Requisition ID JR1005137 Category Claims - Workers Compensation Type Regular Full-Time
Responsible for the prompt and efficient examination, investigation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds and claimants, ensuring that company resources are utilized in a cost effective manner in the process.
Those within a 50-mile radius of an AmTrust office will be expected to abide by a hybrid schedule
Responsibilities
Thoroughly investigating workers' compensation claims by contacting injured workers, medical providers, and employer representatives. Determining if claims are valid under applicable workers' comp statutes. Communicating with medical providers to develop and authorize appropriate treatment plans.
Reviewing and analyzing medical bills to confirm charges and treatment are workers' comp injury-related and in accordance with the treatment plan.
Ensuring payments for medical bills and income replacement are remitted on a timely basis in accordance with applicable fee schedules and statute
Answer questions regarding the status of pending claims from claimants, policyholders and medical providers.
Consult with attorneys regarding litigation management, settlement strategy and claim resolution.
Qualifications
2+ years experience as a Workers Comp adjuster handling Californiaclaims
Must be current on Continued Education Units
MS Office experience (Work, Excel, Outlook)
Effective negotiation skills
Strong verbal and written communication skills
Ability to prioritize work load to meet deadlines
Ability to manage multiple tasks in a fast-paced environment
Preferred:
SIP license
The expected salary range for this role is $39.66/hr-$44.75/hr.
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
Connect With Us!
Not ready to apply? Connect with us for general consideration.
DETAILS
Claims Supervisor
Department:
Workers' Compensation
Reports To:
Division Claims Manager
FLSA Status:
Exempt
Job Grade:
14
Career Ladder:
Next step in progression could include Division Claims Manager
ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. We foster an environment where employees not only thrive but consistently recognize Athens as a “Best Place to Work.” Immerse yourself in our engaging, supportive, and inclusive culture, offering opportunities for continuous professional growth. Join our nationwide family-owned company in Workers' Compensation, Property & Casualty, Program Business, and Managed Care. Embrace a change and come make an impact with the Athens Administrators family today! POSITION SUMMARY Athens Administrators has an immediate need for a Claims Supervisor to support our California Workers Compensation department. Ideal candidates will reside in the Central Valley of California, however, management that lives less than 36 miles from the Concord or Orange, CA office AND have a direct report in the office, are required to work once a week in the office. The remaining days can be worked remotely if technical requirements are met, and the employee resides in California. Athens offices are open for business Monday-Friday from 7:30 a.m. to 5:30 p.m. Employee work a 37.5-hour work week with the ability to work a flex schedule with every third Monday or Friday off. As a Claims Supervisor, you'll play a pivotal role in leading and collaborating with Athens management to achieve exciting company goals, run insightful reports, and streamline processes. You'll make impactful daily claims decisions, review files for accuracy, and approve payments that exceed examiner authority. Additionally, you'll ensure top-notch file handling, accurate claims coding, and meet unit closing goals. You'll be the guiding force for your team, planning, organizing, delegating workloads, supervising daily activities, providing training, and offering valuable guidance. In client management, you'll address policy and claims issues, build and maintain strong relationships, attend key meetings, ensure compliance with client instructions, and document interactions, always acting in the client's best interest. Join us and make a difference every day! PRIMARY RESPONSIBILITIES Our new hire should have the skills, ability, and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation. Additional duties may be assigned: Claims Leadership
Work with Athens management to achieve company initiatives and performance goals
Consistently strive to improve and streamline current processes
Authorize release of payment and settlement
Make daily claims decisions regarding plan of action, handling of payment, etc.
Review claim files for accuracy
Run various reports with an eye for accuracy and confidentiality
Approve payments and reserve increases when they rise above Examiner's authority level
Work collaboratively with internal and clients' senior management as well as with attorneys to draft settlements and assist with litigation strategies
Provide timely information to clients, attorneys, doctors, investigators and injured workers with strong, professional communication
Discuss appropriateness of medical treatment with medical case manager
Assure consistent and accurate claims coding is occurring on the team
Ensure quality file handling and resolution. This includes meeting unit closing goals, verifying proper reserves, providing thorough claims analysis and guiding to correct resolution
Use flexibility when working in demanding and changing situations
Employee Management
Effectively plan, organize and delegate workload for optimal results and to ensure time commitments are met
Supervise daily activities of the team by monitoring progress, ensuring compliance with policies, and promptly addressing any issues or conflicts
Identify, coordinate, coach, and perform training with staff to improve performance and increase their growth and knowledge in claims
Participate in the interview process, onboarding and training of new hires
Provide general guidance to the team by offering support and advice on work-related issues, fostering a positive work environment, encouraging professional development, and reviewing performance through evaluations, feedback, goal setting, and identifying areas for improvement
Provide direct feedback and use sound coaching techniques to solve disciplinary or workflow problems. Manage and document employee relations issues at all levels. Work in conjunction with Human Resources to ensure performance issues are managed in a timely and consistent manner
Regularly lead organized and collaborative staff unit meetings, including both remote and on-site employees
Maintain an open-door policy and an approachable attitude, and foster open communication with staff
Client Management
Work with clients with issues regarding policies, programs and/or claims
Manage existing client relationships by being accessible, making regular service calls, and proactively identifying
and solving potential problems
Attend client meetings, internal meetings, and workers' compensation meetings both virtual and in-person
Ensure notepads and diaries are set and completed timely in accordance with client handling instructions and Athens Best Practices and have meaningful action plans and information and are concise and well-written
Obtain audit results meets or exceeds best practice standards of Athens and client
Display integrity and always acts in the best interest of the client
Document client meeting notes in appropriate shared location
Supervisory Responsibilities Supervising, scheduling, assigning, monitoring, and evaluating work of assigned staff are responsibilities for supervisory positions.
Provide direct supervision for 6-10 employees, typically consisting of Senior Claims Examiners, Future Medical Claims Examiners, Claims Examiners, Assistant Claims Examiners and Assistant Claims Examiner Trainees.
