Claims Consultant - Advertising / Personal Injury CNA Financial CorpClaims Consultant - Advertising / Personal InjuryLos Angeles, CA$72,000–$141,000 / yearIndividual contributor responsible for the overall strategic management and resolution of highly complex claims that involve personal and advertising injury exposures, including but not limited to intellectual property, class action, and commercial disparagement. 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.
Workers Compensation Claims Specialist, Complex & Settlement Focus CNA Financial Corp.Workers Compensation Claims Specialist, Complex & Settlement FocusBrea, CA$54,000–$103,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
Claims & Litigation Associate (Remote) Stanford Health CareClaims & Litigation Associate (Remote)CARemote$100.03–$132.51 / hourInvestigates pre-suit claims, reviews medical records, interviews providers, retains consultants when necessary, communicates with patients and/or families, and directly negotiates settlements when warranted. Oversees legal defense strategy, retains outside counsel, coordinates support for investigation, reviews attorney invoices, and monitors counsel's compliance with litigation management guidelines.
NewClient Services Director | Previous Claims Experience Required | Remote Sedgwick Claims Management Services, Inc.Client Services Director | Previous Claims Experience Required | RemoteCARemote$100,000–$130,000 / yearTo determine account management strategies related to client service plans; to be responsible for retention of existing clients, customer satisfaction, revenue growth, client surveys, and new business; to provide program management for jumbo clients requiring dedicated staff, multiple offices and complex service models; and to oversee the work of other local Client Services staff. Ten (10) years related experience or equivalent combination of education and experience required to include two (2) years account manager experience or five (5) years adjuster experience including two (2) years in a supervisory capacity.
Senior Claims Examiner VenbrookSenior Claims ExaminerAnaheim, California$80,000–$90,000 / yearVenbrook works across the claims lifecycle with services that include Third Party Administration (TPA), Complex Claims Management, Catastrophe, Independent Adjusting, subrogation recovery, litigation management, investigative, and Special Investigations Unit (SIU) services. Venbrook’s team of experts and industry specialists partners with clients to manage their risks, create security, promote growth, and add value by delivering best-in-class commercial property & casualty, employee benefits, and personal risk insurance products and programs.
Field Claims Specialist - Workers Compensation Great American Insurance CompanyField Claims Specialist - Workers CompensationCalifornia, CA$115,000–$125,000 / yearWe take an extremely aggressive and pro-active approach in claims adjusting and are looking for the person who not only knows their territory's comp laws but also enjoys the role of putting that experience to good use. As part of Great American Insurance Group, we combine the strength and stability of a trusted organization with more than 150 years of history with the entrepreneurial spirit of a growing business.
NewClaims Examiner - Workers Compensation (Hybrid- West Hills, CA) Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation (Hybrid- West Hills, CA)West Hills, CA$80,000–$92,000 / 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, Worker''s Compensation Pie Insurance Holdings IncClaims Adjuster, Worker''s CompensationCARemote$70,000–$90,000 / yearThis role will work with internal and external partners to deliver best in class performance, identify and pursue claim mitigation opportunities and deliver favorable claim outcomes for Pie's customers. The Claims Adjuster will play a vital role in delivering quality claim file management and an industry-leading customer claims experience.
Claims Consultant, Life Sciences CNA Financial Corp.Claims Consultant, Life SciencesBrea, CA$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial claims with large exposures that require a high degree of technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to complex manage litigation and authorizing payments within scope of authority.
Senior Claims Examiner Commercial GL VenbrookSenior Claims Examiner Commercial GLAnaheim, CaliforniaAIC, AIM, ARM, CPCU) and/or insurance related courses are a plus• Experience working in claims management systems and strong knowledge of Microsoft applications (Outlook, Word, Excel, and PowerPoint). REQUIREMENTS• 3+ years of handling litigated auto and/or general liability property damage and bodily injury claims• Field investigation experience preferred• Public entity experience is a plus• College degree is preferred and a designation (e.g.
Clinical Authorization Specialist (Hospital) - PreArrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaClinical Authorization Specialist (Hospital) - PreArrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Los Angeles, California$25–$39.69 / 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 Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient clinic, inpatient admission, ancillary services and/or chemotherapy and other infused treatments as needed in assigned service line.
NewClaims Adjuster - Workers Compensation (HYBRID- Glendale, CA) Sedgwick Claims Management Services, Inc.Claims Adjuster - Workers Compensation (HYBRID- Glendale, CA)Glendale, CA$75,000–$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.
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.
NewMedical Only Claims Adjuster Pie Insurance Holdings IncMedical Only Claims AdjusterCARemote$60,000–$75,000 / yearThis role will work with internal and external partners to deliver best in class performance, identify and pursue claim mitigation opportunities and deliver favorable claim outcomes for Pie's customers. The Medical Only Claims Adjuster will play a vital role in delivering quality claim file management and an industry-leading customer claims experience.
CA - Senior Claims Adjuster, Worker''s Compensation Pie Insurance Holdings IncCA - Senior Claims Adjuster, Worker''s CompensationCalifornia, CARemote$95,000–$120,000 / yearThis role will work with internal and external partners to deliver best in class performance, identify and pursue claim mitigation opportunities and deliver favorable claim outcomes for Pie's customers. The Senior Claims Adjuster will play a critical role in delivering quality claim file management and an industry-leading customer claims experience.,
Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL | Remote Sedgwick Claims Management Services, Inc.Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL | RemoteCARemote$100,000–$125,000 / 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. Analyzes and processes complex or technically difficult professional liability 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.
ESIS Claims Associate Chubb LtdESIS Claims AssociateChatsworth, CA$47,500–$67,500 / yearThe company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients.
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.
VP Underwriting, Excess Casualty Argo Group International Holdings IncVP Underwriting, Excess CasualtyLos Angeles, CAEstablish and communicate production and profit-related goals including new business development, distribution platform management, target loss ratios, policy count, hit ratios, renewal retention as it relates to new product/program launch, etc. To provide strategic guidance and direction to the excess casualty underwriting business unit in regard to business development, underwriting excellence, and operational/shared services to promote profitable underwriting results.
Claims Auditor MedPOINT ManagementClaims AuditorSherman Oaks, CARemoteFull timeMedPOINT Management is a leading Independent Practice Association (IPA) management company serving the greater Los Angeles area, dedicated to delivering high-quality, coordinated healthcare to patients across Southern California. Our team enjoys a collaborative work culture, opportunities for professional growth, and the satisfaction of making a meaningful impact in the healthcare industry.