NewSenior Claims Adjuster I | California Employers Holdings IncSenior Claims Adjuster I | CaliforniaCARemote$60,000–$106,000 / 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. Independently analyzes case facts to establish timely and accurate reserves using knowledge and experience with medical disabilities and related costs, as well as judgment of extent of disability.
Claims Adjuster Kinetic Personnel Group, Inc.Claims AdjusterMonrovia, CA$55,000–$75,000 / yearThe ideal candidate has a strong understanding of coverage analysis, liability evaluation, and California insurance regulations, and is able to resolve claims efficiently and fairly. This role is responsible for providing high-quality customer service while managing a volume of property damage claims.
TEMP-Workers'''' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Workers'''' Compensation Claims AdjusterCARemote$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Clearing the error involves researching to obtain the missing or misaligned information (sometimes requiring communication with the claimant or insured) and entering or correcting data in various fields in either our claims system or the state's reporting site.
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.
Associate Claims Adjuster, Workers Compensation Liberty Mutual Holding Company IncAssociate Claims Adjuster, Workers CompensationCAAs an Associate Claims Adjuster, you will develop the knowledge and skills needed to conduct thorough investigations, make decisions about liability / compensability, evaluate losses, negotiate settlements and manage an inventory of commercial property/casualty and disability claims by participating in a comprehensive training program, one-on-one mentoring, and on-the-job training. Investigates new claims by reviewing first reports of loss and supporting materials, determines the best first point of contact (claimants, customers, witnesses, etc.) to gather information regarding injuries or loss refers tasks to auxiliary units as necessary and posts file accordingly.
Claims Adjuster - Workers Compensation MindlanceClaims Adjuster - Workers CompensationOntario, CARemote$51–$52 / hourPRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
Workers Compensation Claims Adjuster | HYBRID | Brea, CA Sedgwick Claims Management Services, Inc.Workers Compensation Claims Adjuster | HYBRID | Brea, CABrea, CA$80,000–$90,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. PRIMARY PURPOSE OF THE ROLE: To analyze workers' compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Workers Compensation Claims Adjuster | Ontario, California Sedgwick Claims Management Services, Inc.Workers Compensation Claims Adjuster | Ontario, CaliforniaOntario, CA$70,000–$85,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. PRIMARY PURPOSE OF THE ROLE: To analyze workers' compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Claims Field Senior Property Adjuster AAAClaims Field Senior Property AdjusterCarson, CaliforniaWith 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. Travel Requirements Claims field duties may involve company car usage and local travel to inspect accident scenes or first-party homeowner losses.
NewClaims Property Adjuster AAAClaims Property AdjusterCosta Mesa, CaliforniaWith 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. Claims Property Adjuster This position supports the Property Claims operation by handling claims reported on Homeowner policies written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements.
CA - Claims Adjuster, Workers Compensation Pie Insurance Holdings IncCA - Claims Adjuster, Workers CompensationCARemote$80,000–$100,000 / yearThis role will work with internal and external partners to deliver best in class performance, identify and pursue claim mitigation opportunities and deliver favorable claim outcomes for Pie's customers. The Claims Adjuster will play a vital role in delivering quality claim file management and an industry-leading customer claims experience.
Claims Adjuster, Worker''s Compensation Pie Insurance Holdings IncClaims Adjuster, Worker''s CompensationCARemote$70,000–$90,000 / yearThis role will work with internal and external partners to deliver best in class performance, identify and pursue claim mitigation opportunities and deliver favorable claim outcomes for Pie's customers. The Claims Adjuster will play a vital role in delivering quality claim file management and an industry-leading customer claims experience.
Claims Adjuster - Workers | Ontario, CA Sedgwick Claims Management Services, Inc.Claims Adjuster - Workers | Ontario, CAOntario, CARemote$60,000–$80,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
NewWorkers Compensation - Claims Adjuster | Brea, CA Sedgwick Claims Management Services, Inc.Workers Compensation - Claims Adjuster | Brea, CABrea, CA$65,000–$85,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
Garage Bodily Injury Claims Adjuster Argo Group International Holdings IncGarage Bodily Injury Claims AdjusterCA$86,000–$101,500 / yearQualifications / Experience Required: A practical knowledge of commercial claims, as well as an exceptional customer service focus typically achieved through: • A minimum of two years experience adjudicating first and third party commercial Garage Bodily Injury claims. Essential Responsibilities: • Working under technical direction and within significant limits and authority, adjudicate Garage Bodily Injury claims of higher technical complexity with a direct impact on departmental results.
