185 Results for

Claims Jobs in San Bernardino, CA

Jobs

New!

Rancho Cucamonga, CA5 days ago

$45–$50 Per Hour

Responsibilities: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.

New!

Riverside, CA6 days ago

$100,000–$210,000 Per Year

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Irvine, CA25 days ago

$150,000–$190,000

The selected candidate will perform duties encompassing all aspects of insurance defense, including initial investigation and legal analysis and advice, preparing and filing legal pleadings and documents, performing legal research, preparing for and conducting pre-trial discovery, preparing for and aggressively handling hearings and trials, and conducting post-trial activities where appropriate. This litigator will be responsible for representing the commercial insureds of a prestigious and financially stable commercial insurance carrier, by preparing and trying moderate to high exposure General Liability, Commercial Auto and Products Liability cases from a challenging and varied caseload.

Redlands, CA25 days ago

$19–$21 Per Hour
Temporary

KPG is hiring for a Collections Clerk for a busy Med-Legal office in Redlands, CA. Experience in a medical legal or healthcare collections environment is a plus.

Riverside, CA28 days ago

$112,778.77–$159,740.22 Per Year

Knowledge of: State of California Labor Code, Workers Compensation Law and rules and regulations (Title 8); Applicable case law of leading decisions of the Workers Compensation Appeals Board, Court of Appeals, and Supreme Court regarding workers compensation cases; Medical terminology, anatomy and technical terminology used in medical and legal fields regarding industrial cases; Jurisdiction, functions and procedures of the Workers Compensation Appeals Board; Vocational rehabilitation and procedures as it applies to Workers Compensation; Reserving practices and procedures; in-house litigation procedures; WCAB procedures; and hearing processes. Candidates must have achieved the level of Experienced Claims Adjuster (as defined by California Code of Regulations, Title 10, Chapter 5, Subchapter 3) defined as possessing one of the following: 1) Working 5 out of the last 8 years as a California Workers Comp Claims Adjuster, 2) Has worked continuously in California adjusting claims since passing the Self-Insurance Test, or 3) Has passed the Self-Insurance test in the last 2 years.

Ontario Ng, CA27 days ago

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. 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.

Ontario Ng, CA19 days ago

Riverside, CA30+ days ago

$30.29–$39.23 Per Hour

An 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/.

New!

Irvine, CAToday

$126,500–$158,100 Per Year
Full-time

Lennar 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.

Ontario, CA30+ days ago

$70,000–$85,000 Per Year

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. 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.

Ontario, CA11 days ago

Remote

$60,000–$80,000 Per Year

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. Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.

Ontario, CA30+ days ago

Contractor

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.

Irvine, CA30+ days ago

$36–$47 Per Hour

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/. Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.

Riverside, CA30+ days ago

$36–$47 Per Hour

Ontario, CA21 days ago

Remote

$51–$52 Per Hour

PRIMARY 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.

Ontario, CA30+ days ago

$85,000–$95,000 Per Year

Ensure that all claim determinations and payments are completed timely including but not limited to, acceptance/denial letters, wage determination letters including required enclosures and appeal forms. Timely claims determinations for all services including but not limited to: acceptance, denials, authorizations for treatment, benefit payment start, termination are to be included within the statutory or regulatory time frames of the jurisdiction.

Corona, California30+ days ago

Remote

The 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. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives.

Riverside, CA7 days ago

$65,000–$85,000 Per Year

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. Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.

Rancho Cucamonga, CA30+ days ago

Remote

$29.35–$47.28 Per Hour
Part-time

Pay 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. 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.

Fontana, CA20 days ago

$19.90–$29.81 Per Hour

Cox Automotive employees get to work on iconic consumer brands like Autotrader and Kelley Blue Book and industry-leading dealer-facing companies like vAuto and Manheim, all while enjoying the people-centered atmosphere that is central to our life at Cox. Investigates basic, less complex cases (e.g., late title claims, basic condition report claims, vehicle availability, post-sale inspection fails, mechanical/structural/undisclosed vehicle damage, etc.) or those requiring more prescriptive decision-making.

Riverside, California15 days ago

The Claims Senior Auto Adjuster supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property damage, and/or liability 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.

Riverside, California21 days ago

This entry-level position supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property damage, and/or liability 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.

