groups focused on identifying opportunities for process improvement, enhancement, and transformational change. Our ideal Claims professional will demonstrate strong technical expertise in claims adjusting, claims workflow, investigation, and effective time management. Travel is required approximately 30% of the time. Spanish-speaking adjusters are highly preferred.

Requirements

8 + years claims-related, adjusting experience handling workers compensation claims in California
Adjuster’s certification in California is required

Nice To Haves

Spanish speaking, is strong preferred
BA or BS, preferred not required
other state licensing/certification is a plus

Responsibilities

Adjust all aspects of complex claims and loss notices, including coverage and compensability analysis, reserve setting, reinsurance reporting, and coverage litigation.
Attend and participate in mediations, settlement conferences, trials, and other claim‑related proceedings, including required travel.
Assist with or conduct large loss handling and reinsurance reporting, ensuring accuracy and timeliness.
Maintain adjuster licenses and certifications in all required states, and obtain additional certifications as requested.
Actively engage in the company’s innovation culture and cross‑functional collaboration initiatives.
Demonstrate continued, self‑driven professional learning and development.
Travel as needed to support claim resolution and business needs.