BusinessOperations - Claims Examiner (Operations) 1 - 700092 MindlanceBusinessOperations - Claims Examiner (Operations) 1 - 700092Woodland Hills, CA$23 / hourImpact and Purpose Candidate Requirements Education/Certification Required: High school diploma or higher education Preferred: High school diploma or higher education Licensure Required: No License Required Preferred: CA Pharmacy Technician License Years of experience required. Projected HM Candidate Review Date: 1-2 days post shortlisting Number and Type of Interviews: 1 Interview (Panel of 3) Extra Interview Prep for Candidate: No Required Testing or Assessment (by Vendor): Manager Communication Preferences & Next Steps
NewClaims Operations Manager 8FleetClaims Operations ManagerLos Angeles, CaliforniaOwn accident and vehicle-incident claims across all markets, from first notice of loss through investigation, repair coordination, negotiation, settlement and closure. At 8Fleet, claims sit at the intersection of fleet availability, driver experience, insurance costs, repair expenses, operational risk and company economics.
Claims Appraiser - Auto Estimatics State FarmClaims Appraiser - Auto EstimaticsLos Angeles, California$69,398.62–$91,000 / yearFull timeWith the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you! Additional Details: Employees must successfully complete all required training, including applicable proficiency, licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s).
Claims Specialist Lead The Progressive CorpClaims Specialist LeadTorrance, CA$39.18–$51.92 / 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/ . As a claims specialist on our team, you'll play a critical role in our ability to successfully and efficiently resolve large-loss injury claims valued over $60k.
NewSenior Manager, Claims Adjustments Mitchell MartinSenior Manager, Claims AdjustmentsLos Angeles, CA$117,509–$152,762 / yearBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. • This role involves managing complex workflows, ensuring compliance, and leading a team to drive performance.
Claims Analyst (Virtual, US/CAN) Sirva Worldwide IncClaims Analyst (Virtual, US/CAN)CARemote$45,000–$57,000 / yearClaims Analysts are responsible for managing customer expectation while performing a thorough investigation on the claim which includes but is not limited to reviewing customer correspondence, client contract terms, seeking information from all parties involved, assigning repair firms to assess the damages and complete repairs as needed while medicating cost. From corporate relocation and household goods to home sale and commercial moving and storage, our portfolio of brands (including Sirva, Allied, northAmerican, Global Van Lines, Alliance, and Sirva Mortgage) provide everything needed to move talent and deliver experience.
Content Claims Specialist - Field - Level I Crawford & CoContent Claims Specialist - Field - Level ILos Angeles, CARemoteTo 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. Communicate with adjusters/policyholders and industry vendors to explain their roles as Content Claims Specialists and their respective roles/contributions in the claims handling process.
Claims Examiner Venbrook Group LLCClaims ExaminerLos Angeles, CAVenbrook 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 their 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 Complex Claims Specialist EMC Insurance Group Inc.Senior Complex Claims SpecialistCA$103,954–$149,372 / yearServes as the subject matter expert on highly complex coverage issues impacting assigned claims, seeks assistance when needed or appropriate, issues coverage correspondence, and takes coverage into account when setting reserves and driving claims towards resolution. Reviews and communicates comprehensive evaluations of assigned claims presenting serious injuries (such as fatality, amputation, loss of sight, burns, paraplegia, quadriplegia, sex abuse, etc.), intellectual property claims, and claims with exposures of $750,000 or greater.
Senior Claims Specialist, Construction Defect AXA SASenior Claims Specialist, Construction DefectLos Angeles, CA$117,000–$184,400 / yearBy combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business property, casualty, professional, financial lines and specialty. Senior Claims Specialist - Construction Defect Los Angeles, CA | Hartford, CT | Exton, PA | New York, NY | Morristown, NJ | Atlanta, GA | USA At AXA XL, we deliver on our claims promise by having the best systems, the best people and the best partnerships in place.
Sr. Manager - Claims Delegation Audit Astrana Health IncSr. Manager - Claims Delegation AuditMonterey Park, CAThis role will be responsible for the development and execution of department strategies, overall Audit program, Audit process optimization, and management, identifying and leveraging technology and data to improve the quality and minimizing process cost of Claims. Working with the Department Director, Senior Manger will collaborate with other Astrana Health departments and personnel to develop strategies to identify, mitigate and optimize operational and financial gaps.
