Claims Adjuster Kinetic Personnel GroupClaims AdjusterMonrovia, CA$55,000–$75,000 / yearTemporaryThe 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.
NewAuto Claims Adjuster - Temp Vaco LLCAuto Claims Adjuster - TempIrwindale, CA$29–$30Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Pay: $29-30/hrVaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.
Director, Forensics - Building Property Claims Recovery bdo consultingDirector, Forensics - Building Property Claims RecoveryLos Angeles, CA$190,000–$269,000 / yearDocuments, reviews, and analyzes schedules, contracts, change orders, correspondence, daily reports, meeting minutes, monthly reports, and any additional documents related to the project/file . The annual allocation to the ESOP is fully funded by BDO through investments in company stock and grants employees the chance to grow their wealth over time as their shares vest and grow in value with the firm’s success, with no employee contributions.
Claims Supervisor Health Source MSOClaims SupervisorAlhambra, CAFull timeProviding expertise or general claims support to teams in reviewing, researching, investigating, negotiating, process, and adjusting claims. Responsibilities include, but not limited to: • Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including: Contractual agreement rates.
Claims Auditor Health Source MSOClaims AuditorAlhambra, CAFull timeResponsibilities include, but not limited to: Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including:Contractual agreement rates. Job Description: Claims Auditor will be responsible for auditing claims processed by Claims Examiners.
NewClaims Examiner - Workers Compensation (Hourly) IconmaClaims 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.
Claims Examiner - Workers Compensation IconmaClaims Examiner - Workers CompensationRancho Cucamonga, CA$45–$50 / hourResponsibilities: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. 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.
Vietnamese Speaking Medical Receptionist JobotVietnamese Speaking Medical ReceptionistFountain Valley, CA$19–$22 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. You will utilize your medical reception skills to provide outstanding service while coordinating patient flow, managing appointments, and maintaining accurate patient records.
Bilingual Vietnamese and English Front Desk/Medical Receptionist JobotBilingual Vietnamese and English Front Desk/Medical ReceptionistFountain Valley, CA$18–$25 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. You will utilize your medical reception skills to provide outstanding service while coordinating patient flow, managing appointments, and maintaining accurate patient records.
Workers' Comp Defense Attorney JobotWorkers' Comp Defense AttorneyEl Segundo, CA$140,000–$220,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
Pre-Lit Case Manager JobotPre-Lit Case ManagerTorrance, CA$40–$45 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
100% Remote Insurance Defense Trial Attorney Jobot100% Remote Insurance Defense Trial AttorneyCosta Mesa, CARemote$145,000–$220,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Job Description: A leading nationwide insurance carrier is seeking a highly skilled and experienced Insurance Defense Trial Attorney to join our legal team.
In-House General Counsel JobotIn-House General CounselIrvine, CA$150,000–$350,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
Workers' Compensation Defense Attorney JobotWorkers' Compensation Defense AttorneyOrange, CA$100,000–$210,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
NewPartner/Senior Attorney - Civil Litigation Defense (Remote with California Bar) JobotPartner/Senior Attorney - Civil Litigation Defense (Remote with California Bar)West Los Angeles, CARemote$175,000–$225,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. We strongly value a collegial environment and work-life balance, with a billing requirement of 1800 hours annually and remote work flexibility as well as a generous quarterly bonus structure for non-equity partners.
Public Entity Defense Associate Attorney JobotPublic Entity Defense Associate AttorneyOrange, CA$140,000–$175,000 / yearKey Responsibilities: The ideal candidate will assist with all aspects of public entity defense litigation, including but not limited to: Handling a variety of matters involving public agencies and municipalities, such as: Police Liability and Excessive Force: Defending law enforcement personnel and agencies in claims arising from use of force, wrongful arrest, and other alleged misconduct. My client's office representation includes the defense of high exposure personal injury actions, traumatic brain injuries, exposures to environmental contaminants, habitability claims, state and federal class actions and the investigation and defense of 1st party insurance fraud claims.
Litigation Defense Attorney JobotLitigation Defense AttorneySanta Ana, CA$150,000–$200,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. We are the go-to resource for insurers, adjusters, and healthcare providers facing medical malpractice claims across California and we have successfully defended thousands of cases, from routine claims to landmark litigation.
Quality Control Supervisor JobotQuality Control SupervisorLos Angeles, CA$75,000–$110,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Corrective Actions and Continuous Improvement: Identify non-compliant practices on the production floor, propose corrective actions, and collaborate with production leaders to implement improvements.
Customer Service Representative Health Source MSOCustomer Service RepresentativeAlhambra, CAFull timeAbility to work regularly scheduled shifts within our hours of operation including the training period, where lunches and breaks are scheduled, with the flexibility to adjust daily schedule, and work over-time as needed. Review and research incoming healthcare claims from members and providers(doctors, clinics, etc) by navigating multiple computer systems and platforms and verifies the data/information necessary for processing (e.g.
