Bar Examiner Job Description Sample
- Analyzes and processes claims, and is responsible for following regulatory and internal guidelines in conjunction with policies and procedures as they apply to claims adjudication.
- Responsible to adjudicate more complex claims, requiring additional research or problem solving.
- Responsible for accurate and timely adjudication of claims according to guidelines.
- Analyze, process, research, adjust and adjudicate claims with the use of accurate procedure/revenue, ICD-9 and ICD-10 codes, under the correct provider and member benefits, i.e. co-payments, deductibles, etc.
- Claims processing based upon contractual agreements, involving the use of established payment methodologies, Division of Financial Responsibility, applicable regulatory legislation, claims processing guidelines and company policies and procedures.
- Alerts manager or supervisor of issues that impact production and quality, i.e. incorrect database configurations, non-compliant claims, etc.
- Responds to incoming calls from providers of service in a timely and courteous manner.
- Resolves issues as presented or as referred by the examiners.
- Process claims based on compliance regulation and timeframes.
- Process both professional (CMS-1500) and facility (UB-04) claim types.
- Maintain quality and productivity standards as set by management.
- Resolve provider or physician group (network) claims inquiries and apply resolution in a timely fashion.
- Responds to questions from examiners. Explains processing guidelines and internal processes when needed.
- Review services for appropriateness of charges and apply authorization guidelines during claims processing.
- Prepare written requests to providers; follow up and handle completion of claim for returned correspondence.
- Requires an education level of at least a high school diploma or GED.
- Prefer, but does not require, a Certified Health Data Analyst (CHDA) or similar.
- Requires at least 2+ years of call center experience with high call volumes or customer service experience analyzing and solving provider problems required.
- Prefer 2-3 years experience processing online Professional and Facility claims in a managed care environment for either Medicare or Medi-Cal (both is ideal), as well as communicating with providers for recoveries required.
- Knowledge of health care delivery system, Medicaid/Medicare, related state programs, and dual eligibility programs required.
- Strong working knowledge of concepts, practices, and procedures related to managed care / practice management.
- Established experience with database management system.
- Basic familiarity with Medical terminology is required.
- Computer skills to include Microsoft Word, Excel and basic data entry, including the ability to learn new and complex computer system applications.
- Enjoy the opportunity to cultivate relationships with internal colleagues and external clients.
- Liaison with Marketing/Customer Service departments.
- Compare data on claim forms against insurance plans to determine insurance coverage as well as completeness and validity of claims.
- Proactively resolve claims as expeditiously as possible and approve claims, when appropriate.
- Review and analyze detailed medical records.
- Calculate reimbursement of benefits according to the schedule of coverage.
- Generate claim reports, as directed by each account.
- Develop your training skills by functioning as a resource for newer examiners and assist with training new examiners and customer service representatives.
- Flex your communication skills by fielding challenging phone calls and draft special correspondence.
- 1 – 3 years of CLAIMS ADJUDICATION experience.
- Current Claims Adjuster licenses preferred; otherwise, you will be required to obtain this license within 4 months of hire date.
- Strong written communication skills with the ability to draft correspondence that is clear, concise and effective. Solid verbal communication skills. Sound computer skills, including knowledge of (MS Office, Internet searches, Email correspondence programs,)
- Ability to manage time effectively and focus on multiple projects concurrently..
- College preferred, or equivalent work experience
To contribute to the overall success of OneAmerica objectives by providing timely and accurate support to our client companies. To obtain and analyze information in order to make claim decisions and payments on disability claims. To develop and apply appropriate claim and disability management techniques to ensure prompt and accurate payment and liability management of disability claims. To provide responsive customer service to claimants, policyholders, brokers, and internal departments.
OneAmerica strives to ensure the independence and impartiality of all persons involved in making claim and appeal decisions. Accordingly, OneAmerica's decisions regarding hiring, compensation, termination, promotion, or other similar matters with respect to any individual are not made based upon the likelihood that the individual will support the denial of a benefit.
Successful completion of the Employee Development Disability Policy Knowledge and Claim Adjudication course.
Promptly and thoroughly investigates claims within departmental and regulatory guidelines.
