Claims Consultant, Life Sciences CNA Financial Corp.Claims Consultant, Life SciencesWalnut Creek, CA$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial claims with large exposures that require a high degree of technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to complex manage litigation and authorizing payments within scope of authority.
Workers Compensation Claims Specialist, Complex & Settlement Focus CNA Financial Corp.Workers Compensation Claims Specialist, Complex & Settlement FocusWalnut Creek, CA$54,000–$103,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
Claims Analyst Or (Senior) Claims & Patient Safety Specialist MIECClaims Analyst Or (Senior) Claims & Patient Safety SpecialistOakland, CARemote$73,050–$156,958 / yearYou may also lead or support higher-level patient safety and risk management engagements, including complex policyholder consultations, claims prevention initiatives, data-informed presentations, and cross-functional projects that require advanced judgment, independent analysis, and strong facilitation skills. If hired as a (Senior) Claims & Patient Safety Specialist, you will also: Collaborate with MIEC's Patient Safety & Risk Management (PSRM) staff to provide specialized internal and external services addressing existing member groups and new business, including large medical groups and hospitals.
Claims Analyst or (Senior) Claims & Patient Safety Specialist Medical Insurance Exchange Of CaliforniaClaims Analyst or (Senior) Claims & Patient Safety SpecialistOakland, CARemote$73,050–$156,958 / yearYou may also lead or support higher-level patient safety and risk management engagements, including complex policyholder consultations, claims prevention initiatives, data-informed presentations, and cross-functional projects that require advanced judgment, independent analysis, and strong facilitation skills. If hired as a (Senior) Claims & Patient Safety Specialist, you will also: Collaborate with MIEC's Patient Safety & Risk Management (PSRM) staff to provide specialized internal and external services addressing existing member groups and new business, including large medical groups and hospitals.
Part-Time (34 hours/week) Data Entry Claims Intake Processor Staffing Data Services AgencyPart-Time (34 hours/week) Data Entry Claims Intake ProcessorSan Francisco, CaliforniaRemoteWork collaboratively with other team members to ensure that work is completed in accordance to designated turnaround times. If selected for further consideration, candidates will be required to complete an online alphanumeric data entry assessment.
Senior Construction Claims Specialist Jacobs Solutions IncSenior Construction Claims SpecialistOakland, CA$140,000–$185,000 / yearAt Jacobs, we're challenging today to reinvent tomorrow by solving the world's most critical problems for thriving cities, resilient environments, mission-critical outcomes, operational advancement, scientific discovery and cutting-edge manufacturing, turning abstract ideas into realities that transform the world for good. The successful candidate will be responsible to work within a large project team managing the workload assigned to them independently and think critically to make contractual decisions.
Sr. Claims Specialist - Commercial Auto BI Philadelphia Insurance CompaniesSr. Claims Specialist - Commercial Auto BIWalnut Creek, CA$102,150–$120,177 / yearEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
NewClaims Consultant - Advertising / Personal Injury CNA Financial CorpClaims Consultant - Advertising / Personal InjuryWalnut Creek, CA$72,000–$141,000 / yearIndividual contributor responsible for the overall strategic management and resolution of highly complex claims that involve personal and advertising injury exposures, including but not limited to intellectual property, class action, and commercial disparagement. Negotiates highly complex settlement packages, and authorizes payment within scope of authority, settling claims in most cost-effective manner and ensuring timely issuance of disbursements.
Workers Compensation Claims Specialist, West CNA Financial CorpWorkers Compensation Claims Specialist, WestWalnut Creek, CA$54,000–$103,000 / yearPartners with attorneys, account representatives, agents, underwriters, doctors, nurse case managers and insureds to develop a focused strategy for timely and cost effective resolution of more complex claims. Performs a combination of duties in accordance with departmental guidelines: Interprets more complex or unusual policy coverages and determines if coverages apply to claims submitted, escalating issues as needed.
Claims Examiner - Workers Compensation (HYBRID - Concord, CA) Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation (HYBRID - Concord, CA)Concord, CA$80,000–$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.
Engineer, Claims Platform recoursehealth.comEngineer, Claims PlatformSan Francisco, CaliforniaIf you want this to be the most memorable stretch of your career, where you shipped something real, with a team you respected, in a domain that actually matters, this is the seat. We are actively filing disputes for real customers, including a large multi-facility health system and a litigation-finance partner with hundreds of millions in claim value.