Fractional Customer Service (Claims) Manager Silva-Lining HRFractional Customer Service (Claims) Managerlos Angeles, CARemoteSilva-Lining HR is seeking a Fractional Customer Service (Claims) Manager for a client to oversee and optimize the end-to-end claims process, ensuring timely resolution, operational efficiency, and exceptional customer experience. Lead project management efforts for claims resolution, including task delegation and coordination with internal team members, vendor partners, shipping providers, and repair services.
Professional Liability Claims Advisor (Remote) Sedgwick Claims Management Services, Inc.Professional Liability Claims Advisor (Remote)CARemote$100,000–$145,000 / yearYou bring experience handling complex Medical Malpractice and/or Professional Liability claims, excel at investigating claims, evaluating coverage, and driving strategic resolutions, and thrive in a client-focused environment where you can manage high-exposure files, collaborate with defense counsel, and mentor others while delivering exceptional results. Mental: 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.
Sr. Claims Specialist, Professional Liability | Medical Malpractice | California Sedgwick Claims Management Services, Inc.Sr. Claims Specialist, Professional Liability | Medical Malpractice | CaliforniaLong Beach, CA$100,000–$125,000 / yearIdeal candidates demonstrate strong analytical and negotiation skills, exercise sound judgment, and are committed to delivering timely, cost‑effective claim resolutions while maintaining a high level of customer service. ESSENTIAL RESPONSIBLITIES MAY INCLUDE: Analyzes and processes complex or technically difficult medical malpractice 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.
NewRemote Workers Compensation Claims Examiner | CA Jurisdiction Sedgwick Claims Management Services, Inc.Remote Workers Compensation Claims Examiner | CA JurisdictionWest Hills, CARemote$80,000–$105,000 / yearPRIMARY PURPOSE OF THE ROLE To analyze complex or technically difficult California 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. Mental: 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.
Claims Specialist, Workers Compensation - West Region Liberty Mutual Holding Company IncClaims Specialist, Workers Compensation - West RegionGlendale, CARemoteResponsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages. As a Workers Compensation Claims Specialist, you will work within a Claims Team, using the latest technology to review, analyze, and process claims that are routinely characterized as moderately complex to complex within assigned authority limits.
Sr Claims Specialist Argo Group International Holdings Ltd.Sr Claims SpecialistLos Angeles, CA$75,200–$90,600 / yearThis includes assessing coverage, contacting the customers, investigating the facts surrounding the loss, arranging inspection, experts, and third parties; collecting information and evaluating complexity of loss of claims when needed; negotiating loss settlements either directly with our customers or through their assigned counsel and finalizing settlement. Core qualifications and requirements for this position include: A broad theoretical knowledge of general liability claims as well as an exceptional customer service focus typically obtained through: Bachelor's degree from an accredited university required.
Sr Claims Specialist Argo Group International Holdings IncSr Claims SpecialistLos Angeles, CA$75,200–$90,600 / yearThis includes assessing coverage, contacting the customers, investigating the facts surrounding the loss, arranging inspection, experts, and third parties; collecting information and evaluating complexity of loss of claims when needed; negotiating loss settlements either directly with our customers or through their assigned counsel and finalizing settlement. Core qualifications and requirements for this position include: A broad theoretical knowledge of general liability claims as well as an exceptional customer service focus typically obtained through: Bachelor's degree from an accredited university required.
Claims Examiner - Workers Compensation ObjectWin TechnologyClaims Examiner - Workers CompensationLong Beach, CATo 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.
Senior Claims Assistant - Workers'''' Compensation ICW GroupSenior Claims Assistant - Workers'''' CompensationWoodland Hills, CA$22.54–$35.54 / hourHeadquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for the twelfth consecutive year in a row and for the 20th time overall as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. If hired at ICW Group, your final base salary compensation will be determined by factors unique to each candidate, including experience, education and the location of the role and considers employees performing substantially similar work.