TEMP-Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Workers' Compensation Claims AdjusterCA$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Rockwood has become a leading underwriter of workers' compensation for the mining industry by offering workers' compensation insurance with a commitment to providing the best service on loss control and claims, collaborating across all departments with this common goal.
TEMP-Senior Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Senior Workers' Compensation Claims AdjusterCA$48.65–$57.59 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under limited technical direction and within broad limits and authority, adjudicate highly complex indemnity workers' compensation claims on assignments reflecting potentially with significant impact on departmental results.
Claims Senior Casualty Adjuster AAAClaims Senior Casualty AdjusterLong Beach, CaliforniaThe Claims Senior Casualty Adjuster handles moderate to high complexity claims involving material damage, property and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. With 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.
Workers’ Compensation Insurance Adjuster CCMSIWorkers’ Compensation Insurance AdjusterIrvine, California$70,000–$85,000 / yearResponsibilities: When we hire Workers’ Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust. At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.
TEMP-Claims Adjuster Argo Group International Holdings IncTEMP-Claims AdjusterCA$37.66–$44.33 / hourCalifornia outside of Los Angeles and San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, Houston metro area, New York State (including Westchester County) and Washington State Pay Ranges: $41.44 - $48.79 per hour. Rockwood has become a leading underwriter of workers' compensation for the mining industry by offering workers' compensation insurance with a commitment to providing the best service on loss control and claims, collaborating across all departments with this common goal.
Senior Workers Compensation Claims Adjuster - California GallagherSenior Workers Compensation Claims Adjuster - CaliforniaGlendale, CaliforniaRemoteFull timeAbout you : As a key member of our experienced Claims Adjuster team, you will: • Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution. How you'll make an impact : Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims.
Claims Adjuster - Workers Compensation Apidel TechnologiesClaims Adjuster - Workers CompensationPasadena, CAContractorTo analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Claims Auto Adjuster AAAClaims Auto AdjusterCosta Mesa, CaliforniaThis entry-level position supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property damage, and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. With 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.
Claims Adjuster Senior GallagherClaims Adjuster SeniorTorrance, CaliforniaRemoteFull timeThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Behaviors: Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
Claims Adjuster - Attorney Represented Injury The Progressive CorpClaims Adjuster - Attorney Represented InjuryPasadena, CA$30.29–$39.23 / hourAn ideal candidate will have experience managing an inventory independently, experience assessing and evaluating liability, coverage, and damages, as well as working independently and directly with attorneys to negotiate and settle claims. For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ .
Claims Adjuster Trainee The Progressive CorpClaims Adjuster TraineeTorrance, CA$28.61–$33.17 / hourFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a period of 12 months.
Senior Claims Adjuster Trean Insurance Group IncSenior Claims AdjusterOntario, CA$85,000–$95,000 / yearEnsure that all claim determinations and payments are completed timely including but not limited to, acceptance/denial letters, wage determination letters including required enclosures and appeal forms. Timely claims determinations for all services including but not limited to: acceptance, denials, authorizations for treatment, benefit payment start, termination are to be included within the statutory or regulatory time frames of the jurisdiction.
Property Claims Adjuster Remote, MST, PST Openly IncProperty Claims Adjuster Remote, MST, PSTCARemote$70,000–$90,000 / yearThe ideal candidate handles every file with integrity, approaches policyholders and claimants with genuine empathy, remains curious about coverage and causation, partners effectively with vendors and teammates, and brings urgency to resolving every claim. Doing this requires a rapidly growing team of exceptional, curious, empathetic people with a wide range of skill sets, spanning technology, data science, product, marketing, sales, service, claims handling, finance, etc.
Attorney-Represented Bodily Injury Claims Adjuster - PST/MST (Remote) Allstate Insurance CompanyAttorney-Represented Bodily Injury Claims Adjuster - PST/MST (Remote)CARemoteThrough our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. Key Responsibilities: Handles investigation regarding all aspects of bodily injury claims (coverage, damages, subrogation, litigation) with the exercise of discretion and independence within increased level of authority.
