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.,
CA - Claims Adjuster, Workers Compensation Pie Insurance Holdings IncCA - Claims Adjuster, Workers CompensationCalifornia, CARemote$80,000–$100,000 / 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.
Medical 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.
Workers Compensation - Claims Adjuster Sedgwick Claims Management Services, Inc.Workers Compensation - Claims AdjusterCA$73,000–$85,000 / 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.
2027 Claim Trainee Program - Associate Claims Representatives CNA Financial Corp2027 Claim Trainee Program - Associate Claims RepresentativesLos Angeles, CA$35,000–$65,000 / yearEssential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Develops a working knowledge of commercial insurance and learns to manage an inventory of low complexity claims by successfully completing a formal training program, and following company protocols to verify policy coverage, gather necessary information, maintain appropriate file documentation and authorize disbursements within authority limit. After successful completion of a formal training program, this individual contributor position works under close supervision, and within defined authority limits, to handle and resolve low complexity commercial claims for a specific line of business.
Claims Adjuster Senior - Injury The Progressive CorpClaims Adjuster Senior - InjuryTorrance, CA$36–$47 / hourFor 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.
Complex Claims Adjuster Pie Insurance Holdings IncComplex Claims AdjusterCARemote$100,000–$125,000 / yearThe Complex Claims Adjuster will play a critical role in delivering quality claim file management and an industry-leading customer claims experience, by providing hands-on adjudication of catastrophic and large loss claims. This will be completed by adhering to Pie's Claims Best Practices, complying with regulatory and statutory requirements, and applying advanced knowledge and experience with complex negotiation strategies, structured settlements, Medicare Set-Aside requirements, and overall risk evaluation and mitigation.
AVP, Claims Quality Assurance & Performance Management Argo Group International Holdings IncAVP, 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.
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.
Claims Specialist II - Provider Claims Short-Term Assignment Inland Empire Health PlanClaims Specialist II - Provider Claims Short-Term AssignmentCalifornia, CAAdditional responsibilities include handling escalated claim-related telephone inquiries, assisting with cross-training as needed, performing complex claim adjustment projects, and processing Provider Disputes in accordance with regulatory requirements. The Claims Specialist II - Provider Claims is responsible for fulfilling the technical support needs of appeals and support staff, while ensuring that appeals and call center tasks are conducted consistently and accurately.
Subrogation Claims Service Specialist ArsenaultSubrogation Claims Service SpecialistLos Angeles, CaliforniaHandles claim files (locates/requests files, files paperwork, reconstructs missing files, moves misfiled documents, sends to other offices, etc.). For more than 89 years weve thrived by staying a step ahead of whatevers coming next to give customers peace of mind no matter what changes they face.
Claims Team Lead - Workers Compensation | CA Claims Exp. Required Sedgwick Claims Management Services, Inc.Claims Team Lead - Workers Compensation | CA Claims Exp. RequiredPasadena, CARemote$100,000–$118,000 / yearPRIMARY PURPOSE: To supervise the operation of a team of workers compensation claims examiners and technical staff for workers compensation claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. The ideal candidate brings strong technical knowledge of California workers' compensation claims, experience supervising claims examiners and support staff, and the ability to provide guidance on complex and high-exposure matters.
Senior Workers Compensation Claims Adjuster - California GallagherSenior Workers Compensation Claims Adjuster - CaliforniaGlendale, CaliforniaRemoteFull timeAbout 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.
Claims Total Loss Adjuster AAAClaims Total Loss AdjusterCarson, CaliforniaMaintain accurate, detailed, and compliant claim records by updating Claims Center, reviewing valuations and coverage limits, issuing timely and correct payments, and ensuring all documentation supports fair claim resolution. Manage the end‑to‑end processing of total loss claims by evaluating vehicle damage, confirming total loss determinations, negotiating settlements, and completing titling transactions in compliance with DMV, DOI, and company regulations.
NewClaims Auto Adjuster AAAClaims Auto AdjusterValencia, California$25.48–$28.03 / hourThis 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.
NewClaims Senior Auto Adjuster AAAClaims Senior Auto AdjusterValencia, CaliforniaThe 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.
Claims Advocate Next Insurance IncClaims AdvocateCARemote$60,000–$80,000 / yearCommunication and Negotiation Skills: Proven ability to communicate effectively and negotiate with a range of stakeholders, including third-party insurers and legal representatives. You can find additional information about this type of scam and report any fraudulent employment offers via the Federal Trade Commission''s website ( https://consumer.ftc.gov/articles/job-scams ), or you can contact your local law enforcement agency.
Express Claims Advocate Next Insurance IncExpress Claims AdvocateCARemote$55,000–$72,000 / yearYou will join a team of experienced claims professionals and will investigate and resolve general liability claims within your authority to provide the best possible claim outcome and employ best efforts to ensure that the customers' interests are protected while adhering to our claims philosophy and policies. Communicate with policyholders, witnesses, and claimants in order to gather information regarding claims, refer tasks to auxiliary resources as necessary, and advise as to proper course of action Respond to various written and telephone inquiries including status reports.
Sr. Claims Advocate Next Insurance IncSr. Claims AdvocateCARemote$80,000–$110,000 / yearYou can find additional information about this type of scam and report any fraudulent employment offers via the Federal Trade Commission''s website ( https://consumer.ftc.gov/articles/job-scams ), or you can contact your local law enforcement agency. At ERGO NEXT, we are dedicated to building a diverse, inclusive and respectful workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyways.
Claims Supervisor - Worker Compensation StratAcuity Staffing Partners IncClaims Supervisor - Worker CompensationCARemote$95,000–$110,000 / yearIn terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts.