SR CLAIMS REP

Company: Pacific Specialty Insurance Co
Location: Anaheim
Posted on: February 21, 2026

Job Description:

Job Description Job Description Description: The duties and responsibilities of this position are as follows: • Adjust major and complex losses in their entirety but may also adjust standard losses at times • Complete thorough and proper claim investigations • Be able to present on file information and investigation status to Senior Leadership during Round Table file discussions (10%) • Accurately document all investigative activity and secure appropriate claim documentation within our claims and document management systems. (40%) • Develop and maintain file summaries and action plans from the point of assignment and throughout the life of the claim. (10%) • Ability to submit complex authority requests and manage file expenses. (20%) • Handle incoming calls real time whenever possible and return all messages in a timely manner. (20%) • Responsible for compliance with state insurance regulations and company Claims Handling Guidelines, and any and all other duties assigned by manager. Requirements: Minimum requirements (include education, job experience, specials skills and licenses or certifications required.) · Prior large loss to moderate complexity insurance claims experience required · Prior customer service work experience required · Strong analytical skills · Excellent organization and time management skills · Ability to make timely and accurate decisions · Ability to work independently with minimal management oversight · Strong negotiation skills · Comfortable working in a highly productive team oriented environment · Maintain an active adjusters license in states where required · College degree and/or bilingual in Spanish a plus

Keywords: Pacific Specialty Insurance Co, Monterey Park , SR CLAIMS REP, Accounting, Auditing , Anaheim, California