Claims Specialist - Victim/Witness I (8129) City and County of San FranciscoClaims Specialist - Victim/Witness I (8129)San Francisco, CAUnder general direction the Claims Supervisor, example of essential duties includes, but are not limited to:Verify and evaluate information provided by applicants to determine eligibility for program benefits Verify and evaluate crime related losses and applicable reimbursement and recovery sourcesAnalyze and respond to inquiries from victims and service providers regarding program eligibility and pertinent service-related questionsWork with a diverse population of clients who may be in crisisApply excellent written and verbal skills to effectively communicate with applicants, state board staff, law enforcement, victim/witness advocates and peers with the goal of resolving claims in accordance with CalVCB guidelinesExplain processes and guidelines to applicants to ensure that they are given accurate and timely information regarding the status of pending claimsDemonstrate the ability to learn, understand, assimilate and apply extensive and frequently changing State of California policy and statutory revisions governing the claims verification processCollaborate with advocacy team and other parties related to pending cases and corresponding claimsApply knowledge of various reimbursement sources to resolve claimsMaintain clear and concise notes documenting all contacts, correspondence and pertinent work performed Keep supervisor apprised of all activities, including current and anticipated issuesWork with community stakeholders. Education verification information on verifying foreign education credits or degree equivalency, can be found at https://sfdhr.org/how-verify-education-requirementsNote : Falsifying one's education, training, or work experience or attempted deception on the application may result in disqualification for this and future job opportunities with the City and County of San Francisco.
Property Claims Representative - Regional Insurance Carrier - Base Salary to 110k/year - San Jose, CA AllSearch Professional StaffingProperty Claims Representative - Regional Insurance Carrier - Base Salary to 110k/year - San Jose, CASan Jose, CA$71,000–$110,000 / yearInvestigate property claims involving commercial & residential buildings, collapse, structural damage, earth movement, and total building losses. The Property Claims Representative will be responsible for technical claim-handling, including investigation, evaluation, and negotiations pertaining to Property, Collapse, Earth Movement and Total loss of buildings.
National Complex Claims Leader Marsh & McLennan Companies IncNational Complex Claims LeaderSan Francisco, CARemote$93,700–$174,800 / yearReporting to the SVP, National Claims Director, you will serve as a senior resource and technical authority on complex and high-exposure claims, bringing deep expertise, strategic judgment, and a national perspective to drive resolution on complex, high-stakes commercial P&C claim situations across the organization. In this capacity, you will build and maintain strong relationships with national and regional leadership, industry vertical leaders, and Marsh Risk, ensuring MMA clients receive best-in-class advocacy at every level.
Group Product Manager, Core TPA Claims CollectiveHealth IncGroup Product Manager, Core TPA ClaimsSan Francisco, CA$172,500–$215,625 / yearCross-Functional Influence: Enable deep connections between engineering, UX, sales, marketing, operations, and client success to ensure buy-in for complex initiatives and to surface critical market insights. Results-Oriented Delivery: Proactively solve complex architectural and business problems alongside your PMs to ensure the delivery of high-quality, compliant, and scalable healthcare products.
Group Product Manager, Core TPA Claims CollectiveHealth, Inc.Group Product Manager, Core TPA ClaimsSan Francisco, CA$172,500–$215,625 / yearCross-Functional Influence: Enable deep connections between engineering, UX, sales, marketing, operations, and client success to ensure buy-in for complex initiatives and to surface critical market insights. Results-Oriented Delivery: Proactively solve complex architectural and business problems alongside your PMs to ensure the delivery of high-quality, compliant, and scalable healthcare products.
Vice President- P&C Claims Edgewood Partners Insurance CenterVice President- P&C ClaimsSan Francisco, 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 Supervisor, Complex General Liability GallagherClaims Supervisor, Complex General LiabilityOakland, CaliforniaRemoteFull timeAbility to actively review work of others via file reviews; identify coaching opportunities, act on needed coaching opportunities and position subordinates for successful development leading to advancement within the organization. As part of Gallagher, a global leader in insurance, risk management, and consulting, you’ll be joining a team that’s passionate about helping individuals and organizations thrive.
Senior Claims Examiner, Workers' Compensation GallagherSenior Claims Examiner, Workers' CompensationPleasanton, CaliforniaRemote$75,000–$105,000 / yearFull 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.
Senior Claims Examiner GallagherSenior Claims ExaminerPleasanton, CaliforniaRemoteFull timeBehaviors: Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges. Introduction : At Gallagher, we help clients face risk with confidence because we believe that when businesses are protected, they’re free to grow, lead, and innovate.