Non-Attorney Represented Bodily Injury Claims Adjuster - PST/MST (Remote) Allstate Insurance CompanyNon-Attorney Represented Bodily Injury Claims Adjuster - PST/MST (Remote)CARemote$47,500–$61,600 / yearCase Management, Claims Administration, Claims Resolution, Claims Review, Customer Centricity, Customer Service, Digital Literacy, Inclusive Leadership, Insurance Claims Investigations, Learning Agility, Personal Injury Claims, Problem Solving, Results-Oriented, Time Management, Written Communication. As a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment.
Lead General Adjuster United Fire Group IncLead General AdjusterCA$103,221–$136,105 / yearConduct a timely and thorough investigation to identify risks/exposures which may include conducting interviews, procuring recorded statements, relevant documents and identify others possessing facts or involvement with the claim - to determine extent and severity of potential loss. Individual pay within this range will be determined based on a variety of factors, including relevant experience, education, certifications, skills, internal equity, geography and market data.
Claims Adjuster Senior - Litigation The Progressive CorpClaims Adjuster Senior - LitigationPasadena, CA$36–$47 / hourFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.
Claims Adjuster Senior - Injury The Progressive CorpClaims Adjuster Senior - InjuryTorrance, CA$36–$47 / hourFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.
Casualty Desk Adjuster - RGA Sedgwick Claims Management Services, Inc.Casualty Desk Adjuster - RGACA$100,000–$120,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Eight (8) years of related experience to include experience in personal lines claims, evaluating coverage and drafting coverage letters to include both reservation of rights and coverage denials, or equivalent combination of education and experience required.
NewCommercial Casualty Litigation Adjuster - Remote CSAA Insurance GroupCommercial Casualty Litigation Adjuster - RemoteCARemote$80,865–$89,850 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - 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, Montana - Home Teleworkers {+ 21 more}. Interacts directly with defense counsel providing direction, authority for resolution (i.e., settle or go to trial) and ensures appropriate outcome in balancing defense costs and indemnity on litigation claims.
NewCA - Commercial Rideshare Injury Adjuster - Weekend Farmers Group, Inc.CA - Commercial Rideshare Injury Adjuster - WeekendCARemote$31.19–$52.88 / hourThis position uses in-depth expertise to manage claim scenarios such as multi-vehicle auto losses with comparative negligence and bodily injury losses pertaining to soft tissue injury, fracture, dislocation, ligament injury, herniated disc and nerve injuries. Provides professional verbal and written communication to customers including claim status updates, coverage explanations and decisions, and correspondence, including Reservation of Rights and Disclaimer letters, within prescribed authority limits.
Healthcare Claims Adjuster Ultimate Staffing ServicesHealthcare Claims AdjusterEl Monte, California$23–$29 / hourInteract professionally with members and providers to resolve inquiries, follow up on pended claims, and complete corrections and adjustments. Review claims for fraud, waste, abuse, hospital‑acquired conditions, Workers' Compensation, and Third‑Party Liability, referring cases as appropriate.
NewLoan Adjuster II SchoolsFirst Federal Credit UnionLoan Adjuster IITustin, CA$22–$31.90 / hourWorks on all delinquency stages through inbound/out-bound calling, letters, and other approved methods, collects past due payments and/or negotiates payment arrangements or repayment plans to resolve delinquent loans or negative shares by identifying reason for delinquency and offering appropriate options to Members. At SchoolsFirst FCU we are dedicated to building and growing a diverse, inclusive, and authentic Dream Team, so if you're excited about a position or wanting to make a career change but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyway.
Sr. Field Adjuster, Homeowner Claims - Northern CA (Local) CSAA Insurance GroupSr. Field Adjuster, Homeowner Claims - Northern CA (Local)CARemote$89,865–$99,850 / yearUnder close supervision, you will investigate, evaluate, negotiate, and settle homeowners' property/personal property claims, including adjustment to conclusion; involves low- to higher-complexity claims that typically require physical inspection. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including CSAA offices.
Auto Field Adjuster Allstate Insurance CompanyAuto Field AdjusterPasadena, CA$26.49–$37.50 / hourThis role includes writing repair estimates in accordance with company guidelines, taking detailed photographs of vehicle damage, and managing the full estimating process, including supplements and negotiations with repair facilities and other vendors. As a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment.
