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Claims Examiner/Associate Claims Examiner
Claims Examiner/Associate Claims ExaminerBerkley • Murray Canyon Road, CA, San Diego
Claims Examiner/Associate Claims Examiner

Claims Examiner/Associate Claims Examiner

Berkley • Murray Canyon Road, CA, San Diego
30+ days ago
Job type
  • Full-time
Job description

Company Details

Preferred Employers Insurance, A Berkley Company specializes in providing workers’ compensation insurance to California business owners. The company serves three major Product/Client Segments: Small Business, Mid-Larger Businesses and Group Association Members (Programs). The company’s distribution partners (agents & brokers) number just under 400 locations throughout the state. Preferred serves thousands of policyholders and provides medical claims handling and claims management as needed to care for injured workers. The company is rated A+ Superior by industry-rating organization, AM Best & Company.

Company URL:

The company is an equal opportunity employer.

Responsibilities

Preferred Employers Insurance is entering an exciting chapter of growth, and our Claims team will play a pivotal role in shaping our success in the year ahead. We’re looking for passionate professionals to join us in delivering exceptional service and results.

Opportunities:

  • Experienced Claims Adjusters & Senior Adjusters – Bring your expertise and make an immediate impact.
  • Associate Claims Examiner (ACE) – Ideal for high-potential individuals with little to no prior claims experience who are eager to learn and grow.

If you’re ready to be part of a dynamic team and help shape the future of our organization, we’d love to hear from you!

Our Claims team manages workers’ compensation claims with integrity, accuracy, and a commitment to exceptional service. Whether you’re an experienced examiner or just starting your career, you’ll play a key role in ensuring timely and fair resolution of claims in compliance with California WCAB rules and regulations.

For Experienced Claims Examiners:

  • Analyze and process workers’ compensation claims, determining coverage, compensability, and exposure.
  • Negotiate settlements within authority limits and manage litigation when necessary.
  • Calculate and assign reserves; ensure reserve adequacy throughout the life of the claim.
  • Prepare state filings and manage vendor referrals for investigations or litigation.
  • Actively pursue recoveries, including subrogation and other offsets.
  • Maintain professional relationships and deliver consistent, high-quality claims service.

For Associate Claims Examiners:

  • Participate in comprehensive training on workers’ compensation laws and claims handling.
  • Handle medical-only and minor indemnity claims under supervision.
  • Conduct three-point contact investigations and determine compensability for uncomplicated claims.
  • Develop action plans and manage claims to timely resolution.
  • Provide excellent customer service and complete work queues and diaries promptly.

Qualifications

Experienced Examiners:

  • Bachelor’s degree preferred
  • 1–10 years of workers’ compensation claims experience
  • Professional certification as applicable
  • Strong negotiation, analytical, and communication skills

Associate Examiners:

  • Bachelor’s degree preferred
  • Strong written/verbal communication and organizational skills
  • Analytical mindset and eagerness to learn
  • PC literate

Additional Company Details

We do not accept any unsolicited resumes from external recruiting agencies or firms.

The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include:
• Base Salary Range: $60,000 - $116,000
• Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.

The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
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Claims Examiner/Associate Claims Examiner • Murray Canyon Road, CA, San Diego

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