Attend on-site Leadership Summit at Athens Concord headquarters every 18 months (including overnight)
Fiscal Responsibilities
Review and approve direct report's monthly expense reports
Ensure that all expenditures are in the best interest of the Company
Use effective monitoring and reporting mechanisms to control expenses without lowering quality
Search for and implement hidden cost improvements
Obtain, maintain, and demonstrate an understanding of wage and hour laws as applicable for employees
Ensure timely, accurate review and approval of timecards for your staff on payroll processing days.
ESSENTIAL POSITION REQUIREMENTS The requirements listed below are representative of the knowledge, skill, and/or ability required. While it does not encompass all job requirements, it is meant to give you a solid understanding of expectations.
High School Diploma or equivalent (GED) required for all positions
AA/AS or BA/BS preferred but not required
Must possess a current Experienced Indemnity Claims Adjuster Designation, provided by an insurer, as defined in California Code of Regulations, Title 10, Chapter 5, Subchapter 3, Section 2592.01(f)
Administrators Certificate from Self-Insurance Plans. If not already obtained, the Administrators Certificate from Self-Insurance Plans will be required within one year of employment
Completion of IEA or equivalent courses
Solid and in-depth knowledge of workers' compensation laws, policies, and procedures
3+ years' recent workers compensation claims handling experience at a high level
5+ years' experience in a Workers' Comp claims lead or supervisor position preferred
At least 2 years Claims Supervisory experience required
Municipality/4850 experience preferred
Proficiency in determining case value and negotiating settlements
Prior Third-Party Administrator (TPA) experience preferred
Understanding of medical and legal terminology
Strong attention to detail and organizational skills and the ability to research and resolve problems and meet multiple deadlines and to plan and effectuate short- and long-range Company and department objectives.
Proficiency at applying business and technical acumen by understanding how the business works and how technology supports business initiatives. Leverages technology for self and staff to improve efficiency.
Partnering with team to ensure on time task completion; done through delegation and leading by example, executing tasks rather than just instructing them to execute tasks
Handles stressful situations and deadline pressures well
Must demonstrate accuracy and thoroughness in work product
Effectively influences people to achieve unit and organizational objectives
Must be flexible, adaptable, and positive. Exhibit passion and energy to ensure that all employees are respected and treated in a manner consistent with Athens Values.
Able to plan, prioritize and organize claims workload for a unit
Skilled at presenting in small and large group settings
Ability to create reports as required, using the report writing tools available or creating custom documents.
Skilled at developing and maintaining effective relationships with others (co-workers, customers, vendors, management, and other key stakeholders) to achieve organizational goals
Embrace the leadership role and can be counted on to help senior management drive towards the desired results and to exceed goals successfully.
Able to interpret information from multiple sources and draw logical conclusions; consults others based on analysis of data; able to think strategically and use data findings to consult others for improved business results.
Negotiating skills
Mathematical calculating skills
Exercise independent judgment and analytic ability in solving complex and sensitive problems
Highly developed verbal and written communication skills with strong attention to detail
Computer processing skills, including the ability to leverage technology for self and staff to improve efficiency
Proficient in Microsoft Office Suite
Ability to type quickly, accurately and for prolonged periods
Ability to learn additional computer programs
ClaimsXpress program experience preferred but not required
Reasoning ability, including problem-solving and analytical skills, i.e., proven ability to research and analyze facts, identify issues, and make appropriate recommendations and solutions for resolution
Ability to be trustworthy, dependable, and team-oriented for fellow employees and the organization
Seeks to include innovative strategies and methods to provide a high level of commitment to service and results
Ability to demonstrate care and concern for fellow team members and clients in a professional and friendly manner
Acts with integrity in difficult or challenging situations and is a trustworthy, dependable contributor
Athens' operations involve handling confidential, proprietary, and highly sensitive information, such as health records, client financials, and other personal data. Therefore, maintaining honesty and integrity is essential for all roles within the company.
Valid Driver's license and availability for travel including in office file reviews and meetings
APPLY WITH US We look forward to learning about YOU! If you believe in our core values of honesty and integrity, a commitment to service and results, and a caring family culture, we invite you to apply with us. Please submit your resume and application directly through our website at *********************************************** Feel free to include a cover letter if you'd like to share any other details. All applications received are reviewed by our in-house Corporate Recruitment team. The Company will consider qualified applicants with arrest or conviction records in accordance with the Los Angeles Fair Chance Ordinance for Employers and the California Fair Chance Act. Applicants can learn more about the Los Angeles County Fair Chance Act, including their rights, by clicking on the following link: ************************************************************************************************* This description portrays in general terms the type and levels of work performed and is not intended to be all-inclusive or represent specific duties of any one incumbent. The knowledge, skills, and abilities may be acquired through a combination of formal schooling, self-education, prior experience, or on-the-job training. Athens Administrators is an Equal Opportunity/ Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability, or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development. THANK YOU! We look forward to reviewing your information. We understand that applying for jobs may not be the most enjoyable task, so we genuinely appreciate the time you've dedicated. Don't forget to check out our website at ******************* as well as our LinkedIn, Glassdoor, and Facebook pages! Athens Administrators is dedicated to fair and equitable compensation for our employees that is both competitive and reflective of the market. The estimated rate of pay can vary depending on skills, knowledge, abilities, location, labor market trends, experience, education including applicable licenses & certifications, etc. Our ranges may be modified at any time. In addition, eligible employees may be considered annually for discretionary salary adjustments and/or incentive payments. We offer a variety of benefit plans including Medical, Vision, Dental, Life and AD&D, Long Term Care, Critical Care, Accidental, Hospital Indemnity, HSA & FSA options, 401k (and Roth), Company-Paid STD & LTD and more! Further information about our comprehensive benefits package may be found on our website at https://*******************/careers/why-work-here
$92k-129k yearly est. 5d ago
Claims Negotiation Specialist
The Strickland Group 3.7
Claim specialist job in Fresno, CA
Now Hiring: Impact Claims Negotiation Specialist - Inspire, Lead, and Transform!
Are you a driven leader with a passion for empowering others and creating lasting impact? We are looking for ambitious individuals to join our team as Claims Negotiation Specialist, where you'll mentor, develop, and guide individuals toward financial success and leadership excellence.
