Claims Examiner

Claims Examiner, Public EntityDepartment: Claims ServicesLocation: Onsite - Downtown LACompany Overview: Venbrook Claims is the claims business group of Venbrook Group, LLC, a holding company with subsidiaries engaged in retail broking, wholesale broking, programs, and claims services. Venbrook's team of experts and industry specialists partners with their clients to manage their risks, create security, promote growth, and add value by delivering best-in-class commercial property & casualty, employee benefits, and personal risk insurance products and programs.Venbrook Claims brings together decades of specialized expertise by integrating respected legacy claims brands, Carl Warren & Company, DMA Claims, and OneSource Claims Management. Venbrook works across the claims lifecycle with services that include 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, including insurance companies, captives, MGAs, transportation companies, manufacturers, public school systems, and property owners, to name a few.With over a century of combined claims experience, our organization's legacy brands have been unified as Venbrook Claims to deliver scalable, flexible solutions supported by centralized governance, compliance, and technology infrastructure. This integration has increased efficiency while maintaining the high-quality investigative services and specialized expertise that distinguish our heritage brands.At Venbrook, we envision a world where our clients can confidently pursue their boldest ambitions. Our team of experts leverages agility, innovation, and creative problem-solving to guide our clients through an ever-changing risk environment. We pride ourselves on providing insurance services that allow businesses to make bold decisions, knowing their risks are identified, assessed, and mitigated.Our culture is derived from the people who create it. We are not different in what we do. We are different in how we do it. We believe our clients are our partners, and we earn their trust every day. We believe in empowering our team and holding ourselves accountable to deliver the best solutions. We value agility, versatility, innovation and creative problem solving and put our people at the core of everything we do.We offer competitive compensation and a comprehensive benefits package:401k + employee matchMedical, Dental, Vision, Life, and Disability InsurancePaid Time Off (PTO)Paid HolidaysPaid Parental leavePaid Sick leaveProfessional development programsWork-life quality and flexibilityJob Summary: Carl Warren & Company is seeking a skilled 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.Competencies:Communication Skills: Communicates clearly and effectively with a diverse range of stakeholders, including clients, claimants, attorneys, and internal teams. Demonstrates strong listening skills and the ability to convey complex claims information in a concise, audience-appropriate manner, both verbally and in writing.Problem Solving & Decision Making: Identifies root causes and develops sound strategies to achieve optimal outcomes in claim resolution. Weighs short- and long-term consequences during the decision-making process and keeps all relevant stakeholders informed throughout.Client Service Orientation: Aligns file handling practices with client expectations and Carl Warren's service standards. Proactively communicates status updates, responds to client inquiries in a timely manner, and consistently delivers high-quality work product that reflects positively on the organization.Interpersonal Skills: Builds productive working relationships with clients, partners, vendors, and internal colleagues. Maintains professionalism and composure under pressure, approaches interactions with a collaborative mindset, and earns trust through consistent, reliable follow-through.Strategic Thinking: Evaluates claims from a broad perspective, identifying opportunities to control indemnity and expense costs while achieving fair and appropriate resolutions. Monitors industry developments and incorporates best practices into day-to-day file handling.Functional/Technical Expertise: Demonstrates the ability to investigate, evaluate and resolve claims. Maintains own technical expertise through projects, designations, continuing education, etc. Models learning and grow by having a solid understanding of best practices. Has a working knowledge of claims workflow and a strong sense of the processes—proven track record of performance.Accountability & Results Orientation: Takes ownership of assigned caseload and consistently meets productivity, diary, and audit benchmarks. Focuses on delivering measurable outcomes for both the client and the organization, and proactively addresses barriers to timely file closure.Duties/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.Maintains a timely diary of claims and consistently achieves audit scores of 90% and above.Investigate 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.Required Skills/Abilities:3+ years of handling litigated auto and/or general liability property damage and bodily injury claimsProven ability to manage claims of moderate to high severity, including litigation oversightStrong knowledge of claims processes, procedures, and applicable insurance principlesExcellent verbal and written communication skills with the ability to present clearly to clients and stakeholdersProficiency in claims management systems and Microsoft Office applications (Outlook, Word, Excel, PowerPoint)Strong analytical and problem-solving skills with demonstrated ability to exercise sound judgmentAbility to read and interpret legal documents, coverage determinations, and medical recordsCapacity to manage a high-volume caseload in a fast-paced environment with competing prioritiesSome travel may be required for field investigation, depositions, mediations, or client meetingsEducation & Experience:Field investigation experience preferredPublic entity experience is a plusCollege degree preferred; equivalent professional experience will be consideredInsurance designation (e.g., AIC, AIM, ARM, CPCU) and insurance-related coursework are a plusSalary up to $77,500 Venbrook