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Claims adjuster jobs in California

- 1,013 jobs
  • Claims Specialist - Construction

    Pavement Recycling Systems 2.5company rating

    Claims adjuster job in California

    Pavement Recycling Systems is the Western United States premier provider of Recycling Solutions to reclaim, preserve, and rehabilitate pavement at any stage. Becoming a team member of PRS introduces you to a unique culture of employee ownership and empowerment to grow and succeed in your career. We create an environment in which all employees develop and contribute to their full potential and we recognize and reward outstanding results. Position overview The Claims Specialist is responsible for evaluating, processing, and managing liability, property, auto, general liability claims, and employment claims in compliance with state regulations; documenting activities; conveying information regarding claims and/or benefits; and providing testimony in benefit disputes while exercising discretion, independent judgment, critical thinking skills and demonstrate exemplary customer services skills Primary Responsibilities Effectively evaluates, and manages liability, property, auto, general liability claims, and employment claims in compliance with state regulations Adjudicates auto and general liability claims for Pavement Recycling Systems and all associated entities (e.g. determining validity, reaching closure, etc.) to comply with legal requirements and state statutes Analyzes liability exposure for branches (e.g. Claims, etc.) to ensure correct action will take place Attends legal hearings, settlement conferences, mediations (e.g. meets with defense counselors, district defendants, settlement conferences, mediations, etc.) to provide testimony and monitoring proceedings Evaluates auto and general liability claims to establish eligibility and course of action Maintains claims files and records to document actions and ensuring compliance with participating policies and mandated legal requirements Oversees the claims handling and third-party provider (e.g. litigation on complex cases etc.) to ensure the claims are being handled according to the legal regulations per state Prepares statistical summaries, evaluations and reports, oral presentations to provide information and/or documenting activities Responds to inquiries from claimant, participating district and/or and involved personnel (e.g. status of claim, subrogation activities, etc.) to resolve issues, facilitating communication among parties and/or providing information or directions Provides timely, balanced, and accurate claims reviews, documentation, and decisions in a time sensitive and fast-paced environment and in accordance with state and department of insurance regulations Serve as the face of the company in providing frequent, proactive verbal communication with our claimants, customers and/or their representatives demonstrating empathy and active listening while providing clear updates, direction and explanations regarding the claim process, benefits, and other pertinent policy provisions Documents conversations within the claim files in a timely manner utilizing the appropriate level of detail and professional writing skills Interacts and communicates effectively with claimants, customers, health care providers, attorneys, brokers, and family members during the Claim Specialist's claim evaluation Compiles file documentation and correspondence requiring extensive policy analysis and factual detail Analyzes information to determine if additional information is needed to make a reasonable and logical claims determination based off the information available Collaborates with both external and internal resources, such as physicians, attorneys, and vocational consultants to gather data such as medical/occupational information to ensure claim decisions are well-reasoned and thorough Identifies, clarifies, and reconciles inconsistencies when gathering information during claim evaluations and collaborates with underwriting and Fraud Waste and Abuse resources as needed Identifies offsets and proficiently calculates monthly benefits due after elimination period, to include COLA, Social Security Offsets, Residual Disability, and non-routine payments Addresses and resolves escalated customer complaints in a timely and thorough manner Performs other duties as assigned Qualifications Proven time management and follow-through skills with the ability to work on multiple tasks with tight deadlines Highly detail-oriented and excellent organizational skills Prior experience with independent judgement, critical thinking and decision making Display superior written, oral communication skills and effective listening skills Highly motivated team player, with a demonstrated passion for excellence and taking the initiative Regulations Demonstrated conceptual thinking, risk management, ability to handle complex situations effectively Excellent customer service skills proven through internal and external customer interactions Strong analytical skills with numbers Knowledge of Microsoft Outlook, Word, and Excel Ability to effectively manage multiple systems and technology sources Education and/ or Experience Bachelor's degree or a combination of education and related experience 7+ years of Workers' Compensation, liability, property, auto, general liability claims handling experience required Prior experience working on damages and investigative work in support of contractual disputes, claims, and litigation Must have a valid Driver's license and acceptable driving record Multi-jurisdictional understanding of legal issues Why Join ESOP Retirement Benefits are extended to all employees with participation after one year of service. A typical discretionary annual company contribution can range from 10% to 15% of your annual salary. 401K Retirement Benefits are extended Health, Dental, and Vision as well as other supplemental health insurance. PTO Holiday Pay Opportunities for career advancement On the job training provided to all employees Work for an industry leader in various disciplines and markets Physical Requirements The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to: While performing the duties of this job, the employee is regularly required to use hands to finger, handle, feel or operate objects, tools, or controls and reach with hands and arms. The employee frequently is required to stand, walk and talk or hear. The employee is regularly required to sit; climb or balance; stoop, kneel, crouch, or crawl; and smell The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus We are an equal opportunity employer and give consideration for employment to qualified applicants without regard to age, race, color, religion, creed, sex, sexual orientation, gender identity or expression, national origin, marital status, disability or protected veteran status, or any other status or characteristic protected by federal, state, or local law.
    $45k-75k yearly est. 1d ago
  • Loan Adjuster II