Interprets and administers contract provisions including, but not limited to, eligibility, covered monthly earnings, definition of Total Disability, verification of applicable offsets and pre-existing investigations.
Develops, implements and modifies disability management plan to establish strategy and manage outcome.
Documents claim file actions and telephone conversations appropriately.
Participates in departmental Focus Reviews.
Identifies and investigates change in Total Disability definition (any occ).
Refers claim activity outside authority level to Supervisor/Manager for review.
Pro-actively communicates with claimants, policyholders, and physicians to resolve investigations issues.
Establishes, communicates and manages claimant and policyholder expectations.
Utilizes most efficient means to obtain claim information.
Fully investigates all relevant claim issues, provides payment or denials promptly and in full compliance with departmental procedures and Unfair Claims Practice regulations.
Responds to customer service issues within required timeframes to meet customer expectations.
Involves technical resources (Social Security Specialist, medical resources, vocational resources) at appropriate claim junctures.
Supports relationships with technical resources to achieve optimal financial outcomes.
Actively contributes to departmental service, quality and financial objectives.
Remains current with all corporate and disability management practices.
Collaborates with team members and management in identifying and implementing improvement opportunities.
All other duties as assigned by management.
Requirements• BA/BS or equivalent combination of education and disability industry experience.
2+ years working in a busy office environment.
6 months to 1 year of insurance experience preferred.
Knowledge of medical terminology preferred.
Experience with computer applications – Word, Excel desired.
Work experience in decision-making and information analysis.
Ability to meet deadlines while balancing competing demands.
Good math and calculation skills.
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Voucher Examiner (Oa)
Dulce, NM Exit Disclaimer: You Are Leaving www.ihs.gov
Salary Range: $37,349 to $53,955 / Per Year Open Period: 1/7/2019 to 1/25/2019
To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week. For positions requiring positive education requirements, or if you are using education to meet all or part of the qualification requirements, you MUST submit a copy of your transcripts or an itemized list of college courses which includes equivalent information from the transcript (course title, semester/quarter hours, and grade/degree earned) in your resume.
MINIMUM QUALIFICATIONS:Qualifications at the GS-6 level:Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Examples include: Experience utilizing diverse accounting and patient business procedures governing a variety of patient accounts to analyze and determine the need for, and type of adjustments necessary to reconcile and balance accounts; and experience performing a full range of related accounting and technical tasks.
MINIMUM QUALIFICATIONS:Qualifications at the GS-7 level:Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Examples include: Experience utilizing diverse accounting and patient business procedures governing a wide variety of patient accounts to analyze and determine the need for, and type of adjustments necessary to reconcile and balance accounts; and experience performing a wide range of related accounting and technical tasks.
You must meet all qualification requirements within 30 days of the closing date of the announcement. Federal employees in the competitive service are also subject to t
Specialty Juice Bar And Coffee Bar Team Member
Performs all functions related to customer service, stocking, and sanitation. All Whole Foods Market Retail jobs require ensuring a positive company image by providing courteous, friendly, and efficient service to customers and Team Members at all times. All positions must be performed in accordance with team and store Standard Operating Procedures. Further, Team Members must be prepared and able to perform the duties inherent in other Team Member job descriptions. Team Leaders are required to spend significant time on the floor, engaging with customers, and pitching in to help whenever and wherever needed. All positions must strive to support WFM core values and goals, promote national, regional, and store programs and initiatives, and ensure adherence to all applicable health and safety regulations.Job Responsibilities
Weighs, prices, and packages customer orders.
Understands venue menus, stays abreast of specials, menu changes, etc.
Follows cash handling procedures related to the service venues.
Monitors product quality and freshness and ensures proper product rotation.
Completes product spoilage and transfer records as needed.
Arrives to work station on time, appropriately groomed, dressed and ready to work; works all scheduled shifts and attends required trainings and meetings.
Provides excellent customer service, addresses needs of customers in a timely and effective manner and models suggestive selling techniques; answers phones and pages promptly and courteously.
Maximizes sales potential through effective and proper procedures for prepping, storing, rotating, stocking, and merchandising product.
Follows and complies, or ensures compliance, with established procedures, including Weights and Measures, health and sanitation, and safe work practices.
