Sr. Claims Consultant - IAS BRP Group, Inc.Sr. Claims Consultant - IASTustin, CAThe Baldwin group is an award-winning entrepreneur-led and inspired insurance brokerage firm delivering expertly crafted commercial insurance and risk management, private insurance and risk management, employee benefits and benefit administration, asset and income protection, and risk mitigation strategies to clients wherever their passions and businesses take them throughout the U.S. and abroad. This role serves as a trusted consultant to our clients, insurance carriers, third-party administrators (TPAs), and internal account teams by providing strategic workers' compensation claims consulting, advocacy, and program management services.
Claims Examiner - Lead CalOptimaClaims Examiner - LeadOrange, CA$55,966–$83,949 / yearWe are hoping you will join us as a Claims Examiner - Lead and help shape the future of healthcare where you'll be an integral part of our CLA - Claims Production team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.
Claims Resolution Specialist, Covered California CalOptimaClaims Resolution Specialist, Covered CaliforniaOrange, CA$53,813–$80,720 / yearWe are hoping you will join us as a Claims Resolution Specialist, Covered California and help shape the future of healthcare where you'll be an integral part of our Claims Administration team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.
Workers Comp Claims Advocate Hub International LtdWorkers Comp Claims AdvocateNewport Beach, CAThe expected salary range for this position is $100,000 - $110,000k depending on geographical location and will be impacted by factors such as the successful candidate's skills, experience and working location, as well as the specific position's business line, scope and level. While restaurant clients represent our primary focus (from white-glove establishments to fast-food operations), this role also involves supporting clients across various other industries.
Claims Advocate- P&C Edgewood Partners Insurance CenterClaims Advocate- P&CNewport Beach, CA$95,000–$105,000 / 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 Coordinator, PSA Collaborative SolutionsClaims Coordinator, PSASanta Ana, CaliforniaOur services span collectible trading cards, autographs, comic books, coins, video games, event tickets, and memorabilia. We grade, authenticate, vault, and sell millions of record-setting collectibles, all while modernizing and digitalizing the process to further our mission of helping collectors pursue their passions.
Claims Examiner - Workers Compensation ICONMA, LLCClaims Examiner - Workers CompensationOrange, CARemote$47–$52 / hourSubject 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. Responsibilities: 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.
Quality Claims Administrator Assistant Bentley Mills IncQuality Claims Administrator AssistantCABentley Mills reserves the right to pay outside of the given range based on a variety of factors including but not limited to: candidate skills and experience, complexity of the job, budgetary factors, and local/geography. Skills: The Quality Claims Administrator Assistant uses strong organizational skills daily to manage multiple claims efficiently and ensure accurate documentation.
Claims Examiner - Workers Compensation (Hourly) Apidel TechnologiesClaims Examiner - Workers Compensation (Hourly)Brea, 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 Examiner Sr CalOptimaClaims Examiner SrOrange, CA$51,744–$72,441 / yearWe are hoping you will join us as a Claims Examiner Sr and help shape the future of healthcare where you'll be an integral part of our Claims Administration team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.
Claims Examiner Sr, Covered California CalOptimaClaims Examiner Sr, Covered CaliforniaOrange, CA$51,744–$72,441 / yearWe are hoping you will join us as a Claims Examiner Sr, Covered California and help shape the future of healthcare where you'll be an integral part of our Claims Administration team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.
Claims Examiner - Workers Compensation (Hourly) ICONMA, LLCClaims Examiner - Workers Compensation (Hourly)Brea, CA$43–$48 / hourResponsibilities: 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. Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
Workers Compensation Claims Supervisor AVONRISKWorkers Compensation Claims SupervisorOrange, CATo be the leading third party administrator offering professional and technological resources through pro-active and aggressive claims and managed care solutions in support of our clients’ objectives. Competent and experienced individuals provide the human element needed to deliver good service and drives good outcomes.
Outside Property Claim Representative The Travelers Companies IncOutside Property Claim RepresentativeDiamond Bar, CA$67,000–$110,600 / yearAs a Claim Rep, Outside Property, you will be responsible for managing, inspecting, evaluating, negotiating, and settling 1st party property claims in a timely and accurate manner which includes performing in-person inspections at customers'' residences and properties to accurately assess damages. Ideal locations include El Monte, San Gabriel, Rosemead, West Covina, Covina, Glendora, Azusa, La Puente, East Los Angeles, Montebello, Burbank, Simi Valley, Santa Clarita, and surrounding areas.
Supervising Veterans Claims Representative County of OrangeSupervising Veterans Claims RepresentativeOrange County, CA$70,220.80–$94,660.80 / yearThe ideal candidate will possess a minimum of two (2) years of work experience assisting the public in determining their eligibility and completing and submitting claim requests for public benefits programs (e.g., veterans' benefits, medical insurance benefits, unemployment benefits, disability benefits, and/or Social Security benefits, AND two (2) years of experience training, mentoring, leading or supervising staff. Assisting the Veterans Service Officer in the implementation and coordination of newly approved programs, participating in the planning and development of new veterans assistance programs and special projects in order to improve services to veterans.
Claims Coordinator (Hybrid in CA) First American Financial CorpClaims Coordinator (Hybrid in CA)Santa Ana, CA$17.68–$23.56 / hourFirst 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. This is an excellent opportunity for a detail-oriented professional who enjoys researching and connecting information from multiple sources, uncovering critical transaction details, and working in a fast-paced, collaborative environment.
Senior Claim Representative - Liability (Hybrid) Onebeacon Professional Insurance IncSenior Claim Representative - Liability (Hybrid)Irvine, CA$88,000–$92,000 / yearSome of the Senior Claim Representative responsibilities include but are not limited to: Makes timely and appropriate contacts, determines and completes appropriate level of investigation to make determination of coverage, assess liability and determine damages. We currently have an opportunity for a Senior Claim Representative to join our Liability team based in our Plymouth, MN; Denver, CO; Canton, MA; New York City, NY; Chicago, IL; Alpharetta, GA; Irvine, CA; Southfield, MI offices on a hybrid schedule.
Senior Claim Representative - Workers Compensation Florida Or California - (Hybrid) Intact InsuranceSenior Claim Representative - Workers Compensation Florida Or California - (Hybrid)Irvine, CA$88,000–$92,000 / yearSome of the Senior Claim Representative responsibilities include but are not limited to: Makes timely and appropriate contacts, determines and completes appropriate level of investigation to make determination of coverage, assess liability and determine damages. Determines whether additional evidence is required including but not limited to accident reports, accident scene reconstructions, witness statements, police reports, expert opinion, etc.
NewClaim Professional Development Program Internship (Cpdp Intern) The Travelers CompaniesClaim Professional Development Program Internship (Cpdp Intern)Diamond Bar, CA$25–$26 / hourThe Travelers Claim Intern program provides qualified candidates an excellent opportunity to gain first-hand business experience, receive valuable on-the-job training, contact clients, determine coverage, scoping of losses and completing damage estimates. The actual hourly rate for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
NewClaim Professional Development Program Internship (CPDP Intern) The Travelers Companies IncClaim Professional Development Program Internship (CPDP Intern)Diamond Bar, CA$25–$26 / hourThe Travelers Claim Intern program provides qualified candidates an excellent opportunity to gain first-hand business experience, receive valuable on-the-job training, contact clients, determine coverage, scoping of losses and completing damage estimates. The actual hourly rate for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.