    Schools Financial 4.2company rating

    Claims adjuster job in Sacramento, CA

    We're always looking for diverse, talented, service-oriented people to join our exceptional team. Loan Adjuster II The pay range for this position is listed below. Our pay ranges are built to allow for candidates with various levels of skill and experience to be considered, as well as for room for growth and tenure achieved in a role over time. Typical new hire salary offers fall within the minimum to midpoint of a pay range for many candidates. Any offer extended to a candidate will be based upon their unique set of knowledge, skills, education, and experience as well as internal equity. Pay Range: $22.00 - $31.90 Scheduled Weekly Hours: 40 What You'll Be Doing Collects on loans of all stages of delinquency made by the Credit Union where timely payments are not being received. Communicates with Members using advanced skills to identify the true cause of non-payment and provides a personalized options to each Member. * Works on all delinquency stages through inbound/out-bound calling, letters, and other approved methods, collects past due payments and/or negotiates payment arrangements or repayment plans to resolve delinquent loans or negative shares by identifying reason for delinquency and offering appropriate options to Members. * Documents all conversations and collections activity in collection systems. May be responsible for funding of workout loans or working collections reports, such as the available money letter report. * Maintains adherence to all federal and state regulations and credit union policies. * Performs file maintenance of delinquent accounts to reflect agreed upon collection activities. Processes adjustments to Member loans as needed, including but not limited to, due date changes, opening/closing lines of credit, closing negative accounts, and payment plan maintenance. * Recommends Members with delinquent accounts for work out loans, deferments, reages, reduced payments, repossession and charge-off. Refers complex situations to the appropriate resources to ensure timely resolution. * May provide suggestions for streamlining departmental and credit union operations. When assigned helps to complete projects and reports related to the department. * May perform more advanced research and analysis on accounts, may skip trace and perform asset searches. Additional Job Functions * Performs other duties as assigned * Complies with regulatory compliance and assigned training requirements including but not limited to BSA regulations corresponding to their specific job duties. Failure to do so may result in disciplinary and other employment related actions Qualifications * High School Diploma or GED required 3-5 years of previous related experience required Previous financial institution or credit union experience preferred Knowledge, Skills, and Abilities * Knowledge of bankruptcy laws, FDCPA, TCPA and SCRA * Excellent verbal and written skills. * Uses active listening skills to determine the Member's hardship and provides appropriate solution. * Ability to multi-task * Intermediate computer and typing skills * Experience with inbound/outbound phone system preferred * Conflict resolution and negotiation skills SchoolsFirst FCU is committed to Diverse, Equitable, and Inclusive Hiring At SchoolsFirst FCU we are dedicated to building and growing a diverse, inclusive, and authentic Dream Team, so if you're excited about a position or wanting to make a career change but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyway. Many skills are transferrable and you may be just the right candidate for the position, or for other roles we are working on. SchoolsFirst Federal Credit Union is committed to fostering, cultivating, and preserving a culture of diversity and inclusion. SchoolsFirst FCU is an equal opportunity employer and prohibits discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibits discrimination against all individuals based on their race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, political affiliation, or genetic information. This organization participates in E-Verify.
    $22-31.9 hourly Auto-Apply 4d ago
  • Claims Adjuster

    Bridge Specialty Group

    Claims adjuster job in California

    Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. LANCER CLAIMS SERVICES Claims Adjuster Ideal candidates will have experience as a securities attorney, 5 years handling securities claims, or 3+ years engaged in the selling and servicing of various financial products such as annuities, life insurance, securities etc. Ideal candidates may also have 3+ years in a compliance roll handling financial institutions customer complaints. Summary: The Claims Adjuster is the lead adjuster on the programs in which he/she handles claims for the financial services group where the pending is comprised mostly of large national accounts; analyze coverage under professional liability policies, including but not limited to, Securities Broker/Dealer Insurance, Investment Management Insurance, Financial Institution Professional Liability Insurance and Life Agents Professional Liability Insurance. Manage litigation and engage in settlement negotiations daily with outside counsel and claimants; attend mediations; this would require better than ordinary knowledge of the coverages, types of claims, and problems/solutions on the program. The Claims Adjuster is a troubleshooter for the account. Essential Duties include: Exercise judgment in applying legal liability to assigned claims and will have full settlement authority up to their specific authority, which may vary from carrier to carrier. Assign defense counsel to answer and defend lawsuits when appropriate. Monitor and direct defense counsel, independent adjusters and experts. Secure supporting documentation for assigned claims E&O, e.g.: insured's file materials and notes, underwriting guidelines, carrier's investigation package, phone logs, etc. Investigate facts of underlying loss by securing statements and supporting documentation such as copy of policy, police reports, estimates of repair, new account profile, risk tolerance questionnaire, etc. Identify claims with potential exposure in excess of authority and advise Claims Supervisor/Team Lead and the underwriting company contact. Responsibilities include the overall control of a particular program. In addition, the Claims Adjuster-Financial Institutions may also be asked to coordinate reports, statistics, results, etc. on the account. The Claims Adjuster-Financial Institutions may be asked to participate in general discussions on the account with the underwriting company or sponsoring company. She/he is the chief liaison with Professional Groups at CalSurance and would be responsible for marketing calls, information, and coordination. Research applicable coverage for our insureds. Document coverage dates, limits and restrictions. Identify and resolve any potential coverage questions. Draft reservation of rights and coverage denials for review and approval by Coverage Senior Director. Handle claims within guidelines of the Fair Claims Practices 790.03. Provide insureds, claimants and sponsoring companies with regular updates on status of file handling. Discuss unique and complex files or issues with Claims Supervisor/Team Lead. This position may require routine or periodic travel which may require the teammate to drive their own vehicle or a rental vehicle. Teammates who drive for the Company are subject to a Motor Vehicle Record report at the time of hire and periodically thereafter, acceptable MVR results and maintenance of minimum acceptable auto insurance coverages are a requirement. Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. Required: 3-5 years litigation and claims management experience. B.A or B.S required; J.D. helpful. Excellent communication skills. Must be licensed as a Qualified Claims Manager within 90-days of hire and in other states as needed. Must a critical thinker, detail oriented, have good organizational skills, and be self-motivated. Must be able to handle multiple and changing priorities. Proficient computer skills including Microsoft Office Outlook, Word, Excel, TEAMS. Our Company offers full time teammates a benefit package that includes 401k plan, employee stock purchase plan, medical, dental, vision and other voluntary products. Our Company is an Equal Opportunity Employer. We take pride in the diversity of our team and seek diversity in our applicants. CalSurance Associates is a subsidiary of Brown & Brown Inc., listed on the New York Stock Exchange, Brown & Brown (BRO). Pay Range 95,000 - 120,000 Annual The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role. Teammate Benefits & Total Well-Being We go beyond standard benefits, focusing on the total well-being of our teammates, including: Health Benefits : Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance Financial Benefits : ESPP; 401k; Student Loan Assistance; Tuition Reimbursement Mental Health & Wellness : Free Mental Health & Enhanced Advocacy Services Beyond Benefits : Paid Time Off, Holidays, Preferred Partner Discounts and more. Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations. The Power To Be Yourself As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.
    $53k-66k yearly est. Auto-Apply 60d+ ago
  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    Claims adjuster job in California

    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-66k yearly est. 60d+ ago
  • General Liability Claims Adjuster II

    Ahold Delhaize

    Claims adjuster job in Pleasant Hill, CA

    Ahold Delhaize USA, a division of global food retailer Ahold Delhaize, is part of the U.S. family of brands, which includes five leading omnichannel grocery brands - Food Lion, Giant Food, The GIANT Company, Hannaford and Stop & Shop. Our associates support the brands with a wide range of services, including Finance, Legal, Sustainability, Commercial, Digital and E-commerce, Technology and more. Position Summary Primary responsibilities include investigation of General Liability claims to determine liability exposure. This role has direct responsibility of managing the claim in its entirety while maintaining service level targets and achieving established claims goals. This role is the primary interface to associates, attorneys, healthcare providers, vendor partners and Brand partners. Primary responsibilities include investigation of General Liability claims to determine liability exposure. This role has direct responsibility of managing the claim in its entirety while maintaining service level targets and achieving established claims goals. This role is the primary interface to associates, attorneys, healthcare providers, vendor partners and Brand partners. Our flexible/hybrid work schedule includes 1 in-person day at one of our core locations and 4 remote days. Applicants must be currently authorized to work in the United States on a full-time basis. Principle Duties and Responsibilities: Claims Management Manage caseload within established targets and appropriate level. Performance standards include thorough investigations, evaluations, negotiation and disposition of all claims, while ensuring that all claims are in compliance with statutory and legal obligations. Monitor and ensure timely execution of all statutory deadlines or legal filings as needed. Analyze facts of the loss to understand the nature of the claim to develop strategies that provide optimal outcome and mitigate the overall Total Cost of Risk to the Banners' bottom lines. Identify fraud indicators and actively pursue subrogation opportunities. Collaborate with the Safety department in identifying hazards that exist in the retail and distribution operations and ways to minimize these risks. Build and maintain positive relationships with internal (Brands, Distributions Centers, Transportation, Ecommerce, Human Resources, Legal, Insurance) and external (vendors, healthcare providers, outside attorneys) customers. Financial Impact Administration Manage book of claims business (up to $ 2million) with authority to settle/negotiate a single claim within their authority of up to $25,000. Communicate ongoing causes of incidents to Safety and Brands. Serve as the primary point of contact to address and resolve claim issues impacting customer, associate, vendor, and the Brands. Research and resolve claim/legal issues. Provide timely communication related to the claim, resolving issues, and responding to questions via phone, email, and online applications. Basic Qualifications: Licensed adjuster (as appropriate by jurisdiction) Bachelor's degree or experience handling General Liability claims or equivalent expertise. Thorough knowledge of rules, regulations, statutes, and procedures pertaining to general liability claims. Knowledge of medical terminology involved in complex claims Negotiates resolution of claims of various exposure and complexity Skills and Abilities: Demonstrates relationship building and communication skills, both written and verbal. Highly self-motivated, goal oriented, and works well under pressure. Customer focused solid understanding of legal procedures, processes, practices and standards in the handling of general liability claims Ability to identify problems and effectuate solutions Ability to manage multiple tasks simultaneously with excellent follow-up and attention to detail Able to apply critical thinking when solving problems and making decisions. ME/NC/PA/SC Salary Range: $63,440-$95,160 IL/MA/MD/NY Salary Range: $72,880 - $109,320 Actual compensation offered to a candidate may vary based on their unique qualifications and experience, internal equity, and market conditions. Final compensation decisions will be made in accordance with company policies and applicable laws. #LI-SM1 #LI-Hybrid At Ahold Delhaize USA, we provide services to one of the largest portfolios of grocery companies in the nation, and we're actively seeking top talent. Our team shares a common motivation to drive change, take ownership and enable our brands to better care for their customers. We thrive on supporting great local grocery brands and their strategies. Our associates are the heartbeat of our organization. We are committed to offering a welcoming work environment where all associates can succeed and thrive. Guided by our values of courage, care, teamwork, integrity (and even a little humor), we are dedicated to being a great place to work. We believe in collaboration, curiosity, and continuous learning in all that we think, create and do. While building a culture where personal and professional growth are just as important as business growth, we invest in our people, empowering them to learn, grow and deliver at all levels of the business.
    $72.9k-109.3k yearly 2d ago
  • Chain Claims Representative (For Conversion)

    Monster 4.7company rating

    Claims adjuster job in Corona, CA

    Energy: Forget about blending in. That's not our style. We're the risk-takers, the trailblazers, the game-changers. We're not perfect, and we don't pretend to be. We're raw, unfiltered, and a bit unconventional. But our drive is unrivaled, just like our athletes. The power is in your hands to define what success looks like and where you want to take your career. It's not just about what we do, but about who we become along the way. We are much more than a brand here. We are a way of life, a mindset. Join us. A day in the life: Get ready to unleash your potential as a Chain Claims Rep at Monster Energy! Dive into the action by reviewing, entering, and processing chain account invoices, making sure everything is as fierce as our energy drinks. You'll be the hero revising chain account accruals based on the latest invoices. Plus, you'll provide electrifying customer service to our chain accounts and back up our dynamic sales teams with your unstoppable support. Get ready to rock this role with Monster Energy's signature style! The impact you'll make: Validate customer invoices for accuracy and input relevant payment details into accounting system to ensure proper financial coding (i.e., time frame, product type, expense type, dollar amount). Obtain all necessary supporting documentation for all invoices received. Enter validation to our accounting system for promotional expenses and ensure its correct at the time of payment. Revise the accruals in our accounting system to actual as invoices are received for chain expenses. Revise the agreement validation lines supported by the promotional discounts entered in the sales system when late or missed promotion occur. Review current claims aging reports to ensure timely payments to chain accounts or billing to distributor. Upload monthly accruals to each chain to accrue promotional expenses. Provide customer service to customers, as needed. Provide service and support to the leadership, as needed. Participate in ad hoc projects, as needed. Who you are: Prefer a Bachelor's Degree in the field of ‐‐ Accounting, Business Administration or related field of study. Additional Experience Desired: Minimum 1 year of experience in customer service position Additional Experience Desired: Minimum 1 year of experience in accounting, invoice processing Computer Skills Desired: Advanced Excel, Outlook & Word skills. SAP experience preferred Preferred Certifications: N/A Additional Knowledge or Skills to be Successful in this role: N/A Monster Energy provides a competitive total compensation. This position has an estimated hourly rate of $17.00 - $23.00 per hour. The actual pay may vary depending on your skills, qualifications, experience, and work location.
    $17-23 hourly 22d ago
  • Independent Insurance Claims Adjuster in Salinas, California

    Milehigh Adjusters Houston

    Claims adjuster job in Salinas, 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-67k yearly est. Auto-Apply 60d+ ago
  • Claims Representative - Rancho Cordova, CA

