Claims Specialist - Safety Department Mesa Energy Systems, Inc.Claims Specialist - Safety DepartmentIrvine, California$36–$40 / hourFull timeIt will actively manage the workers’ compensation claims process from start to end, ensure compliance with regulatory requirements, collaborate with internal business partners on our injured workers' health and claims status, and support the Management Team, HR, and safety with insurance claims. We are a full-service HVAC, building automation, chiller, and retrofit contractor with a reputation for combining high-quality consulting services with customized energy solutions.
NewCommercial Auto Claims Adjuster - Remote CSAA Insurance GroupCommercial Auto Claims Adjuster - RemoteCARemote$25.32–$33.71 / hourAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker {+ 21 more}. Your Role: As a Commercial Auto Claims Adjuster, you will handle routine non-complex to moderately complex non-injury Commercial and Specialty claims.
Senior Claims Adjuster II | California Employers Holdings IncSenior Claims Adjuster II | CaliforniaCalifornia, CARemote$80,000–$120,000 / yearCompletes detailed settlement analysis and recommends appropriate settlement value, utilizing in-depth knowledge of appropriate workers' compensation insurance principles and laws, subrogation recoveries, offsets and deductions, claim and disability duration, cost containment principles; including medical management practices and Social Security and Medicare application procedure as applicable. With minimal oversight, the Senior Workers Compensation Claims Adjuster II is responsible for timely and accurate management of workers' compensation claims with high or catastrophic medical and indemnity benefits, involving litigation and complex issues and exposures.
NewWorkers' Compensation Claims Examiner III - Glendale, CA OR Orange, CA (Contract - Hybrid) Johnson Service GroupWorkers' Compensation Claims Examiner III - Glendale, CA OR Orange, CA (Contract - Hybrid)Orange, CAAs a Workers Compensation Claims Adjuster III at, you are a senior technical expert trusted with the organizations most complex, high-exposure, and strategically sensitive claimsincluding catastrophic injuries, multi-party litigation, and cases with novel legal or medical challenges. Independently negotiate and finalize high-value settlements including C&R and Stipulated Awards; manage multi-lien resolution (MSA, Medi-Cal, provider, attorney liens) and coordinate with lien counsel and CMS as required.
NewWorkers Compensation Claims Team Manager Today'sHRWorkers Compensation Claims Team ManagerBurbank, CACarrier & Broker Coordination: Partner closely with our brokerage team, third-party administrators (TPAs), insurance carriers, and legal counsel to strategize on litigated files, settlement authority and key dates related to workers’ compensation renewals and unit statistical filing dates. You will oversee day-to-day claims operations, ensure timely and accurate claims processing, and function as a key liaison between client business owners, injured workers, internal HR/legal teams, and external carrier partners and TPA’s.
Claims Property Adjuster AAAClaims Property AdjusterCosta Mesa, California$25.48–$28.03 / hourWith our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team. Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State Required.
Biller - Claims & Denials - Full-Cycle Biller CPSIBiller - Claims & Denials - Full-Cycle BillerCAEssential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Coordinates business office functions and personnel that may include, but is not limited to patient billing, credit and collections, and data entry. Responsible for assisting manager in the management of employees which would include coaching, training and performing necessary disciplinary actions including following up on action plans for their employees.
SENIOR WORKERS'' COMPENSATION CLAIMS ADJUSTER State Of CaliforniaSENIOR WORKERS'' COMPENSATION CLAIMS ADJUSTERLos Angeles, CA$6,646–$8,324If this posting requires an SOQ, Artificial intelligence (AI) tools such as ChatGPT, website searches, and third-party reviewers can be helpful in researching responses to the SOQ; however, by submitting your application for this position, you understand and acknowledge the SOQ you submit is your own work, in your own words, and accurately reflects your knowledge, skills, abilities, and experiences. Established in 1914 by the state legislature, we offer diverse and comprehensive products and services that provide a strong and stable option for employers and injured employees with fast, reliable claims service and medical and indemnity benefits.
Vice President-P&C Claims Edgewood Partners Insurance CenterVice President-P&C ClaimsNewport Beach, CA$175,000–$200,000 / yearFueled and driven by capable, committed people who share common beliefs and values and "bring it" every day, EPIC is always looking for people who have "the right stuff" - people who know what they want and aren't afraid to make it happen. Managed PTO for salaried/exempt employees (personal time off without accruals or caps); 22 PTO days starting out for hourly/non-exempt employees; 12 company-observed paid holidays; 4 early-close days.
Claims Specialist, Construction Sompo InternationalClaims Specialist, ConstructionIrvine, CA$70,000–$125,000 / yearOur in-house insurance claims professionals work with underwriters, risk control specialists, and distribution partners to build collaborative relationships with insureds, understand clients' changing needs, and provide direct access to experienced claims professionals with extensive industry and product knowledge. Sompo is committed to providing outstanding claims service that delivers fair and appropriate outcomes for our insureds, efficient service, timely responses, fast payment of agreed claims, and value-added expertise from product and industry specialists.
Claims Specialist, Construction Sompo International Holdings LimitedClaims Specialist, ConstructionIrvine, CA$70,000–$125,000 / yearOur in-house insurance claims professionals work with underwriters, risk control specialists, and distribution partners to build collaborative relationships with insureds, understand clients' changing needs, and provide direct access to experienced claims professionals with extensive industry and product knowledge. Sompo is committed to providing outstanding claims service that delivers fair and appropriate outcomes for our insureds, efficient service, timely responses, fast payment of agreed claims, and value-added expertise from product and industry specialists.
