Claims Examiner- Workers Compensation | Brea, CA Sedgwick Claims Management Services, Inc.Claims Examiner- Workers Compensation | Brea, CABrea, CARemote$80,000–$110,000 / yearPRIMARY 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. 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.
NewClaims Associate - Workers Compensation (On-Site) Sedgwick Claims Management Services, Inc.Claims Associate - Workers Compensation (On-Site)Riverside, CA$25–$28 / hourMental: 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. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Claims Representative- Workers Compensation (On-Site Ontario, California) Sedgwick Claims Management Services, Inc.Claims Representative- Workers Compensation (On-Site Ontario, California)Ontario, CA$26.55–$27 / hourMental: 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. Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
Claims Examiner - Workers Compensation | Licensing & Jurisdiction: CA - Hybrid Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation | Licensing & Jurisdiction: CA - HybridOrange, CA$70,000–$82,000 / 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.
NewManager, Schedule Delay Claims The Vertex Companies, LLCManager, Schedule Delay ClaimsIrvine, CA$85,000–$202,000 / yearFull timeThe salary ranges for this role are as follows: $85,000 - $202,000 USD annually (Geographical Tier AA - Sample Locations: NY Metro, San Franscisco, San Jose, Seattle) $78,000 - $186,000 USD annually (Geographical Tier A - Sample Locations: Irvine CA, Middlesex NJ, Tacoma WA, Boston, Alexandria) $72,000 - $171,000 USD annually (Geographical Tier B - Sample Locations - Baltimore, Chicago, Anchorage, Portland) Time away matters—so we provide a generous paid time off program, including vacation, sick time, and paid holidays (with prorated options for eligible part-time employees). The Vertex Companies, LLC (VERTEX) is a $180M global consulting firm that integrates strategic advisory, project management, and dispute resolution services for organizations facing complex challenges in a world of risk.
Claims Examiner - Workers Compensation eTeam Inc.Claims Examiner - Workers CompensationOntario, CARemote$50–$55 / 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.
General Liability Claims Consultant CNA Financial CorpGeneral Liability Claims ConsultantBrea, CA$72,000–$141,000 / yearThis individual contributor role operates under broad authority to manage commercial claims of high complexity and exposure within the Commercial Auto/General Liability/ Construction Auto and General Liability line(s) of business. Performs a combination of duties in accordance with departmental guidelines: Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages.
Workers Compensation Claims Consultant CNA Financial Corp.Workers Compensation Claims ConsultantBrea, CA$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages. 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.
Claims Consulting Director (Liability Construction Defect) CNA Financial CorpClaims Consulting Director (Liability Construction Defect)Brea, CA$97,000–$189,000 / yearIn District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $97,000 to $189,000 annually. In conjunction with senior level management, works within assigned limits of the broadest authority on assignments requiring the highest degree of technical complexity and coordination.
Workers Compensation Claims Technician CNA Financial CorpWorkers Compensation Claims TechnicianBrea, CA$35,000–$65,000 / yearIn District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $35,000 to $65,000 annually. Utilizing preset procedures, identifies depreciation or subrogation potential in first-party claims, and utilizes medical and pharmaceutical fee schedules in workers' compensation claims.
Claims Automotive Team Manager - Communications AAAClaims Automotive Team Manager - CommunicationsCosta Mesa, California$92,600–$123,600 / yearClaims Automotive Team Manager- Communications Leads strategic communications for ACE Claims, ensuring employees understand the organization's vision, mission, strategies, and policies while strengthening connections between leadership and employees. 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.
Medical Malpractice Claims Specialist KI Executive GroupMedical Malpractice Claims SpecialistOrange, CaliforniaThe Medical Malpractice Claims Specialist is responsible for managing assigned medical malpractice claim files, including complex and high exposure matters. This role oversees claim investigation, litigation coordination, reporting, and documentation while working closely with defense counsel and internal stakeholders.
Property & Casualty Claims Manager Selby Jennings LtdProperty & Casualty Claims ManagerIrvine, CAThe firm works closely with clients, carriers, adjusters, attorneys, and internal stakeholders to achieve favorable claim outcomes while helping organizations navigate complex coverage and liability issues. Our client is a well-established independent insurance brokerage and risk management firm known for delivering customized insurance, risk management, and claims consulting solutions to clients across a broad range of industries.
Claims Team Manager - Auto Early Response AAAClaims Team Manager - Auto Early ResponseCosta 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. Lead meetings in collaboration with unit management to communicate goals with direct reports and reinforce/monitor behavior that furthers technical and customer service performance expectations.
Medical Only Claims Specialist CorVel CorpMedical Only Claims SpecialistRancho Cucamonga, CARemote$16.74–$26.92 / hourPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.
Claims Consultant - Cyber - E&O (Hybrid) Onebeacon Professional Insurance IncClaims Consultant - Cyber - E&O (Hybrid)Irvine, CA$143,000–$167,000 / yearWe currently have an opportunity for a Claim Consultant to join our Cyber - E&O team based in our New York City, NY; Chicago, IL; Plymouth, MN; Boston, MA; Canton, MA; Anaheim, CA; Irvine, CA; Denver, CO offices on a hybrid schedule. In return, we promise you support, opportunities and performance-led financial rewards in a flexible work environment where you can: Shape the future: Help us lead an insurance transformation to better protect people, businesses and society.
Claims Consultant - Cyber - E&O (Hybrid) Intact InsuranceClaims Consultant - Cyber - E&O (Hybrid)Anaheim, CA$143,000–$167,000 / yearWe currently have an opportunity for a Claim Consultant to join our Cyber- E&O team based in our New York City, NY; Chicago, IL; Plymouth, MN; Boston, MA; Canton, MA; Anaheim, CA; Irvine, CA; Denver, CO offices on a hybrid schedule. In return, we promise you support, opportunities and performance-led financial rewards in a flexible work environment where you can: Shape the future: Help us lead an insurance transformation to better protect people, businesses and society.
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 Examiner - Workers Compensation -| Brea, CA Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation -| Brea, CABrea, CA$80,000–$100,000 / 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 Examiner - Workers Compensation Iconma LLCClaims Examiner - Workers CompensationOrange, CASubject 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.