Who We're Looking For:
✅ Visionary entrepreneurs & business professionals ready to lead
✅ Mentors and coaches who thrive on helping others grow
✅ Licensed & aspiring Life & Health Insurance Agents (We'll guide you through licensing!)
✅ Individuals eager to inspire and drive meaningful success
As a Claims Negotiation Specialist, you'll be at the forefront of mentoring, coaching, and leading high-potential individuals, helping them unlock new levels of success while also scaling your own leadership and financial growth.
Is This You?
✔ Passionate about mentorship, leadership, and personal growth?
✔ A natural motivator who thrives on empowering others?
✔ Self-motivated, disciplined, and committed to success?
✔ Open to ongoing mentorship and leadership development?
✔ Looking for a recession-proof and scalable career opportunity?
If you answered YES, keep reading!
Why Become a Claims Negotiation Specialist?
🚀 Work from anywhere - Build a flexible, high-impact career.
💰 Uncapped earning potential - Part-time: $40,000-$60,000+/year | Full-time: $70,000-$150,000+++/year.
📈 No cold calling - Work with individuals who have already requested guidance.
❌ No sales quotas, no pressure, no pushy tactics.
🏆 Leadership & Ownership Opportunities - Build and scale your own team.
🎯 Daily pay & performance-based bonuses - Direct commissions from top carriers.
🎁 Incentives & rewards - Earn commissions starting at 80% (most carriers) + salary.
🏥 Health benefits available for qualified participants.
This isn't just a job-it's an opportunity to create impact, lead with purpose, and build a lasting legacy.
👉 Apply today and take your first step as a Claims Negotiation Specialist!
(Results may vary. Your success depends on effort, skill, and commitment to learning and execution.)
$46k-78k yearly est. Auto-Apply 60d+ ago
Senior Forensic Claims Analyst
Fluor Corporation 4.5
Claim specialist job in Fresno, CA
We Build Careers! Senior Forensic Claims Analyst FresnoCA At Fluor, we are proud to design and build projects and careers. We are committed to fostering a welcoming and collaborative work environment that encourages big-picture thinking, brings out the best in our employees, and helps us develop innovative solutions that contribute to building a better world together. If this sounds like a culture you would like to work in, you're invited to apply for this role.
Job Description
Fluor is seeking candidates for opportunities within our Program Delivery Support (PDS) team, working alongside the California High-Speed Rail Authority, to provide program delivery and program management services for one of the largest planned infrastructure projects in the U.S.
The system will connect the 500-mile stretch between the Los Angeles region with the San Francisco Bay Area, with up to 24 stations. The first phase of the program is currently under construction in California's Central Valley.
Under the general direction of the Director and Deputy Director of the PMO/forensics & Claims, this role is responsible for developing forensic analyses and providing oversight of the PCM's analysis as required to determine responsibility, merit and quantification of cost and time extensions. This role is also responsible for reviewing and analyzing Contractors' Time Impact Analyses and claims and assisting with the rebuttal responses. In addition to forensic analysis efforts, this role is responsible for assisting in areas such as estimating, takeoffs and design reviews. This role is within the Program Management & Oversight Branch of the Program delivery Office.
* Perform forensic analyses and develop summary of findings; Develop causation reports documenting the chronology of events related to project delays; Present analysis finding to the Authority leadership team.
* Coordinates and work with the regional Authority staff, PCMs and other consultants in providing planning, development, reporting, and maintenance of data program wide
* Perform review and analysis of the construction schedule for risk identification, risk review, and risk assessments including providing recommendations on appropriate actions;
* Assist with other scheduling and regional project controls assignments and activities, 10% Develop What-if schedules and scenario analysis providing reasonable and realistic schedule forecasts
* Review Contractors' claims and assist with responses and potential rebuttals
* Other duties maybe assigned
Basic Job Requirements
* Accredited four (4) year degree in Civil Engineering or Construction Science/Management or global equivalent in applicable field of study and ten (10) years of work-related experience or a combination of education and directly related experience equal to fourteen (14) years if non-degreed
Other Job Requirements
* Experience performing claims work.
* Experience in developing expert reports quantifying impacts and apportioning quantum to responsible parties.
* Work experience on large programs with proven track record.
* Experience with analyzing, reviewing cost estimates, schedules and time impact analyses, and excellent negotiations skills.
* Ability to produce oral and written presentations to client and other stakeholders.
* Strong work experience with MS Office application.
* Can communicate effectively with different disciplines to obtain scope of work and other information and manage the development and review of schedules.
* Knowledge of principles and practices of all project controls functions for a large-scale construction project and ability to carry out cost, estimating, design, schedule, and risk analysis.
* Must be a self-starter attitude with proactive, results-oriented focus. Proven accuracy, reliability and completeness in job accomplishment. Effective oral and written communication skills.
* Required Knowledge of; analysis methodologies for complex construction projects'; claims management and support; construction contracts.
* Ability to write project reports. Must be able to interface with a variety of people with different technical levels and educational backgrounds; must be detail-oriented and highly organized; and must be able to produce accurate and timely results while maintaining a customer-service attitude.
Preferred Qualifications
* Professional certification as professional engineer or Quantity Surveyor
* Experience in developing expert reports quantifying delays and apportioning quantum to responsible parties
#LI-SI1
We are an equal opportunity employer. All qualified individuals will receive consideration for employment without regard to race, color, age, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, genetic information, or any other criteria protected by governing law.
Benefits Statement: Fluor is proud to offer a comprehensive benefits package designed to promote employee health, wellness, and financial security. Our offerings include medical, dental and vision plans, EAP, disability coverage, life insurance, AD&D, voluntary benefit plans, 401(k) with a company match, paid time off (personal, bereavement, sick, holidays) for salaried employees, paid sick leave per state requirement for craft employees, parental leave, and training and development courses.
Market Rate Statement: The market rate for the role is typically at the mid-point of the salary range; however, variations in final salary are determined by additional factors such as the candidate's qualifications, relevant years of experience, geographic location, internal pay equity, and prevailing market conditions for the specific role.