Workers' Compensation Claims Specialist WeDriveU, Inc.Workers' Compensation Claims SpecialistCAThis role serves as the primary point of contact for workers' compensation claims administration, ensuring claims are proactively handled from initial reporting through closure while minimizing claim costs, supporting injured employees, maintaining regulatory compliance, and identifying opportunities for continuous improvement. The Workers' Compensation Claims Specialist is responsible for coordinating WeDriveU's national workers' compensation claims program in partnership with third-party administrators (TPAs), insurance carriers, legal counsel, and internal business partners.
Associate Claims Counsel (Hybrid) First American Financial CorpAssociate Claims Counsel (Hybrid)Santa Ana, CA$85,000–$113,300 / yearFirst American reasonably believes that a criminal history may have a direct, adverse and negative relationship with the following material job duties for this position potentially resulting in the withdrawal of the conditional offer of employment: handling of confidential, proprietary or trade secret information belonging to First American or its customers, administrating or facilitating financial transactions, and the ability to meet customer-imposed criminal history requirements. What You'll Do: Investigate the facts and issues of the claim, determine whether coverage exists, evaluate loss under the title policy, assess defenses for the insured and/or the company, determine need to retain outside counsel, develop and carry out a plan to address the claim and manage the claim and/or litigation through to final resolution.
Complex Claims Consulting Director - Healthcare Severity & Excess Team CNA Financial Corp.Complex Claims Consulting Director - Healthcare Severity & Excess TeamIrvine, CA$97,000–$189,000 / yearCNA is a market leader in insuring Healthcare providers and entities including Allied Healthcare Facilities, Aging Services and Allied Healthcare Providers, including nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists, and more than 100 other categories of medical service providers. This role is responsible for analyzing complex coverage matters, driving claim resolution, managing complex litigation including risk transfer opportunities, advising leadership on legal and claim risks, and partnering with Underwriting and other business units on emerging trends and portfolio management.
Complex Claims Consulting Director - Healthcare Severity & Excess team CNA Financial CorpComplex Claims Consulting Director - Healthcare Severity & Excess teamLos Angeles, CA$97,000–$189,000 / yearCNA is a market leader in insuring Healthcare providers and entities including Allied Healthcare Facilities, Aging Services and Allied Healthcare Providers, including nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists, and more than 100 other categories of medical service providers. This role is responsible for analyzing complex coverage matters, driving claim resolution, managing complex litigation including risk transfer opportunities, advising leadership on legal and claim risks, and partnering with Underwriting and other business units on emerging trends and portfolio management.
NewClaims Specialist Quality Assurance I Inland Empire Health PlanClaims Specialist Quality Assurance ICalifornia, CA$25.90–$33.02 / hourUnder the direction of the Claims Quality Assurance (QA) Manager and Supervisor, the Claims Specialist Quality Assurance (CSQA) is responsible for ensuring the integrity of all data created and updated by the Claims Processing staff. The CSQA will utilize quality auditing tools, identify training needs, and define effective and efficient methods for accurate data entry and adjudication.
Assistant Claims Adjuster GpacAssistant Claims AdjusterSanta Ana, CA50000–70000Instead, the Assistant Claims Adjuster serves as a liaison between the insured, insurance carriers, and claims adjusters to ensure clear communication, timely follow-up, and exceptional client service throughout the life of each claim. We are seeking a detail-oriented and customer-focused Assistant Claims Adjuster to support the management of Workers' Compensation claims for a select group of commercial clients.
Assistant Claims Adjuster - Workers' Compensation GpacAssistant Claims Adjuster - Workers' CompensationLong Beach, CA50000–75000Instead, the Assistant Claims Adjuster serves as a liaison between the insured, insurance carriers, and claims adjusters to ensure clear communication, timely follow-up, and exceptional client service throughout the life of each claim. We are seeking a detail-oriented and customer-focused Assistant Claims Adjuster to support the management of Workers' Compensation claims for a select group of commercial clients.
Claims Supervisor Hankey Group ExternalClaims SupervisorLos Angeles, CaliforniaThe exact starting compensation to be offered will be determined at the time of selecting an applicant for hire and will be dependent on a wide range of factors, including but not limited to geographic location, skill set, experience, education, credentials, and licensure when applicable. We are looking for a candidate with a minimum of 8 years of experience in claims who can bring leadership, expertise, and dedication to our team.
Claims Consultant -Life Sciences or Cyber/Technology E&O (Hybrid) Onebeacon Professional Insurance IncClaims Consultant -Life Sciences or Cyber/Technology E&O (Hybrid)Anaheim, CA$143,000–$167,000 / yearSpecial consideration will be given to candidates who have personally litigated life sciences matters as attorneys and possess firsthand experience developing litigation strategy, managing scientific and expert evidence, conducting depositions, participating in trial preparation, and evaluating product liability and professional liability exposures from both the litigation and insurance claims perspectives. The ideal candidate will possess substantial Technology Errors & Omissions claims experience and a deep understanding of E&O coverage, including the ability to analyze complex professional liability exposures, contractual liability issues, performance disputes, and technology-related loss scenarios.