Maintains, or ensures maintenance of, a clean and sanitary working and shopping environment; maintains equipment in accordance with WFM cleanliness and safety standards.
Performs opening, mid, and closing duties as assigned; ensures accuracy of signs and pricing.
Immediately reports safety hazards and violations.
Performs other duties as assigned by store, regional, or national leadership.
Good understanding of food production and fundamental cooking techniques.
Ability to visually examine products for quality and freshness.
High energy, enthusiastic, and displays an affinity for WFM products, core values, and company philosophy.
Ability to sell proactively.
Ability to understand and convey to others the differentiating factors about WFM products.
Strong to excellent communication skills and willingness to work as part of a team.
Ability to deliver information in a clear and respectable manner to fellow Team Members, customers, and vendors.
Ability to meet customer service expectations and standards in all interactions with customers, vendors, and Team Members.
Ability to follow directions and procedures; effective time management and organization skills.
Passion for natural foods and the mission of Whole Foods Market.
Strong work ethic and ability to work in a fast-paced environment with a sense of urgency.
Understanding of and compliance with WFM quality goals.
- No prior retail experience required.
Physical Requirements / Working Conditions
Must be able to lift 50 pounds.
In an 8-hour work day: standing/walking 6-8 hours.
Hand use: single grasping, fine manipulation, pushing and pulling.
Work requires the following motions: bending, twisting, squatting and reaching.
Exposure to FDA approved cleaning chemicals.
Exposure to temperatures: <32 degrees="" fahrenheit="" (freezing),="" 32-40="" degrees="" fahrenheit="" (refrigerators),="">90 degrees Fahrenheit.
Ability to work in wet and dry conditions.
Ability to work a flexible schedule including nights, weekends, and holidays as needed.
Ability to use tools and equipment, including knives, box cutters, electric pallet jacks, and other heavy machinery.
May require use of ladders.
Note: The purpose of this document is to provide a general summary of essential responsibilities for the position and is not meant as an exhaustive list. This document does not reflect all job duties or requirements for every position. Requirements build as one progresses through the job levels, so any job duties required at a lower level may be required at the higher level in addition to the duties listed for that higher level. Duties, assignments, and other responsibilities may differ for similar positions based on business conditions, departmental or geographic location, and/or needs for the particular position. An individual must demonstrate successful performance in their current position before being considered for promotion. In addition, in order to promote into a higher-level position, a business need for the promotion must exist and the candidate must be considered the most qualified person for the new position. Completion of certain milestones such as obtaining an advanced degree or certification, time in current position, or developing skills to perform at the higher-level role do not guarantee a promotion.
At Whole Foods Market we provide a fair and equal employment opportunity for all team members and candidates regardless of race, color, religion, national origin, gender, sexual orientation, age, marital status, or disability. Whole Foods Market hires and promotes individuals solely on the basis of their qualifications for the position to be filled.32>
Administrative Hearing Examiner 9135
$59,424 to $86,902
The current salary range is subject to change. You may confirm the starting salary with the hiring department before accepting a job offer.
An Administrative Hearing Examiner conducts quasi-judicial administrative hearings on appeals on parking violation citations, adjudicates written declaration requests for reconsideration of parking violation citations, conducts vehicle impound hearings, and does related work.
1.Two years of full-time paid experience with the City of Los Angeles as a Management Assistant or Management Aide interpreting and applying State and Federal regulations, City ordinances, the City Administrative Code and/or the City Charter; or
2.Two years of full-time paid experience with the City of Los Angeles as a Senior Traffic Supervisor; or
3.Two years of full-time paid experience with the City of Los Angeles as a Transportation Investigator or in a class at that level conducting administrative hearings on appeals, interviewing respondents and witnesses, and preparing written decisions based upon findings; or
4.520 hours of paid experience with the City of Los Angeles within the past two years from the date of filing as an exempt or contract Administrative Hearing Examiner.
1.Applicants who lack six months or less of the required experience who are applying under Requirements 1-3 may file for this examination, however, they cannot be appointed until the full experience requirement is met.
2.Some positions may require a valid California driver's license. Candidates may not be eligible for appointment to these positions if their record within the last 36 months reflects three or more moving violations and/or at-fault accidents, or a conviction of a major moving violation (such as DUI).
3.Applicants who are applying under Requirement #3 (with the exception of Transportation Investigators) must submit with their application a "Verification of Work Experience" (VWE) form, verifying their experience in performing the qualifying duties. The form may be obtained on-line at http://per.lacity.org/exams/vwe-sup.pdf. Applicants may attach the completed VWE form to their on-line application at the time of filing or will have seven (7) calendar days from the on-line application submission date to email a copy of their completed VWE form, including the required signatures, to firstname.lastname@example.org. The subject line of your email must include the exam title, your name and indicate it is a VWE. In the body of your email, you must also include your first and last name, last four digits of your Social Security Number and contact phone number. Applicants who fail to submit their signed VWE form within the time required will not be considered further in this examination and their applications will not be processed.
4.Applicants who are applying under Requirement #4 must submit with their application a "Verification of Work Experience" (VWE) form, verifying the number of hours worked from the appointing City Department. The form may be obtained on-line at http://per.lacity.org/exams/vwe-sup.pdf. Applicants may attach the completed VWE form to their on-line application at the time of filing or will have seven (7) calendar days from the on-line application submission date to email a copy of their completed VWE form, including the required signatures, to email@example.com. The subject line of your email must include the exam title, your name and indicate it is a VWE. In the body of your email, you must also include your first and last name, last four digits of your Social Security Number and contact phone number. Applicants who fail to submit their signed VWE form within the time required will not be considered further in this examination and their applications will not be processed.
5.Experience with a personal computer using word processing and database software is desired.
WHERE TO APPLY & APPLICATION DEADLINE
Applications will only be accepted on-line. When you are viewing the on-line job bulletin of your choice, simply scroll to the top of the page and select the "Apply" icon. On-line job bulletins are also available at https://www.governmentjobs.com/careers/lacity.
Applicants are urged to apply early to ensure you have time to resolve any technical issues you may encounter.
Applications must be received by THURSDAY, JANUARY 24, 2019.
In accordance with Civil Service Rule 4.2, all applicants who apply may not be tested in this examination. To meet anticipated hiring needs, only a limited number of qualified applicants will be invited to participate in the selection process in the following order: 1) Los Angeles City Promotional applicants who meet the minimum requirements.
You must have received a regular appointment to a City position or be on a reserve list to apply for this examination as a promotional candidate; 2) Applicants currently employed by the City of Los Angeles on a part-time or exempt basis who meet the minimum requirements; 3) Remaining applicants who meet the minimum requirements in sufficient numbers to meet hiring needs, in the order that applications were received. Applications submitted during the filing period may be kept on file in the event that additional applicants need to be tested to meet hiring needs.
Examination Weights: Essay- Advisory
The examination will consist entirely of an evaluation of professional and personal qualifications by interview. In the interview, the following competencies may be evaluated: Analytical Ability, Attention to Detail, Stress Tolerance, Objectivity, Interpersonal Skills, and Written Communication.
Additional information can be obtained by going to http://per.lacity.org/eeo/jobanalyses.htm and clicking on Competencies under Administrative Hearing Examiner.
Candidates will be notified later by e-mail of the date, time, and location of the interviews, which will be held in Los Angeles. It is anticipated that the interviews will begin during the period of MARCH 18, 2019 to MARCH 29, 2019.
Prior to the interview, applicants will be required to prepare some written material related to the duties and responsibilities of a Administrative Hearing Examiner. This essay material will not be separately scored, but will be presented to the interview board for discussion with the candidate and for consideration in the overall evaluation of the candidate. Please note that applicants must complete the advisory essay and meet minimum qualifications as stated on this bulletin in order to be considered further in the examination process.
The advisory essay will be administered on-line. Applicants invited to participate in the examination will receive an e-mail from the City of Los Angeles outlining the specific steps needed to complete the on-line advisory essay.
Applicants will be required to complete the on-line advisory essay between MONDAY, FEBRUARY 4, 2019 and MONDAY, FEBRUARY 11, 2019. Additional instructions will be sent via e-mail. Applicants who fail to complete the advisory essay as instructed may be disqualified.