Notice to Candidates: Background checks are carried out as part of any conditional offer made, including (but not limited to & role dependent) education, professional registration, employment, references, passport verifications and Global Watchlist screening.
To be Considered Candidates: Must be authorized to work in the country where the position is located.
Salary Range: $107,000.00 - $193,000.00
Job Req. ID: 437
Nearest Major Market: Fresno
$107k-193k yearly 60d+ ago
Daily Claims Adjuster - Fresno, CA
Cenco Claims 3.8
Claim specialist job in Fresno, CA
CENCO Claims is a trusted provider of property claims services, working alongside leading insurance carriers to deliver accurate and timely claim resolutions. We are currently seeking Daily Residential Property Claims Adjusters to support field assignments in Fresno, CA, and surrounding areas. This opportunity is well-suited for independent adjusters looking for consistent daily work with the flexibility of field-based assignments.
What You'll Be Doing:
Perform on-site residential property inspections related to covered losses
Document damage thoroughly with clear photos and detailed written reports
Prepare accurate estimates using Xactimate or Symbility
Communicate professionally with policyholders, contractors, and carriers
Manage assignments efficiently from inspection through file submission
What We're Looking For:
Active California adjuster license
Experience using Xactimate and/or Symbility
Reliable transportation and standard field equipment (ladder, laptop, etc.)
Strong attention to detail and ability to work independently
Responsive and dependable with assignment acceptance and turnaround
Why Work With CENCO:
Consistent residential claim volume in the Fresno market
Competitive compensation with reliable, timely payments
Streamlined processes and strong back-office support
Opportunity for continued and long-term daily assignments
If you're an adjuster seeking steady residential work with a company that values professionalism and quality claim handling, we'd like to connect with you.
$54k-67k yearly est. Auto-Apply 60d+ ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Claim specialist job in Fresno, CA
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Overview:
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
Key Responsibilities:
- Planning and organizing daily workload to process claims and conduct inspections
- Investigating insurance claims, including interviewing claimants and witnesses
- Handling property claims involving damage to buildings, structures, contents and/or property damage
- Conducting thorough property damage assessments and verifying coverage
- Evaluating damages to determine appropriate settlement
- Negotiating settlements
- Uploading completed reports, photos, and documents using our specialized software systems
Requirements:
- Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces
- Strong interpersonal communication, organizational, and analytical skills
- Proficiency in computer software programs such as Microsoft Office and claims management systems
- Self-motivated with the ability to work independently and prioritize tasks effectively
- High school diploma or equivalent required
- Previous experience in insurance claims or related field is a plus but not required
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
Job DescriptionDescriptionThe Workers' Compensation Claims Representative serves as the primary connection between insured clients and workers' compensation insurance carriers. The representative is committed to supporting and advocating for insureds as they navigate the complex and ever-evolving California workers' compensation system. This position ensures that claims are handled efficiently, accurately, and in compliance with applicable laws and procedures. The representative acts as an advocate for insureds, facilitates effective communication, and provides technical support and education throughout the claims process. The goal of this role is to enhance client satisfaction, improve claim outcomes, and support the brokerage's service and retention objectives.
Key ResponsibilitiesClient & Carrier Communication
Serve as the main liaison between insured clients and workers' compensation insurance carriers.
Facilitate timely communication regarding claim status, settlement decisions and action plans.
Coordinate with adjusters, medical case managers, attorneys, agents, account manager and other involved parties to promote efficient claim resolution.
Communicate carrier recommendations and decisions to clients in a clear, professional manner.
Claims Oversight & Advocacy
Monitor open claims for assigned accounts to ensure proper handling, timely deadlines and compliance with applicable regulations.
Review loss runs and document for accuracy and new claims; identify trends, anomalies, and opportunities for improvement.
Advocate on behalf of insured clients to ensure appropriate medical management and expeditious claim resolution.
Collaborate with clients to implement return-to-work programs and cost-containment strategies.
Schedule and conduct Zoom, Teams, or telephonic meetings with carriers and other involved parties to advocate on behalf of insured clients and injured workers regarding claim status, legal issues, medical treatment concerns, and/or inefficiencies impacting timely resolution or closure of claims.
Client Support & Education
Provide expert guidance to clients regarding workers' compensation reporting, claim filing and documentation requirements.
Assist clients with claim submissions and ensure all necessary information is provided to carriers.
Participate in client claim review meetings, stewardship presentations, and renewal strategy sessions.
Educate clients on workers' compensation best practices, workplace safety, injury prevention and effective claims management.
Collaborate with the company's Safety Department to identify injury trends and develop strategies or training initiatives to reduce future workplace incidents.
Provide workers' compensation knowledge, insights, and recommendations to insured accounts not currently enrolled in the Claims Watch value added service, to enhance their understanding and engagement with claims management practices.
Data Management & Reporting
Maintain accurate and detailed claim documentation within the brokerage's claims tracking system.
Prepare customized reports summarizing claim performance, open claim counts and cost trends.
Analyze loss data to identify recurring issues and recommend targeted interventions.
Provide internal management with reports to assist in account servicing and retention efforts.
Maintain workflow spreadsheets to track individual and departmental productivity, and to provide data insights for management reporting and performance analysis.
Complete experience modification projections and analysis to provide clients with a prognosis of their potential premium for the upcoming policy period.
Monitor WCIRB notice alerts for experience modification initial worksheets or revisions, and communicate relevant updates or impacts to clients and internal agents and account managers.
Prepare and provide insured with quarterly reports including claim status reports, loss runs new claims, no claim notices and claim closure reports, to ensure clients remain informed of claim activity and closed claims.
Professional Conduct and Team Responsibilities
Conduct themselves in a professional and respectful manner at all times.
Communicate appropriately and refrain from using offensive or disrespectful language.
Comply with all assigned tasks and directives from management.
Attend all mandatory meetings and participate actively in team and company activities.
Demonstrate a positive, professional attitude and contribute constructively to the team environment.
Practice strict confidentiality at all times regarding company information, client data, and sensitive claim information.
Skills, Knowledge and ExpertiseEducation and Experience:
Associate's or Bachelor's degree in Business Administration, Risk Management, or a related field preferred.