NewAssociate - Trial & Defense (California) Pernini Recruiting CompanyAssociate - Trial & Defense (California)Los Angeles, CA$135,000–$150,000 / yearThis position offers the opportunity to defend a broad range of complex product liability matters (environmental, asbestos, talc, etc.) and commercial disputes, working with policyholders, brokers, London Market and other domestic and international insurers in this space and in relation to other latent type insurance claims. Location: California - Los, Angeles, San Francisco, IrvineHYBRIDOur client, a leading international law firm, is seeking a skilled Litigation Associate Attorney to join its dynamic Trial & Defense Practice Group.
NewSenior Associate Attorney - Specialty (Insurance Coverage) Pernini Recruiting CompanySenior Associate Attorney - Specialty (Insurance Coverage)Los Angeles, CA$200,000–$235,000 / yearFor associates looking to build a long-term career at the intersection of litigation and insurance law, this role provides meaningful responsibility, early client interaction, and the opportunity to work on high-profile matters within a supportive and high-performing practice. The work includes commercial general liability, commercial property (including business interruption and environmental matters), errors and omissions claims involving attorneys, agents, and accountants, as well as directors and officers' coverage.
NewTravel Nurse RN - Outpatient Clinic - $1,910 per week in Los Angeles, CA Magnet MedicalTravel Nurse RN - Outpatient Clinic - $1,910 per week in Los Angeles, CALos Angeles, CA$1,910–$1,910A Registered Nurse (RN) – Outpatient Clinic provides direct nursing care and support to patients in an outpatient setting, focusing on preventive care, chronic disease management, and patient education. Key Responsibilities: Patient Assessment and Triage: Perform initial assessments for patients visiting the clinic, including taking medical histories, measuring vital signs (e.g., blood pressure, temperature, weight), and assessing current health status.
NewDental Financial Insurance Coordinator Brea EndodonticsDental Financial Insurance CoordinatorYorba Linda, CA$19–$26 / hourAt Specialized Dental Partners, its affiliates, related companies and independently owned supported clinical practices, we are committed to ensuring fair and equitable pay for all employees. Responsibilities include answering phone calls, scheduling patients, and helping ensure an efficient and welcoming experience for patients and team members.
NewSIU Investigator Intermediate - Field USAASIU Investigator Intermediate - FieldLos Angeles, CARemote$77,120–$147,390 / yearAs a dedicated SIU Investigator, you will, within defined guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-related laws and regulations and policies and procedures. Collects evidence of potential fraud through field or remote interviews and thorough searches of investigative databases, internal resources, Internet resources, public records, and forensic tools.
NewWorkers Compensation Coordinator Kimco StaffingWorkers Compensation CoordinatorIrvine, CA$50,000–$52,000 / yearThis position is responsible for managing workers' compensation claims and serving as the main point of contact for branch offices, injured employees, and insurance partners. We are seeking a bilingual Workers' Compensation Coordinator to join our team in Irvine, CA.
Manager of Special Investigations Unit Solugenix CorpManager of Special Investigations UnitLos Angeles, CA$55–$63.86 / hourTemporaryContractorFull timeProvide leadership to investigators and be accountable for tracking KPI’s, metrics, recovery, and savings, etc., provides feedback to staff on performance, resolves problems, provides guidance to team members when needed, and takes necessary steps to address poor performance, including corrective action up to termination. Manage the day-to-day operations of the SIU by leading a team of investigators, driving key initiatives across the team to improve processes and generate incremental Fraud and Abuse (F&A) opportunities, and executing the overall strategic direction of the SIU.
Claims Adjuster II | California Employers Holdings IncClaims Adjuster II | CaliforniaCalifornia, CARemote$50,000–$75,000 / yearWorkers Compensation Claims Adjuster II - California | 100% Remote Opportunity General Summary The Work comp Claims Adjuster II is responsible for timely and accurate management of workers compensation claims with moderate medical and indemnity benefit exposure including litigation. EMPLOYERS As a dynamic, fast-growing provider of workers compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work.
NewSenior Commercial Auto Claims Adjuster Hankey Group ExternalSenior Commercial Auto Claims AdjusterLos Angeles, CaliforniaThe exact starting compensation to be offered will be determined at the time of selecting an applicant for hire and will be dependent on a wide range of factors, including but not limited to geographic location, skill set, experience, education, credentials, and licensure when applicable. The ideal candidate has strong analytical skills, sound judgment, and the ability to manage claims with efficiency, accuracy, and professionalism.
Personal Auto Property Damage (PD) Claims Adjuster Hankey Group ExternalPersonal Auto Property Damage (PD) Claims AdjusterLos Angeles, CaliforniaThe exact starting compensation to be offered will be determined at the time of selecting an applicant for hire and will be dependent on a wide range of factors, including but not limited to geographic location, skill set, experience, education, credentials, and licensure when applicable. Following successful completion of training and demonstrated performance, employees may be eligible for up to one work-from-home day per week, subject to business needs and manager approval.
Senior Claims Adjuster I | California Employers Holdings IncSenior Claims Adjuster I | CaliforniaCalifornia, CARemote$60,000–$90,000 / 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.