This examination is based on a validation study.
As a covered entity under the Fair Employment and Housing Act and Title II of the Americans with Disabilities Act, the City of Los Angeles does not discriminate on the basis of disability and upon request, will provide reasonable accommodations to ensure equal access to its programs, services, and activities. To request a disability accommodation, please complete the Disability Accommodation Form within 14 calendar days of the submittal of the City application. The Disability Accommodation Form can be obtained at http://per.lacity.org/exams/verify_disability.pdf.
Applications are accepted subject to review to ensure that minimum qualifications are met. Candidates may be disqualified at any time if it is determined that they do not possess the minimum qualifications stated on this bulletin.
The promotional list will ordinarily be used ahead of the open competitive list. However, if open competitive candidates receive a higher score, without military credits, than the highest available promotional candidate, after adding 0.25 of a point seniority credit for each year of service, the Civil Service Commission, upon request of the appointing authority, may approve certification of such open competitive candidates ahead of the promotional candidates.
A final average score of 70% is required to be placed on the eligible list.
You must have received a regular appointment to a City position or be on a reserve list to file on a promotional basis.
In conjunction with Civil Service Rules, applicants who have received a regular appointment to a City position or are on a reserve list will be considered Promotional candidates while all other applicants will be considered Open candidates.
In accordance with Civil Service Rule, Sec. 4.24, review periods may be combined. Candidates in the examination process may file protests as provided in Sec. 4.20, 4.22 and 4.23 as applicable and within the required time frame; however, the Personnel Department may respond to and resolve protests prior to the establishment of the eligible list.
If you receive and accept an offer of employment to a regular position with the City of Los Angeles, your employee benefit coverage (including health and dental coverage, as well as life insurance) will commence approximately six weeks after your original appointment. Not all positions in the City receive benefit coverage; you should inquire regarding the availability of employee benefits prior to accepting a position. All City employees are required to be Disaster Service Workers.
THIS EXAMINATION IS TO BE GIVEN BOTH ON AN INTERDEPARTMENTAL PROMOTIONAL AND OPEN COMPETITIVE BASIS
The City of Los Angeles does not discriminate on the basis of race, religion, national origin, sex, age, marital status, sexual orientation, gender identity, gender expression, disability, creed, color, ancestry, medical condition (cancer), or Acquired Immune Deficiency Syndrome.
AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER
For additional information and FAQs regarding the City's hiring process, please go to: http://per.lacity.org/index.cfm?content=employmenttestingprocess
Bank Examiner 1*-011619-173288
Minimum Qualifications Benefits Supplemental Questions
LOCATION OF (2) POSITIONS TO BE FILLED: DEPARTMENT OF FINANCIAL INSTITUTIONS, FINANCIAL INSTITUTIONS DIVISION, KNOX COUNTY
Education and Experience: Bachelor's degree from an accredited college or university with a major in Finance, Accounting, Economics, Business Administration or other related business degree with a minimum of nine (9) semester hours of accounting and/or finance.
Professional bank examination work may substitute for the required education including the accounting course work, on a year-for-year basis to a maximum of four (4) years.
Necessary Special Qualifications:
Applicants for this class must:
- Maintain a Valid Motor Vehicle Operators License.
Examination Method: Education and Experience,100%, for Preferred Service positions.
Under immediate supervision, is responsible for professional bank examination work of routine difficulty, attends required schools and performs related work as required.
Distinguishing Features: This is the entry level classification in the Bank Examiner series. An incumbent in this class is employed by the Department of Finance and Administration and learns to review and analyze the financial statements and operations of state chartered Banks licensed to operate in Tennessee. This class flexes to and differs from Bank Examiner 2* in that an incumbent of the latter functions at the working level.
- An applicant appointed to this class will be reclassified to Bank Examiner 2* after successful completion of a two-year training period; inadequate or marginal performance during the training period will result in automatic demotion or termination.