Minimum of 2-5 years of experience in workers' compensation claims handling, carrier relations, or client advocacy within a brokerage, carrier, or TPA setting.
Comprehensive understanding of state workers' compensation statutes, medical case management practices, legal terminology and claims processes.
Knowledge, Skills, and Abilities:
Strong verbal and written communication skills with a client-service mindset, ability to resolve complaints and disputes.
Proven ability to build and maintain effective professional relationships.
Exceptional analytical, organizational, and problem-solving abilities.
Proficiency with Microsoft Office Suite (Excel, Word, PowerPoint) and claims management or CRM software.
Ability to manage multiple priorities and deliver results in a fast-paced environment.
Certifications (Preferred):
Associate in Claims (AIC), Workers' Compensation Claims Professional (WCCP), or similar industry designation.
State adjuster license or Self-Insurance Administrator (SIP) certificate (if required by jurisdiction).
Benefits
Competitive Pay
Great Benefits
$36k-51k yearly est. 22d ago
Independent Insurance Claims Adjuster in Fresno, California
Milehigh Adjusters Houston
Claim specialist job in Fresno, CA
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
$53k-66k yearly est. Auto-Apply 60d+ ago
Third-Party Claims Processor
Hire Up Staffing Services
Claim specialist job in Fresno, CA
Don't miss this amazing opportunity with one of our best employers in Fresno! Exciting Opportunity for a Medical Biller / Claims Processor in Fresno, CA! We are seeking a skilled Medical Biller or Claims Processor to join one of our top employers in Fresno, CA.
This full-time, on-site position runs Monday to Friday from 7:00 AM to 4:00 PM, offering competitive pay ranging from $18 to $20 per hour, depending on experience.
Ideal Candidate:
The perfect fit for this role has at least 3 years of experience in medical billing or claims processing-especially if that experience includes working with a third-party administrator (TPA) within an insurance company. Prior TPA exposure is highly preferred due to the nature of this employer's group benefit processing.
Job Requirements:
High School Diploma or GED required
Minimum of 3 years of experience in a computerized medical billing or claims processing environment
Key Responsibilities:
Manage claims across multiple groups with accuracy and speed
Process CMS-1500 and UB-04 claims
Accurately handle high-dollar claims
Work with JAA/BlueCard claims
Interpret group SPD's and apply benefits appropriately
Perform zero-dollar adjustments and review flagged claims
Maintain accurate reporting and resolve issues via FOGBUGZ
Use tools like the Anthem Blue Cross website for claims verification
Batch and scan correspondence
Track spreadsheets for special projects
Maintain excellent email communication and confidentiality
If you're detail-oriented, passionate about claims or billing, and thrive in a fast-paced environment, apply today and take the next step in your healthcare career!
#INDHP
$18-20 hourly 60d+ ago
Claims Examiner/Auditor
Teksystems 4.4
Claim specialist job in Parksdale, CA
Title: Claims Examiner (Claims Compliance/Audits) - West Hills, CA - $24/hr - Contract‑to‑Hire Employment Type: Contract‑to‑hire (~560 hours; conversion based on performance and attendance) Compensation: $24/hour
About the Role
A leading healthcare organization in West Hills is seeking a Claims Examiner with a strong claims compliance auditing experience (preferred) . You'll analyze denials, support benefit analysis and system design considerations, manage special projects, and help improve auto‑adjudication and accuracy. This role partners closely with Claims leadership to reduce adjudication errors and enhance operational efficiency.
What You'll Do
+ Audit claims (especially denials) and support resubmission workflows
+ Contribute to benefit analysis and system design inputs impacting claims operations
+ Drive special projects; oversee workflow, research, and documentation
+ Identify risk areas, propose corrective actions, and improve adjudication outcomes
+ Track, trend, and report findings to management
What You'll Bring
+ 5+ years in claims processing and system configuration (EZCap or similar preferred)
+ Ability to collaborate with management/project managers to diagnose process issues and deliver measurable improvements
+ Disciplined, data‑driven methodology with strong analytical/problem‑solving skills
+ Knowledge of claims processing and regulatory requirements (preferred)
+ Strong organization, communication, and writing skills; able to prioritize independently
+ MS Office proficiency (Excel, Access, PowerPoint, Word)
Top Skills
Claims Audits, Claims Resubmission, Claims Processing, HMO Insurance, HMO Claims
Why Apply
+ Clear path to conversion (performance & attendance based)
+ Impactful role improving accuracy and compliance within a collaborative team
Job Type & Location
This is a Contract position based out of Canoga Park, CA 91304.
Pay and Benefits
The pay range for this position is $24.00 - $24.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully onsite position in Canoga Park,CA 91304.
Application Deadline
This position is anticipated to close on Jan 24, 2026.
h4>About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems and TEKsystems Global Services
We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
$24-24 hourly 2d ago
Adjuster
Chubb 4.3
Claim specialist job in Fresno, CA
Essential Job Duties and Responsibilities:
To accept, contract, and handle claims as assigned.
Work as many claims as possible.
Assist in resolving complaints from policy holder relative to claims.
Assist in investigating more complex claims.
Complete Quality Control functions as assigned.
Assists with other duties as necessary.
Knowledge, Skills, and Abilities:
Knowledge of or the ability to learn the agricultural industry, including an understanding of the kinds of crops produced in the territory; agricultural issues.
Knowledge of or the ability to learn Rain and Hail's products, services and systems.
Knowledge of and the ability to learn the underwriting and claim adjustment rules and regulations associated with the Multiple Peril Crop Insurance program, crop-hail program and the other insurance products offered by the company.
Ability to organize and prioritize multiple tasks.
Ability to work in a team oriented environment.
Ability to effectively communicate and maintain business relationships with Company personnel, outside resources and customers.
Ability to use the Company's terminology, procedures and systems.
Ability to use department equipment.
Ability to perform basic and complex mathematical calculations.
Ability to drive a vehicle and maintain a valid drivers license.
Ability to remain calm and professional during peak periods of activity.
Ability to work from oral and written communication.
Ability to maintain confidentiality.
Ability to work independently.
Ability to travel away from home for extended periods of time and on short notice.