Auto Damage Adjuster (Field) GEICO GENERAL INSURANCE COMPANYAuto Damage Adjuster (Field)CA$36.63–$57.49 / hourAs an experienced Adjuster, you should have a minimum of 12 months of Auto Damage experience and demonstrated a track record of success delivering excellent customer service while promptly and accurately settling claims. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations.
Bodily Injury Large Loss Adjuster Allstate Insurance CompanyBodily Injury Large Loss AdjusterCA$85,000–$145,075 / yearBodily Injury Claims, Claims Litigation, Client Counseling, Complex Claims, Conflict Management, De-Escalation, Diary Management, Documentations, File Reviews, Industry Trend Analysis, Insurance Claims Investigations, Large Loss Claims, Liability Analysis, Liability Investigations, Litigation, Negotiation, Personal Injury Claims, Prioritization, Torts. Works with Product, Protection, Law, and Claims on new products introduced to the Field and the sales force, and develops Claim Bulletins to provide new forms and/or endorsements that impact claim handling practices.
Machine Adjuster Trainee Cenveo Worldwide LtdMachine Adjuster TraineeCAPay & Schedule $21/hr or higher depending on experience + shift premium (2nd & 3rd shifts) Training is on 1st shift: 6am -- 2pm 2nd shift premium $0.70/hr / 2pm -- 10-pm 3rd shift premium $1.50/hr Machine Adjuster Trainee -- Hiring Now Cenveo | City of Industry, CA Train to become a full Machine Adjuster in a fast paced envelope manufacturing environment.
Machine Adjuster Cenveo Worldwide LtdMachine AdjusterCAExperienced Envelope Machine Adjuster -- Hiring Now Cenveo | City of Industry, CA Cenveo is hiring experienced Envelope Machine Adjusters to set up, tune, and maintain high speed envelope manufacturing equipment. Pay & Schedule $25/hr or higher depending on experience + shift premium (2nd & 3rd shifts) 2nd shift premium $0.70/hr / 2pm -- 10-pm 3rd shift premium $1.50/hr
Bodily Injury Adjuster - Represented/Litigation, Complex/Severe - CA, NW & SW States (Remote) Allstate Insurance CompanyBodily Injury Adjuster - Represented/Litigation, Complex/Severe - CA, NW & SW States (Remote)CARemote$53,500–$84,625 / yearYou'll wear a few hats to fill a few roles throughout your day that all require a level of experience: The Customer Service Expert -you'll live into Allstate's Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each casualty claim. A day in the life of a Represented/Litigation Adjuster, and what it takes to do the job: The individual selected for this role will join a team who primarily handles claims in the following states: California and Northern and Southern West Coast states.
Public Adjuster I Allied Public AdjustersPublic Adjuster IGlendale, CA$80,000–$105,000 / yearEffectively and efficiently utilize support teams such as legal, engineering, and leadership where needed to resolve claims and maximize value for our clients. Our Company: At Allied Public Adjusters (APA), our North Star is clear: we envision a world where every property loss is settled truthfully and equitably.
NewSr Medical Case Manager-CA Crawford & CoSr Medical Case Manager-CACATo determine the actual offer, Crawford considers a wide range of factors including the candidate's previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours. Reviews case records and reports, collects and analyzes data, evaluates client''s medical and vocational status and defines needs and problems in order to provide proactive case management services.
Senior Claims Examiner VenbrookSenior Claims ExaminerAnaheim, California$80,000–$90,000 / yearVenbrook 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’s team of experts and industry specialists partners with 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.
Senior Construction Defect Technical Claims Specialist Team Lead Argo Group International Holdings IncSenior Construction Defect Technical Claims Specialist Team LeadCARemote$156,000–$187,500 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Qualifications / Experience Required: A deep knowledge of construction defect claims adjudication, along with an exceptional focus on customer service, typically achieved through: A minimum of seven years' experience adjudicating construction defect claims with exposure of $100,000 or more.
NewClaims Examiner - Workers Compensation ObjectWin TechnologyClaims Examiner - Workers CompensationPasadena, CARemoteTo analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.