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Company Preferred Employers Insurance
Location Name CA, San Diego - 9797 Aero Drive
Our Claims Examiners conduct the handling of claims in the utmost of good faith in compliance with the rules, regulations and statutes of the WCAB and State of California. We function with a high degree of competency and sound judgment, coupled with consistent results!   Responsibilities for this opportunity include:  - Analyzing and processing workers’ compensation claims by investigating and gathering information to determine the exposure on the claim. - Negotiating the settlement of claims up to designated authority level and making claims payments. - Calculating and assigning timely and appropriate reserves to claims and continuing to manage reserve adequacy throughout the life of the claim. - Calculating and paying benefits due; approving all claim payments; and settling claims within designated authority level. - Developing and managing claims through well-developed action plans; continuing to work the action plan to bring the claim to an appropriate and timely resolution. - Preparing necessary state filings within statutory limits. - Actively managing the litigation process; ensuring timely and cost effective claims resolution. - Coordinating vendor referrals for additional investigation and/or litigation management. - Using appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims. - Managing claim recoveries of all types, including but not limited to subrogation, Second Injury Fund recoveries, and Social Security offsets. - Reporting claims to the excess carrier, responds to requests of directions in a professional and timely manner. - Frequently communicating with all appropriate parties involved with the claim. - Referring cases as appropriate to management. - Maintaining professional client relationships. - Actively executing appropriate claims activities to ensure consistent delivery of quality claims service.
ID
2020-3724
Primary Location
US-CA-San Diego
Company Preferred Employers Insurance
Location Name CA, Walnut Creek
Preferred Employers Insurance is a member company of the W. R. Berkley Corporation, a Fortune 500 company rated A+ (Superior) by A.M. Best Company. Take your career to the next level and join us! Find out why we are the preferred workers’ compensation insurance solution for California employers.   We currently have a great opportunity for a Senior Workers’ Compensation Examiner to join our team!  Our Senior Examiners are responsible for the analysis and management of complex workers’ compensation claims. This position will review, investigate, and make decisions regarding coverage, compensability, and appropriateness of claims. The position will process and document claims to ensure compliance with company standards, industry best practices, and legislative provisions. Acts in a fiduciary role on behalf of policyholders, negotiates claim settlements and manages subrogation. Senior Claims Examiner’s conduct the handling of claims in the utmost of good faith in compliance with the rules, regulations and statutes of the WCAB and State of California. The Senior Workers’ Compensation Examiner is expected to function with a degree of competency. The use of sound judgment coupled with consistent results is expected.   Responsibilities include but are not limited to - Analyzes and processes workers’ compensation claims by investigating and gathering information to determine the exposure on the claim. - Negotiates settlement of claims up to designated authority level and makes claims payments. - Processes complex or technically difficult claims. - Calculates and assigns timely and appropriate reserves to claims and continues to manage reserve adequacy throughout the life of the claim. - Calculates and pays benefits due; approves all claim payments; and settles claims within designated authority level. - Develops and manages claims through well-developed action plans; continues to work the action plan to bring the claim to an appropriate and timely resolution. - Prepares necessary state filings within statutory limits. - Actively manages the litigation process; ensures timely and cost-effective claims resolution. - Coordinates vendor referrals for additional investigation and/or litigation management. - Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims. - Manages claim recoveries of all types, including but not limited to subrogation, Second Injury Fund recoveries, and Social Security offsets. - Reports claims to the excess carrier, responds to requests of directions in a professional and timely manner. - Frequently communicates with all appropriate parties involved with the claim. - Refers cases as appropriate to management. - Maintains professional client relationships. - Actively executes appropriate claims activities to ensure consistent delivery of quality claims service.
