Workers Compensation Claims Specialist, West CNAWorkers Compensation Claims Specialist, WestPlacentia, CaliforniaPartners 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. In District of Columbia,California, Colorado, Connecticut, Illinois , Maryland, Massachusetts , New York and Washington, the national base pay range for this job level is $54,000 to $103,000 annually.
Workers Compensation Claims Specialist, West CNA Financial Corp.Workers Compensation Claims Specialist, WestBrea, 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.
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.
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.
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.
Claims Business Systems Analyst Pie Insurance Holdings IncClaims Business Systems AnalystCARemote$90,000–$110,000 / yearWorking under the functional direction of the Staff Technical Program Manager, this role executes internal configuration and builds tickets from the Claims technology JIRA backlog, builds dashboards and templates, develops and runs test scripts, troubleshoots system issues, and maintains the technical integrity of the claims technology environment. The Claims Business Systems Analyst partners with Enterprise Technology, external vendors, and the Claims L&D Specialist to ensure that delivered solutions are technically sound, well-documented, and ready for end-user adoption.
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.
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.
Managing Director Strategic Claims Oversight - Healthcare Severity CNA Financial Corp.Managing Director Strategic Claims Oversight - Healthcare SeverityIrvine, CA$97,000–$189,000 / yearDevelops and maintains collaborative working relationships with internal and external business partners including Operations, Underwriting, Actuary and Risk Control and regularly shares claims outcomes, trends, legal developments and other relevant business updates. Responsible for the ongoing management of staff by attracting talent, setting clear direction, providing appropriate guidance, managing performance, recognizing contributions, and developing capabilities.
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.
Specialty Vehicle Technical Lead Allstate Insurance CompanySpecialty Vehicle Technical LeadCA$37.98–$52.70 / hourThrough our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products.
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.
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.
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 Sedgwick Claims Management Services, Inc.Claims Examiner- Workers Compensation | Brea, CABrea, CARemote$80,000–$110,000 / 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.
NewClaims Team Lead - Workers Compensation (Hybrid- Glendale, CA) Sedgwick Claims Management Services, Inc.Claims Team Lead - Workers Compensation (Hybrid- Glendale, CA)Glendale, CA$95,000–$100,000 / 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.
Claims 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.
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 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.
Claims Representative (Iap) - Workers Compensation Training Program | Long Beach, CA Sedgwick Claims Management Services, Inc.Claims Representative (Iap) - Workers Compensation Training Program | 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.