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California Dental Association

Sr. Claims Representative - Property

hace 20 días

Sacramento

Job DescriptionJob Title:Senior Claims Representative, Property Pay Information:Exempt, $95,000 - $105,000 per year Location:Remote first work environment with occasional travel and in office meetings. Candidate must life in California, Oregon, Washington, or Nevada. Who we are: We are The Dentist Insurance Company (TDIC), and we promise to protect only dentists, protect them better than any other insurance company and be there when they need us. TDIC was founded in 1980 by a small group of California Dental Association members in response to skyrocketing malpractice premiums that impacted dentists’ ability to practice productively and patients’ ability to access care. Since that time, we’ve grown to protect 24,000+ policyholders across 15 states with a comprehensive suite of dentist-centric insurance products and risk management tools. With this singular focus and the unparallelled expertise of people who understand dentistry, we’ve earned the trust of our community. TDIC has been rated A (Excellent) by AM Best for financial stability for 28 consecutive years, as well as the Best of Insurance award from ClearlyRated for client satisfaction. We’ve also earned endorsements from nine dental associations. At TDIC, we seek out, welcome and support the best and brightest individuals across unique specialties and prioritize diversity in our hiring practices. We know our employees are an integral part of our success. We value individual talents while encouraging a collaborative, inclusive, respectful and forward-thinking work environment. As our organization continues to innovate and grow, we invite you to be a part of what’s next. Company Benefits: At TDIC, we offer a robust benefits package that enhances overall employee well-being and provides options to meet the needs of our diverse workforce. We listen to our employees on matters of wellness and devote time and resources to continuously evaluate our benefits to ensure we can best support their work-life goals. • Remote and hybrid flexibility and technology to support remote work, • Generous time off program starting at 22 days of PTO and13 paid holidays (includes a floating holiday and winter closure), • Highly competitive medical, dental and vision plans, including FSA and HSA account options, • 401(k) plans, with a generous match and safe harbor contributions upon eligibility, • Paid parental leave, • Wellness programs, including incentives and an In-Shape Family Fitness discount, • Opportunities for professional development, training and leadership skill-building, • Critical illness, accident, life, pet, short term and long-term disability insurance options, • Collaboration: Proactively engages with an iterative mindset to enhance ideas and achieve organizational results; Cultivates relationships, builds partnerships, shares and learns without boundaries., • Service: Focusing on meeting needs and exceeding expectations for those served inside and outside the organization., • Problem Solving: Applies analysis, creativity, resilience and logic to reach optimal outcomes; develops and implements solutions., • Courage: Appropriately engages in hard conversations; asks tough questions without hesitation; provides timely, empathetic and constructive feedback., • Evaluating and making determinations on issues related to coverage;, • Arranging for retention and review by coverage counsel on coverage related issues;, • Investigating and making determinations related to cause and origin of loss;, • Gathering key evidence, witness statements and early retention of legal counsel to optimize successful subrogation, • Retaining and supervising outside adjusters, legal counsel and other vendors, to ensure efficient and timely adjustment of claims;, • Managing and oversight of related losses and policyholders arising from a single event with varying complexities, damages and exposures;, • Evaluating and establishing appropriate case reserves;, • Attending, directing and coordinating meetings with policyholders, vendors, involved parties and consultants;, • Attending trials, mediations, and settlement conferences;, • Negotiating claims resolutions with policyholders and involved parties;, • Identifying, managing, negotiating and resolving all issues related to subrogation of claims;, • Developing and documenting strategic plans and case evaluations;, • Reviewing vendor bills to ensure they meet the strategic plans and budgets developed by the file handler and authorizing payment;, • Identifying and evaluating possible responsibilities of third parties for subrogation recovery and managing all subrogation activity through trial; and, • High school diploma or GED required, • At least 10 years property and general liability claims experience; or equivalent combination of education and experience., • Advanced knowledge of property and general liability coverage,, • Knowledge of subrogation and salvage principles and the ability to review, interpret and apply insurance contracts, commercial leases and make coverage decisions., • Experience in identifying and reporting fraud and knowledge of state specific SIU requirements., • Ability to assemble, coordinate and manage a CAT team in the event of a disaster., • Demonstrated record of accomplishment of successful negotiation and resolution of issues with policyholders, legal counsel, claimants and third parties., • Excellent interpersonal, verbal and written communication skills., • Experience supervising outside adjusters, attorneys, and contractors., • Demonstrated diplomacy and tact while interacting with all levels within and outside of the organization., • Demonstrated ability to perform job duties independently, exercise good judgment and professionalism; and maintain confidentiality., • Associate’s or Bachelors’ degree with courses in insurance preferred., • Commercial property insurance and in-person negotiation experience preferred., • Constantly standing, bending, sitting, knelling., • Occasional overnight and air travel. We Are CDA Over our 150-year history, the California Dental Association (CDA) has become a leader in oral health throughout California and the country. Today, we continue to support our community of over 27,000 dentists through our family of companies, which include The Dentists Insurance Company (TDIC), TDIC Insurance Solutions, Rotunda Partners and the CDA Foundation. At CDA, we value individual talents, encouraging a diverse, collaborative, and innovative work environment fueled by new ideas. As our organization continues to grow, we invite you to be a part of what’s next. CDA is an equal opportunity employer and is committed to the principle of equal employment opportunity for all employees and providing a safe work environment. CDA does not tolerate discrimination or harassment and all employment decisions are based on job requirements and individual qualifications, without regard to race, color, religion, national origin, age, gender, gender identity or expression, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran or military status. If you have a disability or special need that requires accommodation, please contact us at . To see our privacy policy, go to Powered by JazzHR jTh1nIrIyD

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