Claims Examiner Workers Compensation I CA experienced required I Remote Sedgwick Claims Management Services, Inc.Claims Examiner Workers Compensation I CA experienced required I RemoteCARemote$63,404–$95,000 / yearTo analyze California 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. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
Claims Representative (IAP) - Workers Compensation Training Program Sedgwick Claims Management Services, Inc.Claims Representative (IAP) - Workers Compensation Training ProgramCAMental: 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.
Claims 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.
Claims Representative (IAP) -Workers Compensation Training Program Sedgwick Claims Management Services, Inc.Claims Representative (IAP) -Workers Compensation Training ProgramCAMental: 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.
Claims Examiner - Workers Compensation (Hybrid - Ontario, CA) Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation (Hybrid - Ontario, CA)Ontario, 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.
LTL Customer Service & Quoting Specialist Fairgrounds TransportationLTL Customer Service & Quoting SpecialistOrange, CASuccess will be measured by your ability to handle the additional workload without disruption and contribute to a 10% improvement in overall team efficiency during peak periods by proactively sharing knowledge and helping streamline operational handoffs. This role directly enables company growth by providing the operational excellence needed to retain and delight customers, professionalizing our customer-facing interactions and establishing our reputation as transportation experts.
General Liability Claims Consultant CNA Financial Corp.General 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 CorpWorkers 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.
NewWorkers Compensation TPA Oversight Claims Consultant CNA Financial CorpWorkers Compensation TPA Oversight Claims ConsultantBrea, CA$72,000–$141,000 / yearThis individual contributor position works under general direction, and within broad authority limits, to provide technical oversight of complex, high-exposure commercial Workers' Compensation claims handled by Third-Party Administrators (TPAs). Success in this role requires the ability to lead through influence by setting expectations, partnering effectively with TPAs, clients, and internal stakeholders, and driving accountability for quality, compliance, and performance through consultative engagement and clear communication.
Senior Claims Adjuster II | California Employers Holdings IncSenior Claims Adjuster II | CaliforniaCalifornia, CARemote$80,000–$120,000 / 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. With minimal oversight, the Senior Workers Compensation Claims Adjuster II is responsible for timely and accurate management of workers' compensation claims with high or catastrophic medical and indemnity benefits, involving litigation and complex issues and exposures.
Workers Compensation Claims Consultant CNAWorkers Compensation Claims ConsultantPlacentia, CaliforniaPerforms 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.
NewAccounts Receivable Specialist Smile Brands Group IncAccounts Receivable SpecialistCypress, CA$23–$25 / hourIn this position, you will support the Revenue Cycle Management team by processing insurance payments, electronic funds transfers (EFTs), bank deposits, and related documentation. Smile Brands supports over 650 affiliated dental practices across 28 states all focused on a single mission of delivering Smiles For Everyone!
Claims Property Adjuster AAAClaims Property AdjusterCosta Mesa, California$25.48–$28.03 / hourWith 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. Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State Required.
Sr. Adjuster-Workers Comp Claims CopperPoint Insurance CoSr. Adjuster-Workers Comp ClaimsIrvine, CARemote$68,000–$98,500 / yearBuild and maintain professional relationships with injured workers, policy holders, brokers and agents through proactive claim management and timely communications. The Workers' Compensation Claims Adjuster Senior, Indemnity is responsible for analyzing time loss workers' compensation claims to determine compensability.
Claims Specialist II Mercury Insurance CompanyClaims Specialist IILos Angeles, CA$44,466–$77,881 / yearBodily Injury Claims Management: Analyze medical records to evaluate, negotiate, and settle moderate bodily injury claims with legal counsel for represented claimants and unrepresented parties. If you're passionate about helping people restore their lives when the unexpected happens, and providing high-quality customer experiences, then our Mercury Insurance Claims team could be the place for you!
Account Representative - USC Care MSO CBO - Full Time 8 Hour Days (Non-Exempt)(Non-Union) University of Southern CaliforniaAccount Representative - USC Care MSO CBO - Full Time 8 Hour Days (Non-Exempt)(Non-Union)CA$26–$41.28 / hourWhen extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. The organization encompasses 17 clinical departments, with approximately 1,500 physicians and 2,000 staff delivering care across more than 80 locations from Kern County to Orange County and into Las Vegas.
Claims Coordinator Mission ViejoClaims CoordinatorRiverisde, California$20–$30 / hourAs 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.
Bilingual Associate Claims Examiner (English/French) Assurant IncBilingual Associate Claims Examiner (English/French)Los Angeles, CARemote$17.34–$30.53 / hourA Fortune 500 company with a presence in 21 countries, Assurant supports the advancement of the connected world by partnering with the world's leading brands to develop innovative solutions and deliver an enhanced customer experience through mobile device solutions, extended service contracts, vehicle protection services, renters insurance, lender-placed insurance products, and other specialty products. Named a Best/Great Place to Work in 14 countries and awarded the Fortune America's Most Innovative Companies recognition, we bring together top talent around the world.
Biller - Claims & Denials - Full-Cycle Biller CPSIBiller - Claims & Denials - Full-Cycle BillerCAEssential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Coordinates business office functions and personnel that may include, but is not limited to patient billing, credit and collections, and data entry. Responsible for assisting manager in the management of employees which would include coaching, training and performing necessary disciplinary actions including following up on action plans for their employees.
Claims Counsel, Cml, Public Companies Sompo InternationalClaims Counsel, Cml, Public CompaniesLos Angeles, CA$125,000–$175,000 / yearStrong cross-functional collaboration (underwriting/actuarial), communication/marketing, and analytical/writing/organizational skills; strong MS Office and claims systems experience (Guidewire/Genius/ImageRight a plus). Salary Range: $125,000-$175,000 Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience.