Avp, Claims Quality Assurance & Performance Management Argo Group International Holdings Ltd.Avp, Claims Quality Assurance & Performance ManagementLos Angeles, CA$137,496–$189,516 / yearQualifications / Experience Required: A specialized knowledge of managing Quality Assurance programs typically achieved through: Bachelor's degree required; JD, advanced degree, CPCU, AIC, SCLA, Six Sigma/Lean, PMP, Prosci, Guidewire certification, or similar insurance, claims, audit, process improvement, project management, or change management credential preferred. In addition, the role will expand QA output into a broader claims performance management capability by linking QA findings to Guidewire data, KPI trends, process assessment analytics, adjuster and manager performance evaluation, and senior leadership reporting across Argo's claims organization.
SIU Investigator Allied UniversalSIU InvestigatorLos Angeles, California$30–$38 / hourAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance . High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud .
Workers Compensation Claims Specialist, West CNA Financial Corp.Workers Compensation Claims Specialist, WestLos Angeles, CA$54,000–$103,000 / yearPartners with attorneys, account representatives, agents, underwriters, doctors, nurse case managers and insureds to develop a focused strategy for timely and cost effective resolution of more complex claims. Performs a combination of duties in accordance with departmental guidelines: Interprets more complex or unusual policy coverages and determines if coverages apply to claims submitted, escalating issues as needed.
Claims Examiner I Tokio Marine HCCClaims Examiner IEncino, CaliforniaThe Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the “VCCLEA”), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. As an insurance company, we comply with certain federal, state and local laws such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e)), which restricts our ability to employ individuals with certain types of criminal convictions.
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.
Personal injury, property damage, and tort-based claims attorney Talent Search PROPersonal injury, property damage, and tort-based claims attorneyLos Angeles, CaliforniaStart Date: ASAP A growing litigation firm in Downtown Los Angeles is seeking a Personal injury, property damage, and tort-based claims Attorney with 3–8 years of experience to join its expanding practice. This opportunity is ideal for an attorney who is comfortable managing a meaningful caseload, thrives in a fast-paced litigation environment, and is looking for a collaborative team with long-term growth potential.
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.
Property Claims Specialist Field I Mercury Insurance Services, LLCProperty Claims Specialist Field IBrea, California$81,341–$99,416 / yearAs 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.
Complex Claims Consultant - Financial Lines/Public D&O CNA Financial Corp.Complex Claims Consultant - Financial Lines/Public D&OBrea, CA$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex litigated claims, with large exposures that require a high degree of specialized 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 manage complex litigation and authorizing payments within scope of authority.
Claims Examiner - Workers Compensation (Hybrid- West Hills, Ca/3 Days Remote) Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation (Hybrid- West Hills, Ca/3 Days Remote)West Hills, CARemote$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 Examiner- Workers Compensation | Brea, CA (Hybrid) Sedgwick Claims Management Services, Inc.Claims Examiner- Workers Compensation | Brea, CA (Hybrid)Brea, CARemote$85,000–$105,000 / yearPRIMARY 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. 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.
Claims Representative (Iap) - Workers Compensation Training Program | Brea, CA Sedgwick Claims Management Services, Inc.Claims Representative (Iap) - Workers Compensation Training Program | Brea, CABrea, 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 Team Lead (Supervisor) - Workers Compensation | Brea, CA Sedgwick Claims Management Services, Inc.Claims Team Lead (Supervisor) - Workers Compensation | Brea, CABrea, CA$105,000–$118,000 / 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. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
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.
NewClaims Team Lead - Workers Compensation (Hybrid - West Hills, CA) Sedgwick Claims Management Services, Inc.Claims Team Lead - Workers Compensation (Hybrid - West Hills, CA)West Hills, CA$100,000–$102,000 / 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. Provides technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for high-cost or complex claims.
Insurance Sales Agent Farmers Insurance Valley DistrictInsurance Sales AgentLos Angeles, CAProduct Knowledge: Learn the various insurance products that we offer and be able to explain them to clients as well as recommend the appropriate coverages to protect our client's assets. The ideal candidate will utilize our sales methods to sell various insurance products while also providing excellent customer service and building rapport with customers.
Claims & Customer Service - Los Angeles Ca. Career StrategiesClaims & Customer Service - Los Angeles Ca.Los Angeles, CaliforniaThe Claims Specialist/Analyst will process health insurance claims and answers calls from the customer (participant members, providers, physicians, hospitals etc.) Adhere to eligibility, claims and call policies and procedures while making sound claim/call decisions. · Review and research incoming healthcare claims by navigating multiple computer systems and platforms and verify the data/information necessary for processing (e.g.
Insurance Agent Superstar Lincoo Financial & Insurance Services IncInsurance Agent SuperstarSan Marino, CA$100,000–$150,000 / yearProspects for new business by following sales leads generated from referrals, networking, marketing, cold-calling, and lead databases. Foster strong relationships with our customers to maintain a high level of client retention and product loyalty.
Surveillance Investigator Allied UniversalSurveillance InvestigatorSan Dimas, California$20–$24 / hourFull timeThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
Senior Claims Account Manager Argo Group International Holdings Ltd.Senior Claims Account ManagerLos Angeles, CA$137,500–$167,000 / yearDeep workers' compensation technical expertise, including compensability, medical treatment, disability exposure, return-to-work, settlement valuation, Medicare considerations, litigation management, jurisdictional requirements, and claim resolution strategy and exception customer service focus typically obtained through: Bachelor's Degree from an accredited university. Support onboarding and oversight of additional runoff programs as Clearbrook acquires new companies, portfolios, or lines of business, including transition planning, TPA implementation, claim file transfer, authority protocols, reporting expectations, and governance routines.