Multi-Line Claims Adjuster - California / Los Angeles Area Property Claim ProfessionalsMulti-Line Claims Adjuster - California / Los Angeles AreaLos Angeles, CaliforniaWe excel in providing professional, knowledgeable claims professionals to handle large losses, catastrophe claims, business interruption and daily property claims, as well as handle complete liability investigations, task assignments including scene investigations and property damage appraisals, construction defect claims as well as first party automobile claims for personal and commercial insurance policyholders. Experience in industry specific areas a plus, but not necessary: fire departments, agricultural, lumber mills, high value or historic buildings or Construction Defects, Automobile Liability, Subrogation Recovery investigations.
NewPersonal Auto Bodily Injury (BI) Claims Adjuster Hankey Group ExternalPersonal Auto Bodily Injury (BI) Claims AdjusterLos Angeles, CaliforniaThe exact starting compensation to be offered will be determined at the time of selecting an applicant for hire and will be dependent on a wide range of factors, including but not limited to geographic location, skill set, experience, education, credentials, and licensure when applicable. Following successful completion of training and demonstrated performance, employees may be eligible for up to one work-from-home day per week, subject to business needs and manager approval.
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.
Telephone Claims Adjuster Allstate Insurance CompanyTelephone Claims AdjusterOntario Ng, CAAs 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. Through 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.
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.
Claims Field Property Adjuster AAAClaims Field Property AdjusterLos Angeles, CaliforniaThis Claims Property Field Adjuster supports the Property Claims Operation by providing service pursuant to the Property policy by handling claims of property damage 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 Trainee Allstate Insurance CompanyClaims Adjuster TraineeOntario Ng, CAAs 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. Through 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.
3rd Party Claims Adjuster/Examiner - HYBRID DB Insurance Co., Ltd.3rd Party Claims Adjuster/Examiner - HYBRIDAnaheim, CAFull timeIn this role, you will handle claims involving third-party liability, specifically in commercial trucking and business policies, working to resolve them efficiently while ensuring fair settlements. Key Responsibilities: Investigate, evaluate, and resolve third-party claims including bodily injury, property damage, and liability claims including ones in litigation for commercial trucking and business policies.
Bilingual Auto Repair Customer Service Representative (Jr. Protection Claims Adjuster) Protective Life CorporationBilingual Auto Repair Customer Service Representative (Jr. Protection Claims Adjuster)Lake Forest, CA$20–$21 / hourProtection Claims Adjuster) is needed to provide support to our Protection Claims Adjusters and handle a large volume of Protection claim calls, which includes providing claim statuses, communicating processes, sending claim forms/procedure sheets, and notices, updating claim status notes. Processing/distributing incoming and outgoing claim documents, opening/adjudicating new claims, and responding to emails which includes managing general claims email boxes.
Claims Adjuster Trainee The Progressive CorpClaims Adjuster TraineeIrvine, CA$28.61–$30.53 / 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.
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 Supervisor II - Commercial Auto - BI Philadelphia Insurance CompaniesClaims Supervisor II - Commercial Auto - BIMission Viejo, CA$114,408–$148,058 / yearSummary: Supervises claims adjusters and technical support staff to manage the day-to-day handling and settlement of claims, the processing and tracking of documents, making payments, tracking trends and communicating with underwriting. 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.
Claims Adjuster Team Lead Allstate Insurance CompanyClaims Adjuster Team LeadCA$68,500–$115,600 / yearThrough 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. The Team Lead I is responsible for managing complex and occasionally highly complex vendor relationships, assessing vendor training needs, and monitoring vendor performance.
Large Loss Property Field Claims Adjuster (San Diego, CA) American Family Insurance GroupLarge Loss Property Field Claims Adjuster (San Diego, CA)Los Angeles, CARemote$99,000–$163,000 / yearInvestigates origin and cause of high exposure claims by contacting the appropriate parties including insureds, claimants, agents, attorneys, contractors, experts, special investigation unit, other adjusters, public personnel, etc. Conducts on-site inspections when needed, evaluates damages and handles claim negotiations with insureds, claimants, attorneys, public adjusters.
NewLegal Counsel - Litigation Lennar HomesLegal Counsel - LitigationIrvine, CA$126,500–$158,100 / yearFull timeLennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career. We reasonably expect the base compensation offered for this position to range from an annual salary of $126,500.00 - $158,100, subject to adjustment based on business-related factors such as employee qualifications, geographic pay differentials (e.g., cost of labor/living, etc.), and operational considerations.
Workers Compensation Claims Adjuster (California Experience Required) Cottingham & ButlerWorkers Compensation Claims Adjuster (California Experience Required)Los Angeles, CARemote$50,000–$100,000 / yearThis is a fully remote position, and prior workers' compensation adjusting experience is required (including taking statements, issuing lost wage payments, completing state filings, denying claims, handling subrogation, managing litigation, etc.). Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve.
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.
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.
Claims Adjuster - Workers Compensation Apidel TechnologiesClaims Adjuster - Workers CompensationOntario, CAContractorPrimary 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.
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.