ID
2020-3643
Primary Location
US-CA-Walnut Creek
Loc2
California
Company Preferred Employers Insurance
Location Name CA, San Diego - 9797 Aero Drive
This leadership position is primarily responsible for providing California and multi-state technical and regulatory guidance for the underwriting department.  Specific areas of focus include underwriting guidelines, policy coverage, forms and endorsements, state regulations and rules, policy rating plans, company underwriting philosophy and other oversight responsibilities as assigned. Through mentoring and training of staff the Underwriting Technical Director will enhance technical skill development.  This position will be actively involved in the development and execution of strategic initiatives involving individual and program risk selection and pricing evaluation.  The Underwriting Technical Director will also act as a referral authority for staff and would be expected to underwrite assigned larger risks.   Responsibilities include but are not limited to: - Takes a lead role in analysis, research and projects involving the underwriting function. - Serves as a technical resource and provides guidance to underwriting staff on risk selection and pricing, particularly for large or complex accounts. - Reviews referrals from underwriters and approves or rejects as appropriate while mentoring underwriters throughout the process. - Provides California and national expertise on various subjects to support company expansion of underwriting strategy, procedures, or systems development. - Keeps informed on legislative, regulatory, and administrative changes that impact the Underwriting function. - Communicates and coordinates with Underwriting Department Management, and other departments on underwriting regulatory changes, compliance requirements, and emerging issues. - Identifies training needs, initiates training agendas and materials, and conducts classes. - Develops and maintains underwriting resource materials, manuals and database information for underwriting department. - Provides oversight and ensures compliance with various external data feeds. - Evaluates under-performing programs, classifications, segments of business, or distribution sources and recommends action plans to address. - Assists in program development, affinity group management, and identifies classifications or segments of business that present profitable growth opportunity. Provides associated recommendations, underwriting guidelines, procedures, and training. - Actively involved in system enhancements and conversions, contributing ideas and information to elevate system capabilities, efficiency, and ease of use. - Demonstrates a professional, courteous attitude with distribution partners. Responds quickly and ethically to all requests/issues. - Interacts with staff in a positive and optimistic manner. Helps promote corporate strategy and objectives. - Assists as needed with corporate audits.
ID
2020-3622
Primary Location
US-CA-San Diego
Company Preferred Employers Insurance
Location Name CA, Walnut Creek
Join our team of highly skilled Claims Examiners responsible for the analysis and management of workers’ compensation claims.  Our Claims Examiners review, investigate, and make decisions regarding coverage, compensability, and appropriateness of claims; as well as process and document claims to ensure compliance with company standards, industry best practices, and legislative provisions.   In this position you will act in a fiduciary role on behalf of policyholders, negotiate claim settlements and manage subrogation.   Our Claims Examiners conduct the handling of claims in the utmost of good faith in compliance with the rules, regulations and statutes of the WCAB and State of California. We function with a high degree of competency and sound judgment, coupled with consistent results! Responsibilities for this opportunity include:   - Analyzing and processing workers’ compensation claims by investigating and gathering information to determine the exposure on the claim. - Negotiating the settlement of claims up to designated authority level and making claims payments. - Calculating and assigning timely and appropriate reserves to claims and continuing to manage reserve adequacy throughout the life of the claim. - Calculating and paying benefits due; approving all claim payments; and settling claims within designated authority level. - Developing and managing claims through well-developed action plans; continuing to work the action plan to bring the claim to an appropriate and timely resolution. - Preparing necessary state filings within statutory limits. - Actively managing the litigation process; ensuring timely and cost effective claims resolution. - Coordinating vendor referrals for additional investigation and/or litigation management. - Using appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims. - Managing claim recoveries of all types, including but not limited to subrogation, Second Injury Fund recoveries, and Social Security offsets. - Reporting claims to the excess carrier, responds to requests of directions in a professional and timely manner. - Frequently communicating with all appropriate parties involved with the claim. - Referring cases as appropriate to management. - Maintaining professional client relationships. - Actively executing appropriate claims activities to ensure consistent delivery of quality claims service.