Drive for Results
Intermediate knowledge of financial accounting and economic principles
Basic knowledge of financial statements
Intermediate financial mathematic skills
Knowledge of statistical data analysis
Knowledge of computer software (Microsoft Word, Excel, Outlook)
Active learning skills and ability to acquire and build on knowledge base
Possess active listening skills and ability to give full attention to instructions, ask questions, and understand new information
Demonstrate critical thinking by using logic and reasoning to identify logical solutions, conclusions, and make recommendations
Utilize on-the-job training and instruction from examiner schools and apply in the examination process
Ability to read, comprehend and apply deductive reasoning skills to laws, rules, statutes, policies, and regulations and demonstrate understanding in the examination process
Ability to communicate effectively with co-workers and bank officials to convey information and present information in a group setting
Ability to utilize English language and composition to prepare written reports utilizing correct grammar, spelling, and sentence composition to clearly convey examination results to the readers
Demonstrate time management skills and be able to prioritize work to meet deadlines
Ability to identify correct mathematical methods or formulas in an analysis situation
Ability to listen and understand information and ideas presented through spoken words and sentences
Ability to communicate information when speaking to others to ensure understanding
Ability to read and understand information presented in written form
Demonstrate finger dexterity to key data
Ability to lift 40 pounds of equipment/files to transport to the examination site
Demonstrate interpersonal skills and ability to work as part of a team and self-motivation to work independently and unsupervised to complete work by identified deadlines
Ability to adapt and effectively complete tasks in varying work environments and locations on a day-to-day basis
Ability to sit and work at a computer and review paperwork for extensive periods of time
Property & Casualty Senior Claims Examiner
This position is responsible for handling cases that appear to have an insurance carrier as a fund source; duties include investigation, monitoring, negotiating, and settling cases.
KEY RESPONSIBILITIES AND DUTIES:
Investigate all assigned cases to identify the presence of subrogation or right of recovery potential. This investigation process could include population of investigation facts in the event case
Apply proper maintenance and case handling procedures in accordance with operation standards, which includes but is not limited to, timely notifications to insured parties describing our client's right to recover, documentation of the system, proper handling of recovered dollars
Accumulate, verify proper lien amounts, and prepare supports in all assigned cases through review of client's records and systems
Develop and monitor cases to timely settlement by maintaining timely follow up telephone contact with all parties as appropriate including third parties, insurance adjusters, and attorneys
Prepare arbitration documents under the guidance of the unit supervisor and/or legal department
Negotiate cases and secure settlement with attorneys, third parties, and/or insurance company adjusters
Work cooperatively with the recovery unit sharing knowledge with others
Above average oral and written communications and organizational skills
Flexibility to work in a changing environment
Ability and desire to work in a goal oriented environment
Above average skill in receiving, cataloging, and reviewing detailed verbal and numerical information
High school diploma or equivalent
Internal Hires: 2-5 years job related experience, adjuster's license preferred - but not required
External Hires: 4 year college degree or at least 2 years of experience in some aspect of property and casualty insurance; paralegal certification with experience in personal injury litigation or worker's compensation experience
Safety Examiner 2-011619-173275
Minimum Qualifications Benefits Supplemental Questions
LOCATION OF (1) INTERIM POSITION TO BE FILLED: DEPARTMENT OF SAFETY AND HOMELAND SECURITY, DRIVER LICENSE ISSUANCE DIVISION, DAVIDSON COUNTY
Education and Experience: Education equivalent to graduation from a standard high school and experience equivalent to two years of full-time clerical or customer service work.
Substitution of Education for Experience: Qualifying experience in clerical and/or customer service work may substitute for the required education to a maximum of four years (e.g., experience equivalent to one year of full-time work in one or a combination of the above listed fields may substitute for one year of the required education).
Necessary Special Qualifications:
Applicants for this class must:
- complete a background clearance application which includes releasing all records involving any criminal history;
- submit a fingerprint sample in a manner prescribed by the TBI;
- agree to a fingerprint-based, name-based criminal history records check;
- never have been convicted or found not guilty by reason of insanity in a civilian or military jurisdiction of any Permanent disqualifying criminal offense listed in section 1572.103(a) of the Code of Federal Regulations (CFR) - Title 49 (disqualifying offenses);
- never have been convicted or found not guilty by reason of insanity in a civilian or military jurisdiction within the 7 years preceding the date of application of any Interim disqualifying criminal offense listed in section 1572.103(b) of the Code of Federal Regulations (CFR) - Title 49 (disqualifying offenses);
- not have been released from incarceration within the 5 years preceding the date of application for any Interim disqualifying criminal offense listed in section 1572.103(b) of the Code of Federal Regulations (CFR) - Title 49 (disqualifying offenses);
- not be under want or warrant for a felony listed in section 1572.103(a) or section 1572.103(b) of the Code of Federal Regulations (CFR) - Title 49 (disqualifying offenses).
Examination Method: Education and Experience, 100%, for Preferred Service positions.
Under general supervision, is responsible for safety examination duties of average difficulty; and performs related work as required.
Distinguishing Features: An employee in this class is responsible for accomplishing duties which implement the proper execution of Financial Responsibility and driver license laws. This class differs from that of Safety Examiner 1 in that an incumbent of the latter performs work of more routine nature. This class differs from that of Safety Examiner Supervisor 1 in that an incumbent of the latter is responsible for routine supervisory work.
Learning on the Fly
Dealing with Ambiguity
Ethics and Values
Customer and Personal Service Knowledge
Active Learning Skills
Active Listening Skills
Critical Thinking Skills
Reading Comprehension Skills
Complex Problem Solving Skills
Deductive Reasoning Ability
Number Facility Ability
Oral Comprehension Ability
Oral Expression Ability
Selective Attention Ability
Written Comprehension Ability
Written Expression Ability
Wrist Finger Speed Ability
Speech Clarity Ability
Insurance Claims Examiner Associate
Teamwork. Integrity. Dedication.
Together, we make a difference.
If you are a career-minded, service-driven professional looking to join a fast paced organization then you have come to the right place. AAA is a member service organization affiliated with the national AAA network. With offices across the U.S., we're united by common mission and common values of excellent member service. With more than 14,000 employees in 21 states, we provide legendary service to 16 million loyal members. With a constantly growing membership, we are always welcoming dedicated professionals looking to challenge themselves and build a career within our dynamic organization. You will find that being part of a very successful team is extremely rewarding.
This position is responsible for the review of high exposure claim files to ensure reserves are properly set and maintained, demands are handled appropriately and regulatory standards are adhered to for compliance. Subject matter expert in all disciplines. Provides guidance to ACE markets for the handling, strategy and conclusion of complex claims files. Supports the Claims business units by providing a comprehensive level of technical support and assistance. Demonstrates discretion when assessing complex and unique claims. Position works directly with Claims management to communicate trends and patterns on high severity and complex claims. Provides guidance to management for the handling, strategy and resolution of claims, including providing authority for settlement. This position ensures claims representatives and personnel are effectively delivering legendary service through annual audits. Demonstrates and model's the Club's mission and values for claims representatives and personnel. This position will be a member of the Examination Team.
Four year college degree or equivalent combination of education and experience required. Evidence of continuing education (i.e. industry designations) preferred.
Ability to service claims of low, moderate and higher complexity as normally acquired through 3-10 years' experience. Multi line business experience desirable.
Advanced understanding of 1st party UM, 3rd party and BI/OBI casualty claims
Moderate computer and line of business technical software skills required.
Moderate knowledge of fault assessment and subrogation principles required.
Moderate leadership competencies necessary.
Advanced organization and planning recognition skills required.
Advanced oral and written communication skills required.
Advanced interpersonal skills required.
Valid driver license with level of financial responsibility required by the Club and an acceptable motor vehicle record required for the field positions.
Successful completion of Auto Club pre-employment assessments, background and drug screenings.
Our comprehensive and employee centric training facility located in Costa Mesa provides training programs to help employees acquire various skills necessary to do their jobs and to support career development.
Health Coverage for Medical, Dental, Vision
Paid time off including Vacation, Illness and Holidays
401k Savings Plan
"Creating members for life by exceeding our members' expectations through valuable products and legendary service."
AAA is an Equal Opportunity Employer.
The Automobile Club of Southern California will consider qualified applicants with criminal histories for employment pursuant to the Los Angeles Fair Chance Ordinance.
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