Willingness to relocate to another division if requested.
Ability to assist in other work-related areas as required.
The pay range for the role is $23.41 to $39.86 hourly. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.
Qualifications
High School or GED required, baccalaureate degree in Agricultural Business or related field preferred with 1-3 years of experience.
$23.4-39.9 hourly Auto-Apply 60d+ ago
Claims Adjuster III, Agriculture
Amtrust Financial 4.9
Claim specialist job in Fresno, CA
Requisition ID 2025-19590 Category Claims - Agriculture Type Regular Full-Time
Works independently to manage Workers' Compensation cases, including complex and catastrophic claims.
Note commercial Workers' Compensation experience in California is required.
Responsibilities
DISTINGUISHING CHARACTERISTICS:
Administers complex non-litigated and litigated workers' compensation cases and integrates the delivery of benefits associated with sickness and long-term disability benefits. Provides technical guidance, mentoring and support to claims assistants and clerical staff.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
To perform this job successfully, the employee must be able to efficiently and effectively perform each of the following essential functions. Reasonable accommodation may be made for individuals with disabilities.
The functions of this job include but are not limited to;
Set up claims and make timely three point contacts
Ensure the privacy and security of Protected Health Information (PHI)
Analyze claim, investigate and estimate proper reserves
Develop and maintain relevant plan of action
Set up and maintain timely benefit payments (Includes wage statement calculation and diary management)
Identification and pursuit of subrogation
Timely review and maintenance of incoming mail
Timely response to Request for Authorization or referral for Utilization Review
Consistent communication and claim reviews with all parties, including our Claims Services Account Manager in relation to brokers and policy holders.
The agricultural accounts are generally higher volume policies, fast-paced and seasonal, and special handling is oftentimes required.
Timely evaluation of reserve adequacy
Proactively maintaining current status of claims
Identify, rate and reserve for possible permanent disability
Evaluate claim for settlement purposes
Timely excess Carrier Reporting
Close cases in a timely and expedient manner
Other duties as may be assigned
Must be able to work at least 40 hours per week, Monday thru Friday and be available to work extended hours as situations arise.
Qualifications
Requires 3 to 5 years of commercial Workers' Compensation experience
Any combination equivalent High School graduation and/or two year community college or experience in business or closely related field.
Litigated and non-litigated claims experience required.
Basic mathematical skills required for calculations and ratings.
Knowledge and understanding of workers' compensation claims administration required.
Through knowledge of Self-Insurance regulations, Case Law, Labor Code.
Must possess strong time management, organization and problem solving skills.
Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents.
Ability to write letters, memos and reports that conform to prescribed style, format and grammatical correctness.
Ability to effectively present information to top management.
Extensive clear and tactful communications required via writing, reading, telephone calls, note taking, letter writing, memoranda, etc.
Must be able to negotiate.
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages.
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.
Must be Current on Worker's Compensation education training hours.
Your employer reserves the right to modify the description of the duties and the requirements of this job at any time upon reasonable notice.
The expected salary range for this role is $87,600-$95,000.00.
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.
#LI-GH1
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
Connect With Us!
Not ready to apply? Connect with us for general consideration.
$87.6k-95k yearly 2d ago
Future Medical Claims Examiner
Athens Administrators 4.0
Claim specialist job in Fresno, CA
DETAILS
Future Medical Claims Examiner
Department:
Workers' Compensation
Reports To:
Claims Supervisor
FLSA Status:
Non-Exempt in Californi9
Job Grade:
6
Career Ladder:
Next step in progression could include Claims Examiner Trainee
ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. We foster an environment where employees not only thrive but consistently recognize Athens as a “Best Place to Work.” Immerse yourself in our engaging, supportive, and inclusive culture, offering opportunities for continuous professional growth. Join our nationwide family-owned company in Workers' Compensation, Property & Casualty, Program Business, and Managed Care. Embrace a change and come make an impact with the Athens Administrators family today! POSITION SUMMARY Athens Administrators has an immediate need for a Future Medical Examiner to support our Workers Compensation department and can be located anywhere in the state of California, however, Central Valley is the ideal location to be able to attend quarterly in person file reviews. Employees who live less than 26 miles from the Concord, CA or Orange, CA offices are required to work once a week in the office on a day determined by their supervisor between Tuesday - Thursday. The remaining days can be worked remotely if technical requirements are met, and the employee resides in California. Athens offices are open for business Monday-Friday from 7:30 a.m. to 5:30 p.m. local time. The schedule for this position is Monday-Friday at 37.5 hours a week with the option of a flex schedule. The Future Medical Examiner will adjust workers' compensation future medical claims, ensure timely processing of claims and payment of benefits (medical, Permanent Disability, Life Pension, and Death Benefits), managing and directing medical treatment, and negotiating settlements. PRIMARY RESPONSIBILITIES Our new hire should have the skills, ability, and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation. Additional duties may be assigned:
Review daily diary for claim status
Review medical reports to determine whether additional medical opinions are needed
Calculate and maintain appropriate reserve on each file in accordance with life expectancy
Object to unauthorized medical treatment
Establish contact with employer to review issues
Respond to inquiries from the employer, employee, doctors and attorneys
Review legal correspondence and medical reports
Evaluate and approve medical procedures and treatment
Administer benefits and ensure appropriateness of all payments
Review medical and legal bills for appropriateness
Discuss appropriateness of medical treatment with medical case manager
Negotiate settlement of claim, liens, etc.
Prepare and present reports to clients
Close claims appropriately
Help resolve client billing and payment inquiries
Investigate complaints from injured workers
Document and code the claim files and claims system with all relevant information
Maintain and update action plans within specified time frames
Provide customer service and support to clients and claimants
Work collaboratively with attorneys
Authorize and negotiate cost of medical treatment and supplies
ESSENTIAL POSITION REQUIREMENTS The requirements listed below are representative of the knowledge, skill, and/or ability required. While it does not encompass all job requirements, it is meant to give you a solid understanding of expectations.