ID
2020-3595
Primary Location
US-CA-Walnut Creek
Company Preferred Employers Insurance
Location Name CA, San Diego - 9797 Aero Drive
The Customer Service Representative is responsible for learning company policy and procedure in relation to policy administration and claims first notice of loss. This representative provides a high level of customer service and also provides general administrative support to other departments such as premium audit, premium accounting, and underwriting. The Customer Service Representative must exhibit a degree of competency, productivity, timeliness and accuracy, while exercising appropriate judgment and must also be a team player.   Responsibilities include but are not limited to: - Handle phone, email and live chat requests in a professional and courteous manner - Resolve insured, broker and claimant inquiries with exceptional customer service - Process premium audits & payments - Create payment histories - Assist callers with Company website and banking site login - Obtain necessary information to create a claim and perform data entry to setup new claims, create activity notes and search database for coverage - Send initial claim letters and forms to employers and injured workers - Collaborate with other team members when assistance is needed - Complete various related tasks and projects as assigned
ID
2020-3551
Primary Location
US-CA-San Diego
Company Preferred Employers Insurance
Location Name CA, Los Angeles
The Manager of Sales & Distribution – Los Angeles Territory in California is responsible for a specifically targeted areas within the region known as the Los Angeles Basin. This includes the region around Santa Monica/San Fernando Valley, Ventura/North LA up to Santa Barbara. Parts of Pasadena East to San Bernardino/West Riverside and all of Orange County. This role may at times, include some specific opportunities in the cities of Los Angeles/Long Beach.  This role is all about sales solicitation, the sales management of assigned brokers/producers, generating million dollar program sales and developing strong relations with the territory’s agents and brokers. The role involves setting in motion mutually-agreed-to sales plans and driving the necessary strategies and marketing actions needed to maximize profitable growth for Preferred Employers in this territory.  It has a dual-purpose/dual-role function representing both Preferred Employers Insurance Company and Preferred's general agency, Preferred Connect Insurance Center, LLC.   Responsibilities include but are not limited to: - Develop, implement and drive targeted class code sales plans with both current brokers and new brokers to meet Preferred’s profitable growth goals. - Identify, develop, implement, and manage program sales plans with target groups of business owners to meet both Preferred’s and Preferred Connect’s sales goals. - Monitor new sales, retention, rate-adequacy and commission metrics monthly to ensure premium plan goal achievement. - Works closely with all company departments to optimize Preferred’s brand offering to the marketplace. - This is an "on-the-road"/high-relationship type function requiring lots of windshield time, high-level of communications skill, direct broker contact and direct selling contact with targeted prospects/clients. - Job demands ongoing sales prospecting and finding qualifying deals originating from the territory. - Expectation is that candidate will operate primarily out of their company-assigned automobile, their home office with monthly visits to the company’s headquarters in San Diego or as needed from time to time.
ID
2019-3528
Primary Location
US-CA-Los Angeles
Company Preferred Employers Insurance
Location Name CA, San Diego - 9797 Aero Drive
The Underwriting Product Analyst is a member of the workers’ compensation product team within the underwriting department and provides product line support to production/field underwriting team.  The position also collaborates closely with corporate, production/field underwriting and other product team members on underwriting projects, compliance and quality control. Position is responsible for performing research, analysis, documentation, and communication. The Underwriting Product Analyst provides California and multi-state support to underwriting staff by maintaining and updating underwriting tools, disseminating reference and learning material, and conducting training. The role participates as a subject matter expert in implementation of product expansions, workflow and system automation enhancements to achieve company’s strategic goals.   Responsibilities include but are not limited to:   - Provide California and national research, data analysis, and expertise on various subjects to support expansion of underwriting strategy, and development of underwriting guidelines, procedures, and system improvements. - Build and maintain underwriting databases such as training and reference material database, manuals database. - Develop and maintain underwriting tools such as Excel rating and quote templates, account analysis worksheets, and supplemental applications. - Perform research and documentation of new/current laws, statutes, and regulations and communicate with appropriate departments. - Assist in compliance projects and perform underwriting file reviews to ensure compliance with regulatory authorities, corporate and internal standards and procedures. - Under direction of Underwriting Technical leader, draft and file policy and company forms with appropriate regulatory organizations for approval, and coordinate implementation of forms in system. - Correspond with the DOI and other regulatory organizations regarding inquiries and other matters. - Initiate and provide subject matter expertise for system enhancements, rate and rule changes; may also perform and document testing. - Assist in developing underwriting training agendas and materials, and conduct training. - Perform duties, projects and assignments as deemed necessary.
ID
2019-3036
Primary Location
US-CA-San Diego
Loc2
California

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