    Federated Mutual Insurance Company 4.2company rating

    Claims adjuster job in Rancho Cordova, CA

    Who is Federated Insurance? At Federated Insurance, we do life-changing work, focused on our clients' success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an outstanding future. We make lives better, and we're looking for employees who want to make a difference in others' lives, all while enhancing their own. Federated's culture is grounded in our Four Cornerstones: Equity, Integrity, Teamwork, and Respect. We strive to create a work environment that embodies our values and commitment to diversity and inclusion. We value and respect individual differences, and we leverage those differences to achieve better results and outcomes for our clients, employees, and communities. Our top priority in recruitment and development of our next generation is to ensure we align ourselves with truly exceptional people who share these values. What Will You Do? Customer-focused, source of knowledge and comfort, desire to help, professional, self-motivated - Does that sound like you? We are seeking someone who possesses those skills to assist our clients through the claims process and to help them return to normalcy after a loss. No previous insurance or claims experience needed! Federated provides an exceptional training program to teach you the fundamentals of claims and will prepare you to assist clients. This is an in-office position that will work out of our Rancho Cordova, CA office, located at 10850 Gold Center Drive. A work from home option is not available. Responsibilities * Work with policyholders, attorneys, and others to ensure claims are resolved in a prompt, fair and courteous way. * Explain policy coverage to policyholders and third parties. * Complete thorough investigations and document facts relating to claims. * Resolve claims, which may include paying, settling, or denying claims, defending policyholders in court, compromising or recovering outstanding dollars. Minimum Qualifications * Current pursuing, or have obtained a four-year degree * Experience in a customer service role in industries such as retail, hospitality, logistics, banking, equipment dealerships, equipment rental, sales or similar fields * Ability to make confident decisions based on available information * Strong analytical, computer, and time management skills * Excellent written and verbal communication skills * Leadership experience is a plus Salary Range: $61,700 - $75,400 Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. In addition, this position is eligible for a Geographic Differential Payment. Details of this benefits will be discussed in the interview process.) What We Offer We offer a wide variety of ways to support you as a whole, both professionally and personally. Our commitment to your growth includes opportunities for internal mobility and career development paths, inspiring excellence in performance and ensuring your professional journey thrives. Additionally, we offer exceptional benefits to nurture your personal life. We understand the importance of health and financial security, offering encompassing competitive compensation, enticing bonus programs, cost-effective health insurance, and robust pension and 401(k) offerings. To encourage community engagement, we provide paid volunteer time and offer opportunities for gift matching. Discover more about Federated and our comprehensive benefits package: Federated Benefits You. Employment Practices All candidates must be legally authorized to work in the United States for any employer. Federated will not sponsor candidates for employment visa status, such as an H1-B visa. Federated does not interview or hire students or recent graduates with J-1 or F-1 visas or similar temporary work authorization. If California Resident, please review Federated's enhanced Privacy Policy.
    $61.7k-75.4k yearly Auto-Apply 60d+ ago
  • Work Comp Claims Adjuster Temporary Assignment

    Avonrisk

    Claims adjuster job in Glendale, CA

    Job DescriptionWorkers Compensation Claims Adjuster - Temporary Assignment MUST Reside in California & MUST have California Workers Compensation Claims Experience. Workers' Compensation Claims Adjuster - Assist a Dynamic Team in Glendale We're seeking an experienced and motivated Workers' Compensation Claims Adjuster to assist our team in Rocklin. As a Claims Adjuster , you'll work within a team of 7, including 5 Claims Adjusters and 2 Claims to ensure exceptional claim handling and adherence to company standards and regulations. Our Offer: Competitive salary and benefits package, including medical, dental, vision, and 401(k) Opportunity for professional growth and advancement in a dynamic organization Collaborative work environment with a team dedicated to workers' compensation excellence Our Mission: To be the leading third party administrator offering professional and technological resources through pro-active and aggressive claims and managed care solutions in support of our clients' objectives. Innovative processes and state-of-the-art technology support our people. Competent and experienced individuals provide the human element needed to deliver good service and drives good outcomes. Our Goal: To be recognized as the most trusted and innovative partner in providing Claims and Managed Care solutions that are tailored to the specific needs of our clients. Your Impact: Provide ongoing coaching, counseling, and feedback to team members to enhance skills and performance Ensure all claims are handled in accordance with relevant statutes and company guidelines Address personnel issues promptly and decisively, keeping management informed of corrective action Foster a collaborative and productive team environment focused on excellence in claim resolution Our Offer: Competitive salary and benefits package, including medical, dental, vision, and 401(k) Opportunity for professional growth and advancement in a dynamic organization Collaborative work environment with a team dedicated to workers' compensation excellence Interested? Get in Touch: To learn more about this exciting opportunity and what Intercare has to offer, please do one of the following: Apply to this posting Call me directly at ************ Email ************************ We look forward to hearing from you! “Pursuant to the Los Angeles and San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest or conviction records.” Powered by JazzHR AKmjGapFDO
    $53k-66k yearly est. Easy Apply 24d ago
  • Auto Bodily Injury Claim Representative

