NewClaims Representative (Iap) - Workers Compensation Training Program | Roseville & Long Beach, CA Sedgwick Claims Management Services, Inc.Claims Representative (Iap) - Workers Compensation Training Program | Roseville & Long Beach, CALong Beach, CAMental: 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.
NewClaims Representative IAP - Workers Comp Training Program (On-Site West Hills, CA) Sedgwick Claims Management Services, Inc.Claims Representative IAP - Workers Comp Training Program (On-Site West Hills, CA)West Hills, CAMental: 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.
Senior Litigation Construction Liability Claims Representative The Travelers CompaniesSenior Litigation Construction Liability Claims RepresentativeIrvine, CA$94,400–$155,800 / yearDirectly investigates each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Actively engages in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts.
Claims Representative- Healthcare Billing Vista Del MarClaims Representative- Healthcare BillingLos Angeles, California$28–$30 / hourIf TIER data is complete, submits the call to update CWS; Monthly, runs Non-Final Saved Notes reports for programs assigned, reviews notes for action required., and disseminates to programs; Reviews Final Saved Charge reports before batching claims for electronic submission to DMH. Completes any updates or corrections required, and manually updates services charges and ‘final save’ so that claims can be batched; Daily, reviews Diagnosis and Financial Update Reports and Client Action Forms submitted for any client information that requires updating in CWS.
Senior Workers' Compensation Claims Adjuster Southern California EdisonSenior Workers' Compensation Claims AdjusterRosemead, CAAdministers benefits, contains medical cost, ensuring injured employees have immediate access to quality care while coordinating utilization review to ensure medical treatment is appropriate while moving cases to conclusion. As a self-insured and self-administered employer, we focus on helping our employees recover from workplace injuries so they can return to work safely and enjoy their lives outside of work.
Senior Litigation Construction Liability Claims Representative TravelersSenior Litigation Construction Liability Claims RepresentativeDiamond Bar, CaliforniaDirectly investigates each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Actively engages in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts.
NewClaims Service Representative - Total Salvage AAAClaims Service Representative - Total SalvageCarson, CaliforniaThis entry level position supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property 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.
Claim Representative - Accident And Health (Hybrid) Intact InsuranceClaim Representative - Accident And Health (Hybrid)Anaheim, CA$79,000–$91,000 / yearWe currently have an opportunity for a Claim Representative to join our Claims Accident and Health based in our Plymouth, MN; Canton, MA; New York City, NY; Chicago, IL; Naperville, IL; Barrington, IL; Alpharetta, GA; Anaheim, CA; Irvine, CA; Southfield, MI; Mt Juliet, TN on a hybrid schedule. Some of the 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.
Assistant Claims Adjuster - Workers' Compensation GpacAssistant Claims Adjuster - Workers' CompensationHuntington Beach, CA50000–75000Instead, the Assistant Claims Adjuster serves as a liaison between the insured, insurance carriers, and claims adjusters to ensure clear communication, timely follow-up, and exceptional client service throughout the life of each claim. We are seeking a detail-oriented and customer-focused Assistant Claims Adjuster to support the management of Workers' Compensation claims for a select group of commercial clients.
Assistant Claims Adjuster GpacAssistant Claims AdjusterSanta Ana, CA50000–70000Instead, the Assistant Claims Adjuster serves as a liaison between the insured, insurance carriers, and claims adjusters to ensure clear communication, timely follow-up, and exceptional client service throughout the life of each claim. We are seeking a detail-oriented and customer-focused Assistant Claims Adjuster to support the management of Workers' Compensation claims for a select group of commercial clients.
Workers' Compensation Claim Representative II CCMSIWorkers' Compensation Claim Representative IIIrvine, CaliforniaRemote$60,000–$80,000 / yearResponsibilities: When we hire Workers’ Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust. At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.
Multi-Line Claims Adjuster - California / Los Angeles Area Provencher & Company, LLCMulti-Line Claims Adjuster - California / Los Angeles AreaLos Angeles, CAWe 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.
Healthcare Claims Adjuster Ultimate Staffing ServicesHealthcare Claims AdjusterEl Monte, California$23–$29 / hourInteract professionally with members and providers to resolve inquiries, follow up on pended claims, and complete corrections and adjustments. Review claims for fraud, waste, abuse, hospital‑acquired conditions, Workers' Compensation, and Third‑Party Liability, referring cases as appropriate.
Workers Compensation Claims Examiner (California Jurisdiction) EliteWorkers Compensation Claims Examiner (California Jurisdiction)Los Angeles, CaliforniaThe Senior Claims Examiner will adjust workers’ compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements. Must possess a current Experienced Indemnity Claims Adjuster Designation, provided by an insurer, as defined in California Code of Regulations, Title 10, Chapter 5, Subchapter 3, Section 2592.01(f).
NewClaims Consultant - Ocean Marine (Hybrid) Intact InsuranceClaims Consultant - Ocean Marine (Hybrid)Irvine, CA$143,000–$167,000 / yearWe currently have an opportunity for a Claim Consultant to join our Ocean Marine team based in our Plymouth, MN; Canton, MA; New York City, NY; Chicago, IL; Naperville, IL; Barrington, IL; Alpharetta, GA; Irvine, CA; Southfield, MI office 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.
Property Outside Claim Representative The Travelers CompaniesProperty Outside Claim RepresentativeSherman Oaks, CA$67,000–$110,600 / yearDetermines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters. Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first-party property claims under a variety of policies.
Claims (Billing) Specialist / Patient Account Representative - Healthcare GuidehouseClaims (Billing) Specialist / Patient Account Representative - HealthcareEl Segundo, CA$38,000–$64,000 / yearRepresentatives are responsible for maintaining knowledge, skills, and abilities that contribute to various accounting/administrative tasks involved in preparing billing data for agencies Guidehouse works with. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
Patient Account Representative - Commercial Claims GuidehousePatient Account Representative - Commercial ClaimsEl Segundo, CA$38,000–$64,000 / yearCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com.
Senior Workers' Comp Claims Specialist - CA Claims Zenith Insurance CompanySenior Workers' Comp Claims Specialist - CA ClaimsOrange, California$94,502.68–$127,972.38 / yearFull timeIntroduction: Zenith is a team of Workers' Compensation Specialists committed to helping businesses succeed by protecting against the financial and human consequences of workplace injuries, providing for the needs of injured employees and making the workplace safer. Opens new Claims, completes three-point contact, and performs needed investigations to determine compensability as well as possible subrogation or apportionment, according to state and/or Zenith’s timeframes and guidelines.
Specialized Sr Workers' Compensation Claim Representative The Travelers CompaniesSpecialized Sr Workers' Compensation Claim RepresentativeIrvine, CA$73,900–$122,000 / yearAs a Specialized Senior Claim Rep, you will be responsible for investigating, evaluating, reserving, negotiating, and resolving Workers Compensation claims from Travelers Single Adjuster Model including Constitution State Services (CSS) and Custom Comp claims, which will be the majority of the claims handled, and other Travelers Workers Compensation claims. By providing assurance to our customers during life's rainy days, the Travelers Workers Compensation Claim team is committed to partnering with our business insurance customers to help their injured employees return to work as soon as medically appropriate.