Senior Auto Claims Examiner (Req# CL0605)

If you are Focused on Success, then you should FOCUS ON TOPA for your next career move. Topa's corporate headquarters are located in beautiful Century City. Our employees enjoy a supportive work environment where we encourage professional development for our staff of professionals.

At Topa, we embrace diversity, promote education and believe in recognizing our people. Employees are recognized regularly through our employee recognition programs and service awards, receive paid parking (or a transportation voucher) and can work one of three flexible schedules in many of our departments.

Our Employee Assistance Program (EAP) is designed to provide confidential, professional assessment and referral assistance to employees and members of their families who are experiencing personal problems. We offer a comprehensive benefits plan as well as an array of supplemental benefits (including short and long-term disability, Accidental Death & Dismemberment, Cancer Insurance, and Accident Insurance).

Responsible for the complete handling, including establishment of coverage, liability and damages, to enable equitable resolutions of all claim assignments. Undertake responsibility for complex and /or high exposure claim assignments in all lines. Responsible for investigation, analysis and evaluation of all claim assignments to include the issues of coverage, liability and damages. Negotiates equitable settlements and produce successful resolutions in accordance with company policies and department guidelines. Exercise independent judgment and employs sound decision making in undertaking the above responsibilities. Comply with all aspects of the Fair Claims Settlement Practices Regulations. Properly document all claim files with dated progress notes and reports to record results of investigation and handling, stating reasons for decisions and evaluations in accordance with guidelines. Establish and maintain appropriate reserves on all claims that reflect company policies and guidelines. Attend settlement conferences, other meetings and hearings as required. Assist in reaching company and department objectives by reducing pending files and successfully concluding all claim assignments, maintains 100% closing ratio. Undertake responsibility for re-insurance reporting. Analyze and evaluate converge issues and prepare communication on coverage positions. Analyze and evaluate complex claim issues and high exposure claims with plans for implementing resolutions and conducting the activity to reach resolution. Conduct study and research in related claims areas as may be requested by Claims Management. Manage, direct and control claims litigation. Undertake special assignments and tasks as requested by Claims Management. Properly document and review with management all Time Limit Demands. Perform other duties as assigned.

Requires high school diploma or equivalent (degree from an accredited college or university preferred), minimum 12 years related experience. The successful candidate must demonstrate: 1) Knowledge of coverage written by the company as well as overall knowledge of the principles of insurance, 2) Demonstrated ability to plan, organize and establish priorities to accomplish job responsibilities, 3) Have physical and emotional stamina and stability to perform effectively under adverse conditions, within deadlines and with heavy workloads when necessary, 4) Effective communication and interpersonal skills and demonstrated performance indicating sufficient level of competence to accept job responsibilities and accountability, 5) Excellent judgment, decision making, problem solving, analytical, planning and organizational skills, 6) Valid Driver?s License with clean driving record and insured automobile, 7) Proficiency in MS Word, MS Excel and Outlook preferred, 8) Keyboard speed of 45 works per minute, 9) Analytical skills and decision-making ability to effectively recognize and evaluate coverage and claims problem.

Qualified candidates should e-mail resumes (please include salary history) to topa-hr@topa-ins.com Please attach your resume as a word document or in .pdf format. Candidates must indicate the position of interest and the applicable requisition number in the subject heading of the e-mail. Unsolicited resumes and resumes sent without indicating the requisition number will not be accepted. Thank you for your interest in Topa Insurance Group.