Fontana, California21 days ago

Riverside, California16 days ago

Rancho Cucamonga, CA16 days ago

Remote

$61,053–$98,334 Per Year
Part-time

Pay 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. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

Corona, California20 days ago

Remote

About you: As a key member of our experienced Claims Adjuster team, you will: • Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution. How you'll make an impact: Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims.

Riverside, CA12 days ago

$92,618.26–$131,463.66 Per Year

Knowledge of: Rules, regulations, and laws regarding personal and property liability including, but not limited to, general provisions of California Vehicle Code, State and Federal Government Codes, laws and statutes and legal decisions pertaining to personal and property liability; Methods and techniques of subrogation recovery; Technical medical terminology related to the cause and treatment of physical injuries; Practices and procedures of insurance reserving, risk and experience analysis and statistical record keeping. Tier II (Classic Member - Formula 2% @ 60): Applicable to local miscellaneous employees 1) hired after 08/23/2012 through 12/31/2012; 2) Previously employed with another CalPERS contracting public agency or a reciprocal retirement system, with a break in service of less than six months between the separation date with the previous employer and the appointment date with the County of Riverside.

Riverside, CA30+ days ago

As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. Ensure that uploading photos, and other documents are appropriately described, titled and uploaded in real time, as well as follows up to get missing required data from homeowner and insurance/mortgage information not obtained on initial call .

Riverside, California30+ days ago

Redlands, CA26 days ago

Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Knowledge and Skills: Extensive experience in health insurance claims processing, HMO claims or managed care environment is required, in-depth knowledge of medical billing and coding, knowledge of health insurance, HMO and managed care principles.

Rancho Cucamonga, CA30+ days ago

Remote

$29.35–$47.28 Per Hour

Pay 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.

Rancho Cucamonga, CA30+ days ago

Remote

$29.35–$47.28 Per Hour

Pay 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.

Rancho Cucamonga, CA28 days ago

$98,568–$120,473 Per Year

Knowledge and Skills: As a Property Claims Field Adjuster 2, you will: Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims. Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.

Rancho Cucamonga, CA30+ days ago

$63,410–$117,348 Per Year

Knowledge and Skills: As a Property Claims Field Adjuster 1, you will: Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims. Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.

Rancho Cucamonga, California29 days ago

$98,568–$120,473 Per Year

As a Property Claims Field Adjuster 2, you will: • Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims . • Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.

Rancho Cucamonga, California30+ days ago

$63,410–$117,348 Per Year

As a Property Claims Field Adjuster 1, you will: • Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims . • Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.

Irvine, CA8 days ago

$77,000–$202,000 Per Year

PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members.

Irvine, CA14 days ago

$99,000–$232,000 Per Year

PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. You will analyze client needs, implement solutions, and provide training and support to validate seamless integration and utilization of business applications, enabling clients to achieve their strategic objectives.

Irvine, CA30+ days ago

This position reports to the Supervisor of Payment Integrity and performs in-depth audits to ensure existing health (medical/dental) benefit plans of Western Growers Assurance Trust and Pinnacle Claims Management, Inc. clients are in compliance with the respective employers summary plan descriptions. At Pinnacle Claims Management, we are an innovative third-party administrator (TPA) that provides a full suite of comprehensive and customized health benefits administration services for self-funded companies, including health management and wellness solutions, and pharmacy benefit management.

Rancho Cucamonga, CA30+ days ago

Remote

$29.35–$47.28 Per Hour

Pay 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.

Chino, CA9 days ago

$93,000–$104,000

This role requires strong technical expertise, sound judgment, and the ability to handle highly complex indemnity claims within established authority limits. This is a highly interactive role requiring regular communication with clients, claimants, attorneys, medical providers, and internal stakeholders.

Victorville, CA11 days ago

$21–$27.52 Per Hour

Desert Valley Hospital, along with Desert Valley Medical Group, offers key services to the community including heart care, emergency services, labor and delivery, surgical services and more. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

Riverside, California19 days ago

Claims Litigation AttorneyThis position specializes in defending complex, high exposure trials and arbitrations with exposure in excess of policy limits, objective injury cases, and high profile fraud cases. 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.

New!

Tustin, CA5 days ago

$21–$26 Per Hour

You'll serve as a primary point of contact for providers-helping resolve claim inquiries, guiding them through audit outcomes, and ensuring all activities are handled with precision, accountability, and compliance. Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives.