    Travelers Insurance Company 4.4company rating

    Claims adjuster job in Rancho Cordova, CA

    **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. **Salary Range** $67,000.00 - $110,600.00 **Target Openings** 1 **What Is the Opportunity?** This position is responsible for handling Personal and Business Insurance Auto Bodily Injury claims from the first notice of loss through resolution/settlement and payment process. This may include interpreting and applying laws and statutes for multiple state jurisdictions. Claim types include moderate complexity Bodily Injury claims. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. This role is eligible for a sign-on bonus. **What Will You Do?** + Customer Contacts/Experience: + Delivers consistent service quality throughout the claim life cycle, including but not limited to prompt contact, explaining the process, setting expectations, on-going communication, follow-through and meeting commitments to achieve optimal outcome on every file. Fulfills specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions. + Coverage Analysis : + Reviews and analyzes coverage and applies policy conditions, provisions, exclusions and endorsements for moderate complexity Bodily Injury liability claims in assigned jurisdictions. Verifies the benefits available, the injured party's eligibility and the applicable limits. Addresses proper application of any deductibles, co-insurance, coverage limits, etc. Confirms priority of coverage (i.e. primary, secondary, concurrent) and takes into consideration issues such as Social Security, Workers Compensation or others relevant to the jurisdiction. Consults with Unit Manager on use of Claim Coverage Counsel. + Investigation/Evaluation: + Investigates each claim to obtain relevant facts necessary to determine coverage, the extent of liability, damages, and contribution potential with respect to the various coverages provided through prompt contact with appropriate parties (e.g. policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts). This may also include investigation of wage loss and essential services claims. Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. Takes recorded statements as necessary. Utilizes evaluation documentation tools in accordance with department guidelines. + Identifies resources for specific activities required to properly investigate claims such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and findings. + Recognizes cases based on severity protocols to be referred timely to next level claim professional or Major Case Unit. + Reserving: + Establishes timely and maintains appropriate claim and expense reserves. Manages file inventory and expense reserves by utilizing an effective diary system, documenting claim file activities in accordance with established procedures to resolve claim in a timely manner. + Negotiation/Resolution: + Determines settlement amounts, negotiates and conveys claim settlements within authority limits to claimants or their representatives. Recognizes and implements alternate means of resolution. As appropriate, writes denial letters, Reservation of Rights and other necessary correspondence to claimants. + Handles both unrepresented and attorney represented claims. May manage litigated claims on appropriately assigned cases. Develops litigation plan with staff or panel counsel, track and control legal expenses. May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed. + Insurance License: + In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + Bachelor's Degree preferred. + 2 years bodily injury liability claim handling experience preferred. + General knowledge and skill in claims handling and litigation. + Basic working level knowledge and skill in various business line products. + Preferred License and Certifications + Demonstrated ownership attitude and customer centric response to all assigned tasks + Demonstrated good organizational skills with the ability to prioritize and work independently + Attention to detail ensuring accuracy + Keyboard skills and Windows proficiency, including Excel and Word - Intermediate + Verbal and written communication skills - Intermediate + Analytical Thinking- Intermediate + Judgment/Decision Making- Intermediate + Negotiation- Intermediate + Insurance Contract Knowledge- Intermediate + Principles of Investigation- Intermediate + Value Determination- Intermediate + Settlement Techniques- Intermediate + Medical Knowledge- Intermediate **What is a Must Have?** + High School Degree or GED with a minimum of one year bodily injury liability claim handling experience or successful completion of Travelers Claim Representative training program is required. **What Is in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. + **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. + **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. **Employment Practices** Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit ******************************************************** .
    $67k-110.6k yearly 22d ago
  • Claims Adjuster - High Exposure

    Cloudtrucks

    Claims adjuster job in San Francisco, CA

    We're looking for a Claims Adjuster to own and drive the end-to-end claims process. This role will be responsible for managing the end-to-end claims process with a strong focus on accuracy, communication, and timely resolution. You will collaborate closely with Drivers, Operations teams, Insurance Adjusters, Claims Administrators, Legal partners, and CloudTrucks leadership. In addition, you will maintain comprehensive claim files, track key metrics, and provide reporting that helps the business understand claim trends and exposure. Who you are Highly motivated and growth-oriented. You're excited by the prospect of building a tech-driven claims org. Empathetic and patient. You approach every interaction with understanding and care. Strong sense of urgency. You act quickly and decisively, maintaining momentum at all times. Creative. You can find the right exit ramp for the resolution of the claim that is in the insured's best interest. Conflict-enjoyer. Conflict does not have to be adversarial, but it HAS to be conversational. Curious. You have to want to know the whole story so you can make the right decisions early and action them to a prompt resolution. Anti-status quo. You don't just wish things were done differently, you act on it. What you'll do Oversee the claims processing function, ensuring efficient and accurate handling of claims with a robust documentation process. Lead the evaluation of claims and negotiate settlements, setting an example for the team in terms of prompt and fair resolution. Analyze claims data to identify trends and develop proactive strategies to reduce future incidents. Provide input on annual insurance renewals. Remain current on state and federal laws relating to trucking litigation and trends within the claims industry and remain compliant Be available to handle after-hours emergencies. Prepare and present regular reports on claims data, providing insights and recommendations for improvement. Analyzing and reviewing insurance claims to identify areas of dispute, investigating and gathering all necessary information and documentation related to the claim, evaluating liability and damages related to the claim to assist TPA and underwriters in evaluating a claim. Experience Bachelor's degree or equivalent experience 5+ years of claim handling experience (commercial claims a plus) Understand transportation coverages, contractual risk transfer and additional insured forms Strong communication and collaboration with multiple stakeholders with a sense of urgency Knowledge of multiple state statutes, including good faith claim handling practices, regulations, and guidelines About CloudTrucks CloudTrucks is a virtual trucking carrier in the multi-billion dollar trucking space. Core to this industry are over 3.5M truck drivers. They move more than 70% of all goods transported around the U.S., yet operate in a highly fragmented industry with huge opportunities for products, services and automation. We strive to deliver solutions that help truck drivers operate with much greater efficiency, increase their revenue, and offload business complexity. We are looking for uniquely exceptional people to join us on our journey as we massively scale into an industry-defining business. We provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
    $53k-67k yearly est. Auto-Apply 3d ago
  • Daily Claims Adjuster - Sacramento, CA

    Cenco Claims 3.8company rating

    Claims adjuster job in Sacramento, CA

    CENCO is a trusted leader in property claims solutions, partnering with top insurance carriers to provide accurate, timely, and professional adjusting services. We're currently looking for experienced Daily Property Claims Adjusters to handle residential and commercial claims across Sacramento and the Northern California region. This opportunity is ideal for independent adjusters seeking consistent assignments and the flexibility of field-based work. Key Responsibilities: Conduct on-site inspections of property damage caused by wind, water, fire, and other covered perils. Capture detailed documentation, including photos and written reports. Prepare accurate repair estimates using Xactimate or Symbility. Maintain professional communication with policyholders, contractors, and insurance carriers. Manage each claim efficiently and submit all required documentation within deadlines. What We're Looking For: Licensing: Must hold an active California adjuster license. Software: Proficiency in Xactimate or Symbility preferred. Tools & Transportation: Reliable vehicle, ladder, laptop, and field inspection equipment. Work Style: Organized, self-motivated, and able to work independently. Responsiveness: Able to accept and complete assignments in a timely manner. Why Join CENCO? Steady claim volume in Sacramento and surrounding areas Competitive pay and timely compensation Strong internal support and efficient claim-handling processes If you're an experienced adjuster looking for consistent work and the opportunity to grow with a trusted industry leader, we'd love to hear from you!
    $55k-68k yearly est. 60d+ ago
  • Public Adjuster

