Senior Claims Examiner

Venbrook•Los Angeles, CA

2d•Onsite

About The Position

Carl Warren & Company is seeking a skilled Senior Claims Examiner, Public Entity to manage property damage and bodily injury claims for public entity clients from assignment through resolution. In this role, you will apply your expertise in litigated auto and general liability claims to deliver quality outcomes, exceptional client service, and sound claims management in accordance with Carl Warren and client guidelines. The company, Venbrook Claims, is the claims business group of Venbrook Group, LLC, which integrates respected legacy claims brands to deliver scalable, flexible solutions. They work across the claims lifecycle with services including Third Party Administration (TPA), Complex Claims Management, Catastrophe, Independent Adjusting, subrogation recovery, litigation management, investigative, and special investigations unit (SIU) services. Venbrook Claims has long-term clients across the public and private sectors. They value agility, versatility, innovation, and creative problem-solving, putting their people at the core of everything they do.

Requirements

3+ years of handling litigated auto and/or general liability property damage and bodily injury claims
Proven ability to manage claims of moderate to high severity, including litigation oversight
Strong knowledge of claims processes, procedures, and applicable insurance principles
Excellent verbal and written communication skills with the ability to present clearly to clients and stakeholders
Proficiency in claims management systems and Microsoft Office applications (Outlook, Word, Excel, PowerPoint)
Strong analytical and problem-solving skills with demonstrated ability to exercise sound judgment
Ability to read and interpret legal documents, coverage determinations, and medical records
Capacity to manage a high-volume caseload in a fast-paced environment with competing priorities

Nice To Haves

Field investigation experience preferred
Public entity experience is a plus
College degree preferred; equivalent professional experience will be considered
Insurance designation (e.g., AIC, AIM, ARM, CPCU) and insurance-related coursework are a plus

Responsibilities

Manages communication with client employees and designated points of contact throughout the life of each assignment, from initial intake through final resolution.
Proactively work claims to ensure file quality meets Claim Handling Guidelines, Best Practices, and client requirements.
Proactively works files to ensure quality meets Claim Handling Guidelines, Best Practices, and client-specific requirements.
Maintains a timely diary of claims and consistently achieves audit scores of 90% and above.
Investigates claims, including field investigation where applicable, to gather facts and determine liability, coverage, and damages.
Develops clear, focused strategies for claims resolution with file notes reflecting control, momentum, and sound judgment.
Works effectively with partners, subcontractors, and vendors to achieve satisfactory results on both expense and indemnity costs.
Manages litigation in coordination with assigned defense counsel, including setting strategy, reviewing invoices, and attending mediations or roundtables as needed.
Prepares reports for clients and presents claims in roundtable settings or at formal claim reviews.
Provides excellent customer service to internal and external stakeholders and maintains a high level of productivity measured against the age and complexity of the assigned caseload.