Rancho Cucamonga, CA30+ days ago

REQUIREMENTSTwo (2) years of experience as a Data Entry Processor Data Entry Processor experience preferably in an HMO or Managed Care setting. This includes validating member coverage, clearing system edits and categorizing a claim type to ensure the claim routes to the appropriate workgroup for adjudication.

Riverside, CA29 days ago

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. Adjusting various levels of workers' compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.

New!

Ontario, CA6 days ago

$20–$22 Per Hour

Mental: Clear and conceptual thinking ability; excellent judgment 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.

Riverside, CA13 days ago

Remote

$115,000–$125,000 Per Year

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. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.

Rancho Cucamonga, CA12 days ago

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. Adjusting various levels of workers' compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.

Ontario, CA13 days ago

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. Adjusting various levels of workers' compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.

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Claims Jobs in San Bernardino, CA

Claims Examiner - Workers Compensation Iconma

Workers' Compensation Defense Attorney Jobot

Sr. Staff Legal Liability Trial Attorney Zurich Insurance Company Ltd.

Collections Clerk Kinetic Personnel Group

Claims Adjuster II/Senior Claims Adjuster (Senior Workers' Compensation Claims Adjuster) County of Riverside, California

Telephone Claims Adjuster Allstate Insurance Company

Claims Adjuster Trainee Allstate Insurance Company

Claims Adjuster - Attorney Represented Injury The Progressive Corp

Legal Counsel - Litigation Lennar Homes

Workers Compensation Claims Adjuster | Ontario, California Sedgwick Claims Management Services, Inc.

Claims Adjuster - Workers | Ontario, CA Sedgwick Claims Management Services, Inc.

Claims Adjuster - Workers Compensation Apidel Technologies

Claims Adjuster Senior - Injury The Progressive Corp

Claims Adjuster Senior - Litigation The Progressive Corp

Claims Adjuster - Workers Compensation Mindlance

Senior Claims Adjuster Trean Insurance Group Inc

Senior Workers Compensation Claims Adjuster - California Gallagher

Workers Compensation - Claims Adjuster | HYBRID | Riverside, CA Sedgwick Claims Management Services, Inc.

CA Senior Claims Specialist CorVel Enterprise Claims, Inc.

Auto Claims Associate (Manheim) Cox Enterprises Inc

Claims Senior Auto Adjuster AAA

Claims Auto Adjuster AAA

Auto Claims Associate (Manheim) Cox Communications

Auto Claims Associate I (Manheim) Cox Communications

Senior Liability Claims Specialist CorVel Enterprise Claims, Inc.

Senior Workers Compensation Claims Adjuster - CA Gallagher

Claims Adjuster II (Liability Claims Adjuster) County of Riverside, California

Claims Coordinator ServiceMaster Restore 9430 - Riverside

Claims Coordinator Riverside

Claims Adjudicator Sr Loma Linda University Medical Center

CA Senior WC Claims Specialist CorVel Corp

CA Senior Claims Specialist CorVel Corp

Property Claims Specialist Field II Mercury Insurance Company

Property Claims Specialist Field I Mercury Insurance Company

Property Claims Specialist Field II Mercury Insurance Services, LLC

Property Claims Specialist Field I Mercury Insurance Services, LLC

Property & Casualty Insurance Claims Operations Consultant, Sr. Associate PricewaterhouseCoopers LLP

Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLP

Claims Auditor Western Growers

CA Senior Liability Claims Specialist CorVel Corp

Workers Compensation Claims Examiner TEEMA Group

Claims Examiner Claims Prime Healthcare Services Inc

Claims Litigation Attorney AAA

Claims Coordinator LIBERTY Dental Plan

Claims Processor I Alura Workforce Solutions

Claims Representative (IAP) - Workers Compensation Training Program | Riverside, CA Sedgwick Claims Management Services, Inc.

Claims Assistant Workers Compensation - Entry Level | Ontario, CA Sedgwick Claims Management Services, Inc.

Claims Manager - Workers Compensation | Riverside, CA Sedgwick Claims Management Services, Inc.

Claims Representative IAP - Workers'''' Compensation Training Program (On-Site Ontario, CA)) Sedgwick Claims Management Services, Inc.

Claims Representative (IAP) - Workers Compensation Training Program | Ontario, CA Sedgwick Claims Management Services, Inc.

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