    The Misch Group

    Claims adjuster job in Los Angeles, CA

    Job DescriptionDescriptionPosition: Production Public Adjuster (Licensed) Compensation: $75,000 - $100,000 compensation + Performance-based bonuses QUICK FACTS: Must have Public Adjuster License Must have experience with Xactimate Must have network of Condo, Apartment, Property Management partners Must be able to physically examine all buildings top to bottom (roofs as well) About the Company:A well-established, industry-leading public adjusting firm is seeking motivated and driven Outside Sales Representatives to join our growing team. We specialize in advocating for policyholders, ensuring they receive fair settlements for property damage claims. Our sales team plays a critical role in developing strong client relationships and driving company growth. Position Overview:We are looking for a results-oriented Outside Sales Representative with a strong background in direct-to-consumer (D2C) or business-to-business (B2B) sales. This role requires a motivated self-starter who thrives in building and maintaining client relationships while working in a fast-paced, competitive environment. Key ResponsibilitiesKey Responsibilities: Identify and pursue new business opportunities with homeowners, contractors, and referral partners. Educate prospective clients on our services and guide them through the insurance claims process. Develop and maintain a pipeline of leads through prospecting and networking efforts. Conduct presentations and training sessions to build brand awareness and establish partnerships. Provide exceptional customer service to existing clients, ensuring their satisfaction and retention. Work closely with internal teams to optimize the sales process and improve closing rates. Maintain accurate records of sales activities and client interactions. Skills, Knowledge and ExpertiseQualifications & Experience: 3+ years of proven sales experience as a licensed Public Adjuster Strong ability to generate leads, manage relationships, and close deals. Bachelor's degree in Business, Marketing, Communications, or equivalent experience. Familiarity with CRM tools, Microsoft Office Suite, and digital communication platforms. Highly organized with strong follow-through skills in a fast-paced environment. Public Adjuster license BenefitsWhat We Offer: Extensive training and support to help you succeed. Flexible work environment with opportunities for growth and career advancement. A team-oriented culture with strong leadership and professional development opportunities. If you're a highly motivated sales professional looking for a rewarding career with a company that makes a difference, apply today!
    $75k-100k yearly 9d ago
  • Publishing - Content Claiming Specialist

    Create Music Group 3.7company rating

    Claims adjuster job in Los Angeles, CA

    Create Music Group is currently looking for a Youtube Publishing Administrator to join our Publishing Department. This role is responsible for ensuring complete delivery of our publishing content, as well as maintaining internal systems and metadata to company standards. This is a full-time position located in our Hollywood office. YouTube monetization provides an alternative consulting and revenue-generating resource for our clients to grow their audience and earnings. We have helped our clients monetize and collected millions in previously unclaimed revenue for artists and labels. REQUIREMENTS: 1-3 years work experience Excellent communication skills, both written and verbal Internet culture and social media platforms, especially YouTube Conducting basic level research Organizing large amounts of data efficiently Proficiency with Mac OSX, Microsoft Office, and Google Apps PLUSES: Strong understanding of the online video market (YouTube, Instagram, TikTok) Bilingual - any language, although Spanish, Mandarin, and Russian is preferred RESPONSIBILITIES: Watching YouTube videos for several hours daily Content claiming Uploading and defining intellectual assets Administrative metadata tasks Researching potential clients Staying on top of accounts for current client roster You are required to bring your own laptop for this position. BENEFITS: Paid company holidays, paid time off, and health benefits (medical, dental, vision, and supplementary policies) are included. TO APPLY: Send us your resume and cover letter (in one file). After you apply, you will be redirected to take our Culture Index survey here. Otherwise, copy and paste the link to your web browser: ********************************************************* Info.php?cfilter=1&COMPANY_CODE=cYEX5Omste Applications without a cover letter and Culture Index survey will not be considered. OPTIONAL: Link relevant social media campaigns and/or writing samples from your portfolio.
    $44k-75k yearly est. Auto-Apply 60d+ ago
  • Claims Specialist - Covered California

    Inland Empire Health Plan 4.7company rating

    Claims adjuster job in California

    What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Under the direction of the Covered California Claims (CCA) Manager, the CCA Claims Specialist is responsible for analyzing, managing, and investigating complex and high-dollar healthcare claims that require in-depth research to determine accuracy and mitigate payment errors. The Claims Specialist is also responsible for adjusting first-pass and post-pay claims that result in overpayment or underpayment due to claim processing system issues, contract amendments, processing errors, or other issues. This position collaborates with internal stakeholders, assists with claim audits (internal and regulatory) and utilizes strong analytical skills and independent judgement skills to make effective and accurate decisions. This position will also be responsible for responding to inquiries from the Provider Payment Resolution team on claims that may have been paid incorrectly. Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional Benefits Perks IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more. Competitive salary Telecommute schedule State of the art fitness center on-site Medical Insurance with Dental and Vision Life, short-term, and long-term disability options Career advancement opportunities and professional development Wellness programs that promote a healthy work-life balance Flexible Spending Account - Health Care/Childcare CalPERS retirement 457(b) option with a contribution match Paid life insurance for employees Pet care insurance Key Responsibilities Work effectively with other departments (i.e., Special Investigation Unit, Provider Payment Resolution team, and other departments/stakeholders) to investigate and identify fraud, respond to escalated provider inquiries timely, and support the claims process. Investigate and process complex and high-dollar claims determining accuracy and making timely decisions. Advise leadership and internal business units (as applicable) of findings and outcomes on identified claim issues. Research and analyze medical claims adjustment requests along with related documentation to determine payment accuracy and adjust/adjudicate as needed in the Health Rules Processing system and other platforms. Research claims that may have been paid incorrectly and communicate findings for adjustment. Adjust claims based on findings (i.e., correct coding, rates of reimbursement, authorizations, contracted amounts, etc.) ensuring that all relevant information is considered. Assist with internal and regulatory claim audits, reviewing claim accuracy. Identify trends and recommend improvements to IEHP's claim processing system. Analyze and investigate insurance claims to discover or prevent fraud. Be an active participant in the Claims Department's initiatives and participate in Claims Huddles, etc. Remain current with all claim processing changes/updates (i.e. internal processes, regulatory guidelines). Perform any other duties as required to ensure Health Plan operations and department business needs are successful. Qualifications Education & Requirements Three (3) years of experience in examining and processing complex and high-dollar institutional and professional claims Experience in a managed care environment helpful. Commercial, Exchange, and Medicare preferred High school diploma or GED required Associate's degree from an accredited institution preferred Key Qualifications ICD-9/ ICD-10 and CPT coding and general practices of claims processing CMS/DMHC and Affordable Care Act regulations and guidelines Commercial line of business specifically Covered California/Exchange Excellent communication and interpersonal skills Excellent analytical, critical thinking, customer service, and organizational skills Ability to think critically with the capacity to work independently All IEHP positions approved for telecommute work locations may periodically be required to report to IEHP's main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership Start your journey towards a thriving future with IEHP and apply TODAY! Work Model Location Telecommute (All IEHP positions approved for telecommute work locations may periodically be required to report to IEHP's main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership) Pay Range USD $25.90 - USD $33.02 /Hr.
    $25.9-33 hourly Auto-Apply 4d ago
  • New Media Claims Representative

    The DGA 4.3company rating

    Claims adjuster job in Los Angeles, CA

    Residuals Enforcement Department Based in Los Angeles, CA Who We Are As the collective voice of more than 19,000 members, the Directors Guild of America (DGA) helps empower directors and their teams to protect and enhance their creative and economic rights and strengthen their ability to develop meaningful, successful careers. Our members work in film, television, commercials, news, sports, and new media. What You'll Do The DGA has a long history of negotiating effective and financially rewarding residuals formulas to compensate DGA members for the reuse of their work. Today, as entertainment distribution patterns shift and evolve, the role of residuals enforcement is more important than ever. The New Media Claims Representative is responsible for monitoring and enforcing contractually-bargained residuals provisions as they pertain to films and television series made for new media. The New Media Claims Representative will identify, pursue, and collect missing residuals - thereby ensuring that DGA members are paid correctly and on time for the exhibition of their work. The Claims Representative will also monitor entertainment industry trends and developments and analyze their claims implications. A successful candidate will build strong professional relationships while aggressively representing the Guild and its members. This position works on-site at the Guild's Los Angeles headquarters. Essential duties & responsibilities: Investigate potential violations of the DGA collective bargaining agreements, using all resources at our disposal. Proactively track and monitor the exploitation of made for new media titles in all markets. File claims when a company fails to pay residuals correctly. Communicate effectively with DGA members, agents, attorneys, company representatives, and all levels of staff and management, in an accurate and timely manner. Independently organize and manage workload. Work closely with other Guild departments to resolve contract violations. Minimum Qualifications: Strong and effective communications skills. Ability to adapt and be receptive to training. Strong attention to detail, excellent organizational skills, a resourceful approach to problem-solving, and the ability to manage competing priorities and deadlines. Highly collaborative style, positive attitude, strong work ethic, and good judgment. Curiosity about trends and changes in the entertainment industry, and ability to analyze their residuals implications. Ability to work independently and as part of a team. Strong MS Office skills, including Word and Excel. Solid math and computational skills. Commitment to the mission of the DGA, the labor union representing directors and their teams. Bachelor's degree or equivalent work experience in related field. Preferred Qualifications: Familiarity with collective bargaining agreements. Familiarity with residuals formulas and concepts. What You'll Get Generous Medical, Dental and Vision Insurance 401(k) Plan with Employer Matching Pension Plan (both defined benefit and defined contribution) Flexible Spending Account Life Insurance Short and Long-Term Disability Long-Term Care Generous Vacation & Sick Leave Company-Paid Holidays Designated Parking Spot Starting Salary Range: $58,000 - $66,000, depending on experience The DGA is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. *This role will require the candidate to work in the office*
    $58k-66k yearly Auto-Apply 24d ago
  • Claims Representative long Beach 8982

    Imagine Staffing Technology 4.1company rating

    Claims adjuster job in Long Beach, CA

    Job DescriptionJob Profile Job Title: Claims RepresentativeLocation: Long Beach, CAHire Type: Contingent Pay Range: $25 - $30/hr. Work Model: w/ SIP Remote/Onsite w/o SIP cert.Work Shift: Monday-Friday 8 am - 4:30 pm (37.50hrs. week) Recruiter Contact: Sean Craft I sean@marykraft.com I 443-345-3305 Nature & Scope:Positional OverviewWe are seeking an experienced Workers' Compensation Claims Representative to handle medical-only and future medical claims. This role is responsible for processing lower-level workers' compensation claims, determining benefits due, and ensuring adjudication aligns with company standards and industry best practices. The representative will also identify subrogation opportunities, negotiate settlements under general supervision, and maintain professional client relationships.Role & Responsibility:Tasks That Will Lead to Your Success Process medical-only and low-level workers' compensation claims, determining compensability and benefits due. Monitor reserve accuracy and file necessary documentation with state agencies. Develop and coordinate action plans for claim resolution and return-to-work efforts. Approve claim payments and administer action plans pursuant to contracts. Identify and pursue subrogation opportunities; negotiate settlements within authority. Communicate claim actions and updates with claimants, clients, and providers. Ensure claims are documented properly and coded accurately. Handle low-level lifetime medical or defined-period medical claims, including state and physician filings and treatment reviews. Maintain strong client relationships and provide responsive customer service. Support organizational quality initiatives and perform other duties as assigned. Skills & ExperienceQualifications That Will Help You Thrive High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. SIP certification preferred for remote eligibility within California. Two (2) years of claims management experience, or equivalent combination of education and experience. Successful completion of Claims Representative training accepted. Knowledge of workers' compensation regulations, offsets/deductions, disability duration, and medical management practices. Familiarity with Social Security and Medicare application procedures a plus. Strong oral and written communication skills. Proficient in Microsoft Office Suite and related software. Strong analytical, organizational, and interpretive abilities. Ability to work both independently and collaboratively in a team environment. Strong interpersonal and client service skills. Ability to meet or exceed service expectations.
    $25-30 hourly 12d ago
  • Senior Bodily Injury Claims Adjuster

    Aspire General Insurance Company

    Claims adjuster job in Rancho Cucamonga, CA

    Job DescriptionDescription: Aspire General Insurance Company and its affiliated general agent, Aspire General Insurance Services, are on a mission to deliver affordable specialty auto coverage to drivers without compromising outstanding service. Our company values can best be described with ABLE: to always do the right thing, be yourself, learn and evolve, and execute. Join our team where every individual takes pride in driving their role for shared success. About the role- Under direction of the Claims Supervisor, the Sr. BI Claims Adjuster performs the essential functions of the position, which includes but is not limited to: DUTIES AND RESPONSIBILITIES: · Determine that coverage in cleared. · Confirm or finalize liability decisions. · Interact with injured parties, their representatives, or attorneys. · Request and review the medical specials and reports needed to determine the nature and severity of their claims. · Evaluate the settlement value of the exposure and negotiate the settlement within those parameters. · Process all time limit demands timely. · Meet all conditions of settlement in BI/UMBI demands. · Ensure ongoing adjudication of claims within company standards and industry best practices and regulations. · Produce grammatically correct and clearly written correspondence including letters, memos, reports and claim file documentation. · Regular and predictable punctuality and attendance is required. · Other duties as necessary. Requirements: QUALIFICATIONS AND SKILLS: · Three plus years' experience in Property and Casualty insurance industry. · Minimum of 3-5 years attorney represented bodily injury experience · Must have a clear understanding of insurance industry practices, standards, and terminology. · Must be able to pass a background check with the anticipated goal of acquiring and maintaining a current Independent Adjuster License with the Department of Insurance. · Must have a disciplined approach to all job-related activities. · Must have a solid foundation of personal organization, sound decision making and analytical skills, strong interpersonal and customer service skills. · Must have superior time management skills. INTER-RELATIONSHIP COMPONENT: · Ability to develop excellent working relationships with staff, clients, and insurance carriers. · Ability to communicate with others in an effective and friendly manner, one that is conducive to being a conscientious team member, fostering a spirit of good will, indicative of a professional environment and atmosphere. INTER-RELATIONSHIP COMPONENT CONTINUED: · Ability to be a team player and work cohesively with other Company Partners and Companies staff to achieve company goals. · Able to represent the company in a professional manner and contribute to the corporate image. · Able to consistently provide excellent client service. WORKING CONDITIONS: · This is a non-exempt position which complies with alternative work schedule when applicable. · This position may require mandatory overtime as deemed appropriate by management. · The office is that of a highly technical company supporting a paperless environment. · Travel may be required. · Vision abilities to work at close range and with small print. · Physical efforts required include, but may not be limited to, repetitive small motor activity; grasping, ability to sit for extended periods of time; up to 6-8 hours per day, verbally communicating detailed and important information to others quickly and accurately, stooping, reaching, standing, lifting light objects under 10 pounds frequently and climbing occasionally (small step ladder to reach supplies). Benefits: Medical, Dental, Vision, HSA*, PTO, 401k, Company observed Holidays Individuals seeking employment at Aspire General Insurance Services LLC are considered without regards to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, or sexual orientation in accordance with federal and state Equal Employment Opportunity/Affirmative Action record keeping, reporting, and other legal requirements. *Depending on plan selected Compensation may vary based on several factors, including candidate's individual skills, relevant work experience, location, etc.
    $53k-70k yearly est. 27d ago
  • Claims Negotiation Specialist

    The Strickland Group 3.7company rating

    Claims adjuster 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
  • Claims Representative, Risk Management

    for External Applicants

    Claims adjuster job in Irvine, CA

    The Claims Representative inputs, creates, investigates, evaluates, negotiates and settles a variety of claim types. Makes appropriate recommendations to Western National Group (WNG) entities regarding settlement and reports claims to third party administrators and insurance carriers as needed. Monitors incoming correspondence, invoicing and other expenses and investigates for proper charges or recovery. Continuously monitors claim files while working towards resolution and closure in a timely manner by maintaining a current diary on open files. Maintains database of all claims and tracks inquiries on pending claims. Maintains iN.Site system for incident/accident reports, assists with incident/accidents investigations. Maintains constant outside communications with claims related issues, including and not limited to, litigated and non-litigated claims. This position is offering $40.80 to $52.89 per hour depending on experience with a discretionary performance-based bonus of up to 5% of the annual base salary. DUTIES AND ESSENTIAL JOB FUNCTIONS Inputs and creates claim files on assigned incidents/claims as reported on iN.Site. Adheres to standard claims handling procedures. Generates claims reports and maintains notes and correspondence regarding claim file activity and communications on the claims database on iN.Site. Monitors a variety of claim files (1 st and 3 rd party property, liability and litigated claims) and maintains a daily running diary. Investigates insurance claims. Performs property inspections as needed, which will include traveling to communities and/or jobsites. Analyzes information gathered by investigation and reports findings and recommendations. Determines liability. Files claims as needed with carriers. Communicates with internal departments, claimants, attorneys and insurance companies over the telephone, in person and in written correspondence. Makes settlement recommendations. Negotiates claim settlements to avoid litigation. Prepares demand/denial letters as needed. Drafts offer letters and releases. Creates statements of loss notifications. Ensures signed releases are received prior to issuing settlement funds. Creates check requests and requests settlement monies from Accounts Payables. Follows-up with insurance adjusters and provides information needed to expedite settlement or insurance recovery. Coordinates agreed scope/estimate of damages with independent insurance adjusters, vendors or contractors on large losses. Reviews incoming attorney letters and lawsuits. Travels to and attends mediations, as needed. Travels to and represents WNG entities at Small Claims court hearings. REQUIRED KNOWLEDGE SKILLS AND ABILITIES Critical competencies include, but are not limited to, communication, relationship building, critical thinking, customer service and accountability. Excellent written, verbal communication and oral presentation skills. Proficient in Microsoft Office Suite, excellent computer skills and typing ability. Aptitude to apply general knowledge of contract, property and/or insurance laws. Ability to read, interpret, apply and explain internal rules, regulations, policies and procedures. Adhere to policy and procedure, safety practices and customer service philosophies. Demonstrate an exceptional level of attention to detail and organization, with the ability to multi-task and prioritize work, meet deadlines and manage changing priorities effectively. Excellent customer service skills, empathize with, actively listens to and deals sensitively and professionally with claimants. The skill to develop and apply knowledge of injury, property and liability issues to adjust claims. Maintain quality work product and professionalism, even when work volume is high. Strong analytical skills. Construction knowledge preferred. Some understanding of real estate management. REQUIRED LICENSES/CERTIFICATION Must possess a valid driver's license and proof of auto insurance. Must maintain an acceptable driving record pursuant to insurance underwriting guidelines established by WNG's insurance carrier. EDUCATION/EXPERIENCE High School diploma, with a 2- or 4-year degree preferred. Must have 2 to 3 years of claims experience. This position is offering $40.80 to $52.89 per hour depending on experience with a discretionary performance-based bonus of up to 5% of the annual base salary. Western National Group is an Equal Opportunity Employer. All applicants will be considered without regard to race, color, ancestry, national origin, religion, creed, age (over 40), disability, mental and physical, sex, gender (including pregnancy, childbirth, breastfeeding or related medical conditions), sexual orientation, gender identity, gender expression, medical condition, genetic information, marital status, and military and veteran status or any other legally protected status. IND123
    $36k-50k yearly est. 60d+ ago

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Milehigh Adjusters Houston

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Automobile Club Of Missouri Inc

Top 10 Claims Adjuster companies in CA

  1. Milehigh Adjusters Houston

  2. Eac Holdings LLC

  3. Work At Home Vintage Experts

  4. Avonrisk

  5. The Jonus Group

  6. AmTrust Financial

  7. Berkshire Hathaway

  8. Automobile Club Of Missouri Inc

  9. CCMSI

  10. Great American Insurance

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