High School Diploma or equivalent (GED) required for all positions
AA/AS or BA/BS preferred but not required
Administrators Certificate from Self-Insurance Plans will be required within one year of employment if not already obtained
1-2 years' workers' compensation claims handling experience required
Knowledge of workers compensation claims handling procedures
Must possess a current Experienced Indemnity Claims Adjuster Designation, provided by an insurer, as defined in California Code of Regulations, Title 10, Chapter 5, Subchapter 3, Section 2592.01(f)
4850 experience preferred
Proficiency in determining case value and negotiating settlements
Knowledge of workers compensation laws, policies, and procedures
Understanding of medical and legal terminology
Mathematical calculating skills
Negotiation skills
Ability to carefully review records prior to sending to correct parties
Well-developed verbal and written communication skills with strong attention to detail
Excellent organizational skills and ability to multi-task
Ability to type quickly, accurately and for prolonged periods
Proficient in Microsoft Office Suite
Ability to learn additional computer programs
Reasoning ability, including problem-solving and analytical skills, i.e., proven ability to research and analyze facts, identify issues, and make appropriate recommendations and solutions for resolution
Ability to be trustworthy, dependable, and team-oriented for fellow employees and the organization
Seeks to include innovative strategies and methods to provide a high level of commitment to service and results
Ability to demonstrate care and concern for fellow team members and clients in a professional and friendly manner
Acts with integrity in difficult or challenging situations and is a trustworthy, dependable contributor
Athens' operations involve handling confidential, proprietary, and highly sensitive information, such as health records, client financials, and other personal data. Therefore, maintaining honesty and integrity is essential for all roles within the company.
Must be able to reliably commute to meetings and events as required by this position
APPLY WITH US We look forward to learning about YOU! If you believe in our core values of honesty and integrity, a commitment to service and results, and a caring family culture, we invite you to apply with us. Please submit your resume and application directly through our website at *********************************************** Feel free to include a cover letter if you'd like to share any other details. All applications received are reviewed by our in-house Corporate Recruitment team. The Company will consider qualified applicants with arrest or conviction records in accordance with the Los Angeles Fair Chance Ordinance for Employers and the California Fair Chance Act. Applicants can learn more about the Los Angeles County Fair Chance Act, including their rights, by clicking on the following link: ************************************************************************************************* This description portrays in general terms the type and levels of work performed and is not intended to be all-inclusive or represent specific duties of any one incumbent. The knowledge, skills, and abilities may be acquired through a combination of formal schooling, self-education, prior experience, or on-the-job training. Athens Administrators is an Equal Opportunity/ Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability, or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development. THANK YOU! We look forward to reviewing your information. We understand that applying for jobs may not be the most enjoyable task, so we genuinely appreciate the time you've dedicated. Don't forget to check out our website at ******************* as well as our LinkedIn, Glassdoor, and Facebook pages! Athens Administrators is dedicated to fair and equitable compensation for our employees that is both competitive and reflective of the market. The estimated rate of pay can vary depending on skills, knowledge, abilities, location, labor market trends, experience, education including applicable licenses & certifications, etc. Our ranges may be modified at any time. In addition, eligible employees may be considered annually for discretionary salary adjustments and/or incentive payments. We offer a variety of benefit plans including Medical, Vision, Dental, Life and AD&D, Long Term Care, Critical Care, Accidental, Hospital Indemnity, HSA & FSA options, 401k (and Roth), Company-Paid STD & LTD and more! Further information about our comprehensive benefits package may be found on our website at https://*******************/careers/why-work-here
$49k-66k yearly est. 5d ago
Senior Forensic Claims Analyst
Fluor 4.5
Claim specialist job in Fresno, CA
At Fluor, we are proud to design and build projects and careers. We are committed to fostering a welcoming and collaborative work environment that encourages big-picture thinking, brings out the best in our employees, and helps us develop innovative solutions that contribute to building a better world together. If this sounds like a culture you would like to work in, you're invited to apply for this role.
**Job Description**
Fluor is seeking candidates for opportunities within our Program Delivery Support (PDS) team, working alongside the California High-Speed Rail Authority, to provide program delivery and program management services for one of the largest planned infrastructure projects in the U.S.
The system will connect the 500-mile stretch between the Los Angeles region with the San Francisco Bay Area, with up to 24 stations. The first phase of the program is currently under construction in California's Central Valley.
Under the general direction of the Director and Deputy Director of the PMO/forensics & Claims, this role is responsible for developing forensic analyses and providing oversight of the PCM's analysis as required to determine responsibility, merit and quantification of cost and time extensions. This role is also responsible for reviewing and analyzing Contractors' Time Impact Analyses and claims and assisting with the rebuttal responses. In addition to forensic analysis efforts, this role is responsible for assisting in areas such as estimating, takeoffs and design reviews. This role is within the Program Management & Oversight Branch of the Program delivery Office.
- Perform forensic analyses and develop summary of findings; Develop causation reports documenting the chronology of events related to project delays; Present analysis finding to the Authority leadership team.
- Coordinates and work with the regional Authority staff, PCMs and other consultants in providing planning, development, reporting, and maintenance of data program wide
- Perform review and analysis of the construction schedule for risk identification, risk review, and risk assessments including providing recommendations on appropriate actions;
- Assist with other scheduling and regional project controls assignments and activities, 10% Develop What-if schedules and scenario analysis providing reasonable and realistic schedule forecasts
- Review Contractors' claims and assist with responses and potential rebuttals
- Other duties maybe assigned
**Basic Job Requirements**
- Accredited four (4) year degree in Civil Engineering or Construction Science/Management or global equivalent in applicable field of study and ten (10) years of work-related experience or a combination of education and directly related experience equal to fourteen (14) years if non-degreed
**Other Job Requirements**
- Experience performing claims work.
- Experience in developing expert reports quantifying impacts and apportioning quantum to responsible parties.
- Work experience on large programs with proven track record.
- Experience with analyzing, reviewing cost estimates, schedules and time impact analyses, and excellent negotiations skills.
- Ability to produce oral and written presentations to client and other stakeholders.
- Strong work experience with MS Office application.
- Can communicate effectively with different disciplines to obtain scope of work and other information and manage the development and review of schedules.
- Knowledge of principles and practices of all project controls functions for a large-scale construction project and ability to carry out cost, estimating, design, schedule, and risk analysis.
- Must be a self-starter attitude with proactive, results-oriented focus. Proven accuracy, reliability and completeness in job accomplishment. Effective oral and written communication skills.
- Required Knowledge of; analysis methodologies for complex construction projects'; claims management and support; construction contracts.
- Ability to write project reports. Must be able to interface with a variety of people with different technical levels and educational backgrounds; must be detail-oriented and highly organized; and must be able to produce accurate and timely results while maintaining a customer-service attitude.
**Preferred Qualifications**
- Professional certification as professional engineer or Quantity Surveyor
- Experience in developing expert reports quantifying delays and apportioning quantum to responsible parties
\#LI-SI1
We are an equal opportunity employer. All qualified individuals will receive consideration for employment without regard to race, color, age, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, genetic information, or any other criteria protected by governing law.
Benefits Statement: Fluor is proud to offer a comprehensive benefits package designed to promote employee health, wellness, and financial security. Our offerings include medical, dental and vision plans, EAP, disability coverage, life insurance, AD&D, voluntary benefit plans, 401(k) with a company match, paid time off (personal, bereavement, sick, holidays) for salaried employees, paid sick leave per state requirement for craft employees, parental leave, and training and development courses.
Market Rate Statement: The market rate for the role is typically at the mid-point of the salary range; however, variations in final salary are determined by additional factors such as the candidate's qualifications, relevant years of experience, geographic location, internal pay equity, and prevailing market conditions for the specific role.
Notice to Candidates: Background checks are carried out as part of any conditional offer made, including (but not limited to & role dependent) education, professional registration, employment, references, passport verifications and Global Watchlist screening.
To be Considered Candidates: Must be authorized to work in the country where the position is located.
Salary Range: $107,000.00 - $193,000.00
$107k-193k yearly 60d+ ago
Adjuster - PT
Chubb 4.3
Claim specialist job in Fresno, CA
Essential Job Duties and Responsibilities:
To accept, contract, and handle claims as assigned.
Work as many claims as possible.
Assist in resolving complaints from policy holder relative to claims.
Assist in investigating more complex claims.
Complete Quality Control functions as assigned.
Assists with other duties as necessary.
Knowledge, Skills, and Abilities:
Knowledge of or the ability to learn the agricultural industry, including an understanding of the kinds of crops produced in the territory; agricultural issues.
Knowledge of or the ability to learn Rain and Hail's products, services and systems.
Knowledge of and the ability to learn the underwriting and claim adjustment rules and regulations associated with the Multiple Peril Crop Insurance program, crop-hail program and the other insurance products offered by the company.
Ability to organize and prioritize multiple tasks.
Ability to work in a team oriented environment.
Ability to effectively communicate and maintain business relationships with Company personnel, outside resources and customers.
Ability to use the Company's terminology, procedures and systems.
Ability to use department equipment.
Ability to perform basic and complex mathematical calculations.
Ability to drive a vehicle and maintain a valid drivers license.
Ability to remain calm and professional during peak periods of activity.
Ability to work from oral and written communication.
Ability to maintain confidentiality.
Ability to work independently.
Ability to travel away from home for extended periods of time and on short notice.
Willingness to relocate to another division if requested.
Ability to assist in other work-related areas as required.
The pay range for the role is $23.41 to $39.86 hourly. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.
High School or GED required, baccalaureate degree in Agricultural Business or related field preferred with 1-3 years of experience.
$23.4-39.9 hourly Auto-Apply 60d+ ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Claim specialist job in Selma, CA
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Overview:
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
Key Responsibilities:
- Planning and organizing daily workload to process claims and conduct inspections
- Investigating insurance claims, including interviewing claimants and witnesses
- Handling property claims involving damage to buildings, structures, contents and/or property damage
- Conducting thorough property damage assessments and verifying coverage
- Evaluating damages to determine appropriate settlement
- Negotiating settlements
- Uploading completed reports, photos, and documents using our specialized software systems
Requirements:
- Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces
- Strong interpersonal communication, organizational, and analytical skills
- Proficiency in computer software programs such as Microsoft Office and claims management systems
- Self-motivated with the ability to work independently and prioritize tasks effectively
- High school diploma or equivalent required
- Previous experience in insurance claims or related field is a plus but not required
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
$54k-67k yearly est. Auto-Apply 41d ago
Independent Insurance Claims Adjuster in Madera, California
Milehigh Adjusters Houston
Claim specialist job in Madera, CA
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
$53k-66k yearly est. Auto-Apply 60d+ ago
Independent Insurance Claims Adjuster in Visalia, California
Milehigh Adjusters Houston
Claim specialist job in Visalia, CA
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
$53k-66k yearly est. Auto-Apply 60d+ ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Claim specialist job in Tulare, CA
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Overview:
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
Key Responsibilities:
- Planning and organizing daily workload to process claims and conduct inspections
- Investigating insurance claims, including interviewing claimants and witnesses
- Handling property claims involving damage to buildings, structures, contents and/or property damage
- Conducting thorough property damage assessments and verifying coverage
- Evaluating damages to determine appropriate settlement
- Negotiating settlements
- Uploading completed reports, photos, and documents using our specialized software systems
Requirements:
- Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces
- Strong interpersonal communication, organizational, and analytical skills
- Proficiency in computer software programs such as Microsoft Office and claims management systems
- Self-motivated with the ability to work independently and prioritize tasks effectively
- High school diploma or equivalent required
- Previous experience in insurance claims or related field is a plus but not required
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
$54k-67k yearly est. Auto-Apply 41d ago
Independent Insurance Claims Adjuster in Hanford, California
Milehigh Adjusters Houston
Claim specialist job in Hanford, CA
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
How much does a claim specialist earn in Fresno, CA?
The average claim specialist in Fresno, CA earns between $30,000 and $83,000 annually. This compares to the national average claim specialist range of $27,000 to $67,000.
Average claim specialist salary in Fresno, CA
$50,000
What are the biggest employers of Claim Specialists in Fresno, CA?
The biggest employers of Claim Specialists in Fresno, CA are: