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Claims Adjuster jobs in Eastvale, CA

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  • Claims Representative

    V Group Inc. 4.2company rating

    Claims Adjuster job in Orange, CA

    Client: Healthcare Job Title: Claims Resolution Specialist/ Claims Customer Service Representative Duration: 06 Months Contract Interview Type: Web Interview Description: The Claims Resolution Specialist will be the first line of contact for CalOptima Health providers. The incumbent will assist providers with questions related to the payment of claims and resolution of claims payment issues. Note: The position is a phone position requiring the candidates to answer calls for 7.5 hours a day. This is not an Examiner/Adjuster position. Duties & Responsibilities: 80% - Claims Support Responds and researches issues on provider questions regarding claims payments, denials, resolves claim issues, contractual and/or CalOptima Health agreements, established payment methodologies, division of financial responsibility, applicable regulatory legislation, claims processing guidelines and company policies and procedures. Follows up with providers as needed. 15% - Administrative Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Ensures accurate and timely documentation regarding all issues, and/or inquiries are entered in Facets. Routes escalated calls to the appropriate departments and/or management. Minimum Qualifications: High School diploma or equivalent required. 2 years of experience in claims resolution required. 1 year of call center experience with high call volumes or customer service experience required. 1 year of HMO, Medi-Cal/Medicaid and healthcare/managed care experience required. An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.
    $35k-46k yearly est. 10d ago
  • SR Liability Claims Adjuster

    Ultimate Staffing 3.6company rating

    Claims Adjuster job in Los Angeles, CA

    Under the supervision of the Claims Manager, the Claims Adjuster is responsible for investigating, analyzing, and determining the extent of the company's liability for property and casualty claims involving loss or damage. The role involves gathering relevant information through correspondence or interviews with company staff, claimants, witnesses, and other involved parties. The Claims Adjuster will establish financial reserves, manage litigation and mediation processes, facilitate settlements, and document all activity in the company's electronic claims database. Performance will be evaluated based on client satisfaction, adherence to company and industry best practices, and the ability to close claims in a timely and cost-effective manner. A high degree of independence and initiative is expected. Essential Duties and Responsibilities: Claims Investigation: Investigate property and liability claims or incidents reported by company members and assigned by the Claims Manager. Conduct inquiries through direct communication with member staff via phone, email, or in-person contact, depending on the nature and severity of the claim. Gather evidence and relevant information by interviewing witnesses and knowledgeable parties, inspecting property, reviewing documents, and analyzing reports. Assess the extent of property damage and prepare detailed investigative findings. Claims Evaluation and Administration: Review claims and related documentation to confirm coverage under the company's Memorandum of Coverage. Analyze investigative findings to determine liability and recommend appropriate actions. Assist members with claim decisions in accordance with the Governmental Claims Act. Evaluate subrogation opportunities and develop strategies for effective and efficient claims resolution. Establish, monitor, and maintain expense and indemnity reserves within authorized limits. Approve payments related to claim expenses and settlements. Proactively pursue claim resolutions before litigation when possible and seek necessary settlement authority. Participate in regular claim review meetings and provide input on complex matters. Direct and coordinate activities with defense counsel for litigated claims. Attend mediations, settlement conferences, and trials as required. Compile and organize evidence for litigation support. Electronic File Management: Input all claim data into the company's claims management system in accordance with established procedures. Maintain detailed file notes, correspondence, and activity records to support claims handling efforts. Use diary systems to ensure timely and efficient claim management. Regularly update reserves based on current information and claim developments. Other Responsibilities: Perform additional related duties as assigned. Essential duties and reporting structure may be modified at the discretion of the CEO. Qualifications and Skills: Education and Experience: High school diploma or GED required; Associate's or Bachelor's degree from an accredited institution preferred. Minimum of 10 years' experience in claims administration, specifically in property and/or liability claims. Strong background in litigation management and subrogation. In-depth knowledge of relevant state and federal laws, case law, and regulations, particularly as they relate to governmental entities and risk management. California claims adjusting license preferred, but not required. Desired Skills and Experience Under the supervision of the Claims Manager, the Claims Adjuster is responsible for investigating, analyzing, and determining the extent of the company's liability for property and casualty claims involving loss or damage. The role involves gathering relevant information through correspondence or interviews with company staff, claimants, witnesses, and other involved parties. The Claims Adjuster will establish financial reserves, manage litigation and mediation processes, facilitate settlements, and document all activity in the company's electronic claims database. Performance will be evaluated based on client satisfaction, adherence to company and industry best practices, and the ability to close claims in a timely and cost-effective manner. A high degree of independence and initiative is expected. All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance. For unincorporated Los Angeles county, to the extent our customers require a background check for certain positions, the Company faces a significant risk to its business operations and business reputation unless a review of criminal history is conducted for those specific job positions.
    $60k-93k yearly est. 1d ago
  • Workers' Compensation Claims Supervisor - CA Jurisdiction

    Cannon Cochran Management 4.0company rating

    Claims Adjuster job in Irvine, CA

    Workers' Compensation Claim Supervisor Schedule: Monday-Friday, 8:00 AM to 4:30 PM Work Arrangement: Hybrid (in-office presence required) Salary Range: $105,000-$115,000 annually The posted salary reflects CCMSI's good-faith estimate of the base pay range for this role, in accordance with applicable pay transparency laws. Actual compensation will depend on qualifications, experience, and internal equity. Additional compensation may include bonuses, benefits, or other forms of pay. A full summary of benefits-including Medical, Dental, Vision, Life Insurance, ESOP, and 401K-is available upon request. Please discuss any compensation and benefits questions with our hiring team. CCMSI is an Affirmative Action / Equal Employment Opportunity employer. Background checks are conducted in compliance with applicable laws. At CCMSI, we believe the foundation of great client service starts with great people. As a leading, employee-owned Third Party Administrator, we pride ourselves on a team-focused culture where collaboration, innovation, and service excellence are part of our everyday work. We are seeking a confident, analytical, and relationship-driven Workers' Compensation Claim Supervisor to join our Irvine-based team. This is an opportunity to supervise a team of adjusters handling California workers' compensation claims. If you are a strong mentor, strategic problem-solver, and passionate about service quality, we want to hear from you. Why Join CCMSI? Culture: Our Core Values are lived daily-integrity, enthusiasm, and a client-first mindset. Career Development: We offer structured learning programs and career paths to help you grow and advance. Work-Life Balance: Hybrid schedules, predictable hours, and manageable caseloads support your success. Benefits: Enjoy 4 weeks of paid time off in your first year, 10 paid holidays, and a comprehensive benefits package including Medical, Dental, Vision, 401K, and ESOP participation. Responsibilities About the Role: The Workers' Compensation Claim Supervisor is responsible for supervising a team of adjusters and directly managing complex and litigated California workers' compensation claims. You'll ensure that claims are handled in accordance with state laws, corporate claim standards, and specific client expectations. Key Responsibilities: Supervise all claim activity on designated accounts to ensure quality, timeliness, and compliance. Directly handle complex and litigated claims as needed. Review, assign, and mentor claims staff while providing ongoing technical support and development. Monitor and authorize claim payments and reserve accuracy within designated authority levels. Collaborate with vendors including legal counsel, medical case managers, and surveillance providers. Identify training needs and provide coaching to support adjuster performance. Ensure diary compliance, accurate documentation, and proactive claim management. Uphold CCMSI's high service standards and client satisfaction goals. Qualifications What You Bring: Minimum 10 years of workers' compensation claims experience, including 3 years in a supervisory or leadership capacity. Extensive knowledge of California WC regulations and claim best practices. Strong analytical, organizational, and interpersonal skills. A proactive, service-focused mindset with the ability to build trust and lead with influence. Excellent written and verbal communication skills. Bachelor's degree preferred. Licenses & Certifications: Valid California Adjuster's License required (or ability to obtain quickly). SIP certification preferred. Industry certifications such as AIC, CPCU, or ARM are a plus. Ready to Lead with Purpose? Join a company where you're not just an employee-you're an owner. At CCMSI, we're building something better together. #ClaimsLeadership #WorkersComp #HiringNow #CAJobs #IrvineJobs #TPACareers #EmployeeOwned #CCMSI #IND123 #GreatPlaceToWorkCertified #LI-Hybrid We can recommend jobs specifically for you! Click here to get started.
    $105k-115k yearly 29d ago
  • Outside Property Claim Representative

    Travelers Insurance Company 4.4company rating

    Claims Adjuster job in Burbank, 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 160 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** $65,300.00 - $107,600.00 **Target Openings** 1 **What Is the Opportunity?** LOCATION REQUIREMENT: This position services Insureds/Agents in North Los Angeles County. The selected candidate must reside in or be willing to relocate at their own expense to the assigned territory. Ideal locations include Culver City, Inglewood, Santa Monica, Los Angeles, Beverly Hills, Van Nuys, Sherman Oaks, Glendale, Burbank, Pasadena, Diamond Bar, West Covina, El Monte, Downey and surrounding areas. Under moderate supervision, this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim resolution for personal or business claims of moderate severity and complexity. Handles claims and other functional work involving one or more lines of business other than property (i.e. auto, workers compensation, premium audit, underwriting) may be required. 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 position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence. **What Will You Do?** + Handles 1st party property claims of moderate severity and complexity as assigned. + Completes field inspection of losses including accurate scope of damages, photographs, written estimates and/or computer assisted estimates. + Broad scale use of innovative technologies. + Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first-party property claims under a variety of policies. Secures recorded or written statements as appropriate. + Establishes timely and accurate claim and expense reserves. + Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters. + Negotiates with multiple constituents, i.e.; contractors or insured's representatives and conveys claim settlements within authority limits. + Writes denial letters, Reservation of Rights and other complex correspondence. + Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools. + Meets all quality standards and expectations in accordance with the Knowledge Guides. + Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures. + Manages file inventory to ensure timely resolution of cases. + Handles files in compliance with state regulations, where applicable. + Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit. + Identifies and refers claims with Major Case Unit exposure to the manager. + Performs administrative functions such as expense accounts, time off reporting, etc. as required. + Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed. + May provides mentoring and coaching to less experienced claim professionals. + May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed. + CAT Duty ~ This position will require participation in our Catastrophe Response Program, which could include deployment away for a minimum of 16 days (includes 2 travel days) to assist our customers in other states. + Must secure and maintain company credit card required. + 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. + On a rotational basis, engage in resolution desk technical work and resolution desk follow up call work. + This position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + Bachelors Degree preferred. + General knowledge of estimating system Xactimate preferred. + Customer Service experience - preferred + Interpersonal and customer service skills - Advanced + Organizational and time management skills- Advanced + Ability to work independently - Intermediate + Judgment, analytical and decision making skills - Intermediate + Negotiation skills - Intermediate + Written, verbal and interpersonal communication skills including the ability to convey and receive information effectively -Intermediate + Investigative skills - Intermediate + Ability to analyze and determine coverage - Intermediate + Analyze, and evaluate damages -Intermediate + Resolve claims within settlement authority - Intermediate + Valid passport preferred. **What is a Must Have?** + High School Diploma or GED required. + A minimum of one year previous outside property claim handling experience or successful completion of Travelers Outside Claim Representative training program required. + Valid driver's license 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 ******************************************************** .
    $65.3k-107.6k yearly 18d 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. 29d ago
  • Independent Insurance Claims Adjuster in Anaheim, California

    Milehigh Adjusters Houston

    Claims Adjuster job in Anaheim, 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 "Discover a wealth of valuable resources on our YouTube channel! Dive into a trove of insightful videos at ******************************************************** to explore expert tips, and testimonials to enhance your skills and knowledge. Subscribe now for exclusive content and stay ahead in your journey with MileHigh Adjusters Houston!"
    $52k-66k yearly est. 60d+ ago
  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    Claims Adjuster job in Anaheim, 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.
    $53k-65k yearly est. 22d ago
  • Outside Property Claim Representative - Burbank, CA

    Msccn

    Claims Adjuster job in Burbank, CA

    ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers . If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps. 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 160 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 $65,300.00 - $107,600.00 What Is the Opportunity? LOCATION REQUIREMENT: This position services Insureds/Agents in North Los Angeles County. The selected candidate must reside in or be willing to relocate at their own expense to the assigned territory. Ideal locations include Culver City, Inglewood, Santa Monica, Los Angeles, Beverly Hills, Van Nuys, Sherman Oaks, Glendale, Burbank, Pasadena, Diamond Bar, West Covina, El Monte, Downey and surrounding areas. Under moderate supervision, this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim resolution for personal or business claims of moderate severity and complexity. Handles claims and other functional work involving one or more lines of business other than property (i.e. auto, workers compensation, premium audit, underwriting) may be required. 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 position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence. What Will You Do? Handles 1st party property claims of moderate severity and complexity as assigned. Completes field inspection of losses including accurate scope of damages, photographs, written estimates and/or computer assisted estimates. Broad scale use of innovative technologies. Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first-party property claims under a variety of policies. Secures recorded or written statements as appropriate. Establishes timely and accurate claim and expense reserves. Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters. Negotiates with multiple constituents, i.e.; contractors or insured's representatives and conveys claim settlements within authority limits. Writes denial letters, Reservation of Rights and other complex correspondence. Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools. Meets all quality standards and expectations in accordance with the Knowledge Guides. Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures. Manages file inventory to ensure timely resolution of cases. Handles files in compliance with state regulations, where applicable. Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners. Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit. Identifies and refers claims with Major Case Unit exposure to the manager. Performs administrative functions such as expense accounts, time off reporting, etc. as required. Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed. May provides mentoring and coaching to less experienced claim professionals. May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed. CAT Duty ~ This position will require participation in our Catastrophe Response Program, which could include deployment away for a minimum of 16 days (includes 2 travel days) to assist our customers in other states. Must secure and maintain company credit card required. 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. On a rotational basis, engage in resolution desk technical work and resolution desk follow up call work. This position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position. Perform other duties as assigned. Additional Qualifications/Responsibilities What Will Our Ideal Candidate Have? Bachelors Degree preferred. General knowledge of estimating system Xactimate preferred. Customer Service experience - preferred Interpersonal and customer service skills - Advanced Organizational and time management skills- Advanced Ability to work independently - Intermediate Judgment, analytical and decision making skills - Intermediate Negotiation skills - Intermediate Written, verbal and interpersonal communication skills including the ability to convey and receive information effectively -Intermediate Investigative skills - Intermediate Ability to analyze and determine coverage - Intermediate Analyze, and evaluate damages -Intermediate Resolve claims within settlement authority - Intermediate Valid passport preferred. What is a Must Have? High School Diploma or GED required. A minimum of one year previous outside property claim handling experience or successful completion of Travelers Outside Claim Representative training program required. Valid driver's license required.
    $65.3k-107.6k yearly 8d ago
  • Managing Public Adjuster

    Allied Public Adjusters Inc.

    Claims Adjuster job in Glendale, CA

    Job DescriptionBenefits: 401(k) Bonus based on performance Health insurance Managing Public Adjuster (MPA) Reports to: Director of Claims Come and Lead the Next Generation of Adjusters. Champion the Truth. At Allied Public Adjusters, were raising the bar for how property claims are handled in this industry. Since 1997, weve advocated for policyholders with expertise, rigor, and integrity. We dont just write estimateswe pursue truth, guide clients, and drive results. Each team of Public Adjusters (PAs) is led by a Manager, Public Adjuster (MPA), who owns the development, execution, and accountability of their unit. If youre a hands-on leader who thrives on coaching others to new levels of performance, this is your next step. Our Core ValuesWe show up with G.R.I.T. Go-Getters Relationship Builders Intelligent Experts Truth Champions RoleAs an MPA, you are the frontline coach, strategist, and quality control for your team of Public Adjusters. You are accountable for the claims your PAs handle and for the outcomes they deliver. Youll conduct inspections, audit files, shadow field work, and provide consistent coaching to ensure every claim is handled the Allied way. You will lead daily team learning sessions, conduct weekly 1:1s, and guide case strategy while holding your team to the highest professional standards. Youll work closely with the Director of Claims to enforce SOPs, define expectations, and elevate performance across the board. This is not a desk leadership role. You're expected to be in the field, in the files, and in the weeds with your teamproactively identifying risks and unlocking opportunities to drive better outcomes. Responsibilities Lead a team of Public Adjusters, coaching them to master Allieds claims philosophy and perform at elite levels. Own the performance and outcome of all claims handled by your assigned PAs Effective use of Key Performance Indicators (KPIs) to measure and manage performance, and make decisions driven by data. Conduct daily Claim Labs (team learning sessions) that reinforce technical strategy, communication, and standards. Lead weekly 1:1s with each PA to review performance metrics, files, development needs, and bottlenecks. Participate in inspections and field audits; shadow team members regularly to coach in real time. Provide initial strategy consultations on new claims and ensure each case is properly scoped, categorized, and approached. Review the Open Claims Report (Power BI) daily to monitor progress, manage capacity and efficiency, and identify potential risks. Conduct regular claim audits focused on classification, time-to-action, accuracy, and strategic direction. Approve claim-related expenses up to $750; escalate exceptions to Director of Claims. Participate in hiring and interviewing new PA candidates. Document underperformance or error patterns, and work with the Director of Claims to deliver corrective coaching or formal performance plans. Collaborate with Legal on claims that may require escalation or alternative resolution strategies. Ensure SOPs are being followed; provide feedback to update or revise procedures when gaps appear. Reinforce Allieds G.R.I.T. culture across every interaction and file. Requirements 5+ years of experience in complex property claims adjusting, with at least 1 year mentoring or leading adjusters (public adjuster experience is a plus). Demonstrated ability to drive results through coaching and accountability. Strong technical knowledge of property insurance policies, Xactimate, and construction scopes. Demonstrated ability in successful project management Field inspection and negotiation experience required. Claims litigation experience is preferred Excellent written, verbal, and interpersonal communication skills. Proficiency in Microsoft Office and claims management systems; Power BI familiarity preferred. Deep alignment with Allieds claims philosophy and G.R.I.T. core values. Reports to Director of Claims Growth OpportunitiesHigh-performing MPAs are prime candidates for future roles such as Director of Claims or other operational leadership positions. Base Salary $130k-$150k BOE + up to 20% bonus Compensation & Benefits Competitive base salary + performance-based bonus tied to team KPIs and Company goals Health, dental and vision benefit plans and other voluntary plans available 401(k) with 3% non-elective employer contribution Mileage reimbursement and company phone Paid holidays and generous PTO Leadership training and professional development opportunities Our Core ValuesWe Show Up with G.R.I.T.Every day. Every decision. Every claim. Go-Getters: We pursue truth and fairness with rigor and expertise. We are proactive, responsive, and committed to professional service. Relationship Builders: We nurture relationships based on mutual respectchallenging insurers when we must and helping them when we can. All in the spirit of resolving claim matters fairly. Intelligent Experts: We work to achieve mastery of our respective crafts, trusting our teammates to do the same. By focusing on core competencies, we create a team stronger than the sum of its parts. Truth Champions: We pursue truth above all else. To champion our clients interests most effectively, we seek precisely what is owed. Nothing more, and absolutely nothing less. Final ThoughtsThis role isnt about coasting on your experienceits about transferring it. Were looking for a coach who leads from the front, obsesses over results, and sees their teams growth as their personal scorecard. If thats you, lets talk.
    $130k-150k yearly 23d ago
  • Claims Adjuster

    Hankey Group External

    Claims Adjuster job in Los Angeles, CA

    Los Angeles | Hybrid (In-Office Preferred, Remote Optional) | Claims Knight Insurance Group is a well-established insurance company dedicated to delivering outstanding service to its clients. As a part of Knight Insurance Group, Onward insurance is a growing and dynamic auto insurance provider focused on offering extensive coverage to its clientele. At Onward Insurance, we're redefining what it means to deliver exceptional auto coverage. Our focus is simple: innovation, efficiency, and customer-first service. We specialize in private passenger auto insurance for both standard and non-standard drivers-and we're growing fast. We're building something special-and we're looking for motivated, curious, and customer-focused individuals to help us shape the future of auto insurance. Pay Range: $55,000- $65,000 Per Year. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire and will be dependent on a wide range of factors, including but not limited to geographic location, skill set, experience, education, credentials, and licensure when applicable. We're hiring a Claims Adjuster to manage auto liability claims and support the resolution of more complex cases. In this role, you'll investigate losses, determine coverage and liability, evaluate damages, and negotiate settlements. You'll also assist senior adjusters with subrogation, salvage, and complex matters. This is a great opportunity for someone with early experience in claims adjusting who thrives in a collaborative, fast-paced environment and wants to grow. What you'll do as a Claims Adjuster? Manage an inventory of auto liability claims Evaluate coverage, assess liability/compensability, and determine damages Establish and adjust reserves; escalate claims to SIU or subrogation as needed Negotiate settlements within your authority limits Communicate with policyholders, claimants, attorneys, and third parties Assist with subrogation and salvage on complex cases Contribute to department improvement initiatives Ensure regulatory compliance and perform other related duties as assigned Experience and Qualifications What we look for in our Claims Adjuster? 1-3 years of experience handling auto liability claims (private passenger) Bodily injury claims experience (preferred) Familiarity with California and Texas insurance regulations (preferred) Excellent organization and attention to detail Strong written and verbal communication skills Comfort with claims management software + Microsoft Office A growth mindset and collaborative spirit Bilingual skills are a plus Active adjuster licenses (or ability to obtain as required) Benefits What do we offer? Medical, Dental, and Vision benefits Supplemental life insurance policies for you and your dependents Long term disability insurance Flexible Spending Account (FSA) Employer paid life insurance Retirement plans: Employer match, 401(k) and Employee Stock Ownership Plan (ESOP) Metro Tap Card and Metro-link Reimbursement Professional Development Opportunities Onsite Gym with group Yoga and Pilates classes (California) UKG Wallet (access to your pay before payday) Tickets at Work- Discounts on parks, museums, movie tickets and much more AT&T Wireless Discounts Midway Rent a Car- Rental car Discounts (California) Dell Member Purchase Program
    $55k-65k yearly 51d ago
  • Supervisor, Claims (CQI) Needed!

    Healthcare Talent

    Claims Adjuster job in Irvine, CA

    Healthcare Talent is assisting our client in hiring a Supervisor, Claims (CQI) for their Claims Department. The Claims Supervisor oversees the day-to-day operations of the Quality Analyst (QA) staff in the Continuous Quality Improvement (CQI) Unit of the Claims Department. This position is responsible for ensuring adherence to regulatory and internal guidelines in conjunction with company policies and procedures as they apply to claims processing and adjudication. Our client has a unique business philosophy; their goal is to provide employees with a place to excel - while really creating something meaningful in their work. This philosophy has helped them grow into an award-winning company. Employees are provided with room for advancement, competitive compensation, and an excellent benefit package. Job Description Position Responsibilities • Train, audit and supervise all QA staff to ensure adherence to the Medi-Cal and Medicare processing guidelines. Identify any new learning opportunities for staff (i.e. new desktops). • Monitor staff to ensure department turn-around times for claims auditing are met. Ninety five percent (95% of all claims must be paid or denied within 30 calendar days and 100% within 60 days from date of receipt to date of financial run. • Must serve as a back up to claims processing when needed to ensure the department turn-around times are met and maintain inventory within 21 days on hand. • Responsible for prompt communication with staff. Must schedule monthly unit meetings to go over any changes to programs or training issues; schedule monthly one-on-one meetings with staff to go over their monthly progress regarding their success factors (production, quality, etc). • Plan work for staff, assign daily claims and determine priorities of work done by staff. • Set or recommend work performance standards. • Review work procedures and recommend or change procedures to be more time/cost efficient. • Assist with interviewing job applicants and make recommendations for hire as needed. • Train, evaluate, and provide performance feedback to staff. • Conduct employee counseling/corrective interviews with the assistance of Human Resources. • Conduct claims presentations as assigned. • Other projects and duties as assigned. Qualifications Required Skills • Diffuse emotional situations with employees and/or provider representatives. • Interact with peers face-to-face, over the phone and in writing in a manner that is professional and productive. • Influence others using a positive approach. • Provide clear, concise instruction to individuals of varying skill levels. • Troubleshoot problem areas. • Encourage and utilize suggestions and new ideas. • Manage and keep track of multiple tasks. • Remain objective when dealing with emotional topics or when having to give feedback to staff. • Establish and maintain effective working relationships with all levels of staff, other programs, agencies, and the general public. • Effectively utilize computer and appropriate software and interact as needed with company claims processing systems. • Speak and write clearly and concisely. • Encourage the professional performance and development of subordinate staff. • Plan, organize and prioritize work. Required Experience Experience & Education • High school diploma or equivalent is required; some college preferred. • 3+ years of experience in a managed care environment that would have developed the knowledge and abilities listed. • Substantial practical knowledge and understanding of relevant business practices and applicable regulations/policies. • Previous experience in directing the work of others (i.e. training, responding to questions, etc.) and supervisory experience are preferred. • Demonstrated ability to work closely and often with others. Knowledge of: • Principles and techniques of effective supervision. • Technical area(s) of medical claims administration, including medical terminology, CPT, ICD-9 codes and HCPCS codes. • Medi-Cal and Medicare program guidelines. • Benefit interpretation and administration. • Department reports, their purpose and how to interpret them. • Department procedures, policies and expectations. • Fundamental principles of writing and grammar, including proper report and correspondence format, correct spelling and proper word usage, grammar, punctuation, and sentence structure. • Personal computers, keyboarding, and appropriate software to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Additional Information If you feel that you have the skills we require, please respond to this posting with your contact information and your resume in a Word document. We look forward to hearing from you today! ************************ *********************************
    $70k-125k yearly est. 31d ago
  • Virtual Multi Line Adjuster Trainee

    Geico 4.1company rating

    Claims Adjuster job in Los Angeles, CA

    At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Virtual Multi-line Adjuster Trainee - Los Angeles, CA Area Salary: “*Starting pay rate varies based upon position and location. Ask your Recruiter for details!” We are looking for a highly motivated and service-oriented individual to join our Multi-line Damage team as a Multi-line Property Damage Trainee! As an ambassador for GEICO's renowned customer service, you will work in a dynamic environment that may include repair shops, salvage yards, a customer's home or in a virtual estimating environment. You will be responsible for inspecting damage, estimating cost of repairs, negotiating settlements, issuing payments, and providing excellent customer service. This position primarily will include servicing boat, motorcycle, RV and other specialty claims. Our industry-leading, paid training, which includes 3-weeks of required hands-on experience at our Ashburn, VA training facility will teach you the ins and outs of physical damage adjusting. We will provide the resources and training so you can directly assist our customers after accidents or major disasters. We're looking for those who are equally as motivated as they are compassionate. Your unique skillset, along with the latest adjusting tools and tech, will help you.Qualifications & Skills: Valid driver's license (must meet company underwriting guidelines for at least the past 3 consecutive years) and the ability to maintain applicable state and federal certifications and permits Willingness to be flexible with primary work location - position may require either remote or field work Solid computer, mechanical aptitude, and multi-tasking skills Effective attention to detail and decision-making skills Ability to effectively communicate, verbally and in writing, and willingness to expand on these abilities Minimum of high school diploma or equivalent, college degree or currently pursuing preferred Annual Salary $29.00 - $45.28 The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations. At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
    $29-45.3 hourly 5d ago
  • Claims Auto Adjuster

    Ms ACSC Management Services

    Claims Adjuster job in Costa Mesa, CA

    This entry-level position supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property damage, and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include liability investigation, coverage evaluation, and claims resolution and negotiation strategies of lower complexity claims in compliance with established company technical and customer service best practices. Under moderate supervision, works within specific limits and authority to resolve claims with well-defined procedures. Job Duties Communicate and interact with a variety of individuals including insureds and claimants. Verify and explain benefits, coverages, fault, and claims process either verbally or in writing which complies with regulatory and statutory requirements. Conduct investigations to determine liability and damages and differentiate between allegations and facts. Identify and obtain statements from insureds, claimants, and witnesses. Evaluate and negotiate within settlement authority with insureds and claimants to resolve first and third-party claims in multiple markets. Demonstrate proficiency with estimate review, material damage, liability, analysis of claims, claims technology, and tool usage. Coordinate with internal and external departments as required. Respond quickly to customer needs and inquiries. Overtime and holiday hours may be required. Qualifications Bachelors Equivalent combination of education and experience Preferred No prior claims experience. Knowledge of Microsoft Office suite and general computer software. Organization and planning recognition skills required. Oral and written communication skills required. Interpersonal skills required. Property and Casualty Insurance License, valid in selling state - Issued by State May be required to obtain an Adjuster license as applicable in accordance with state law. within 60 Days The starting pay range for this position is $25.48 - $28.03 per hour. Additionally, you will be eligible to participate in our incentive program based upon your team and individual performance. Remarkable benefits: • Health coverage for medical, dental, vision • 401(K) saving plan with company match AND Pension • Tuition assistance • PTO for community volunteer programs • Wellness program • Employee discounts (membership, insurance, travel, entertainment, services and more!) Auto Club Enterprises is the largest federation of AAA clubs in the nation. We have 14,000 employees in 21 states helping 17 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity - we win. All of Us! With our national brand recognition, long-standing reputation since 1902, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team. “Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value.” AAA is an Equal Opportunity Employer The Automobile Club of Southern California will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), the Unincorporated Los Angeles County (ULAC) regulation, and the California Fair Chance Act (CFCA).
    $25.5-28 hourly 14d ago
  • Claims Adjuster - Commercial Property (Entertainment)

    Arch Capital Group Ltd. 4.7company rating

    Claims Adjuster job in Los Angeles, CA

    With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Primary Responsibilities, specific duties include but not limited to the below: * Proactively investigate, evaluate, negotiate and resolve Entertainment claims including Real Property and Business Personal Property, Time Element, Contingency, Miscellaneous Equipment, Theater, Third Party Property Damage and Props Sets & Wardrobe. * Entertainment claims include Motion Picture Film and Television, Commercial productions, Touring, Motorsports, Live Events, Theater. * Evaluate and address coverage issues * Recognize subrogation and salvage potential and assign to internal partners * Determine appropriate reserving levels * Select and direct independent external service providers (e.g. Independent Adjusters, Experts) * Manage and monitor incoming claims communication (email, phone, mail) and respond in a timely manner * Negotiate and resolve claims ensuring cost effective, service orientated solutions * Ensure claims are settled in accordance with settlement guidelines * Drive effective salvage and subrogation processes. * Ensure all claims handled within authority limits, and in line with Arch Claims procedures and guidelines * Support establishment of claims management procedures on new business accounts in association with clients, brokers and loss adjusters. * Proactively liaise with underwriters on market management initiatives * Positively represent Arch externally to the market and develop and maintain relationships with brokers and clients, as well as other relevant stakeholders (e.g. third party adjusters); * Proactively drive involvement of functional areas in Claims handling process, e.g. Underwriting, Operations Qualifications * Bachelor's degree from an accredited university or two or more insurance industry designations or four additional years of related experience beyond the minimum experience required above may be substituted in lieu of a degree. * Three - Five (3-5) years of work experience at an insurance company and/or insurance claims loss adjustment service provider managing property claims process supporting commercial accounts * Adjuster Licensing required. * Knowledge of claims handling process from notification to settlement and recovery * Reserving: A knowledge of reserving principles and practices * Analytical Skills: Ability to analyze non-complex data, from multiple sources, in detail; identify and resolve issues before they transpire * Ability to review and understand contracts and agreements * Negotiation and conflict management: Ability to negotiate best position for Arch, and client, often in contentious situations, managing conflicting priorities of various parties * IT skills (Office applications): Use general office application tools e.g. Power Point, Excel, Word * Communication & Presentation: Ability to express ideas and messages clearly, both written and verbally. Ability to "sell" claims service abilities as a marketing tool * Proven track record in handling claims involving complex coverage and damage * Multi-lingual is a plus LI-SW1 #LI-HYBRID For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible. $72,000 - $97,000/year Chicago $108,000 - $135,000/year CA and NY * Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future. Click here to learn more on available benefits. Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team. For Colorado Applicants - The deadline to submit your application is: July 31, 2025 14400 Arch Insurance Group Inc.
    $108k-135k yearly 32d ago
  • Pre-SIU 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. JOB SUMMARY: Under the direction of the Pre-SIU Supervisor, the Pre-SIU Adjuster is responsible for conducting the initial investigation of automobile claims involving perils with a high propensity for fraud. These include fire, theft, vandalism, hit while parked, catalytic converter theft, and other suspicious loss types. The Adjuster identifies potential fraud indicators, ensures timely and well-documented investigations, and refers appropriate cases to the Special Investigations Unit (SIU) for further handling. This role is structured as a career development path into a full SIU Investigator position. DUTIES AND RESPONSIBILITIES: Performs tasks such as: Social media investigations. ISO and TransUnion database searches. Vehicle locator searches. d. Vehicle history reports. Obtain phone records. Credit checks. Background checks. Other tasks as needed. Investigate, evaluate, and resolve automobile claims related to: Theft Fire/Arson Hit while parked Catalytic converter theft Sandstorm damage Vandalism Water/Flood Damage Vermin/Rodent Claims Identify potential fraudulent claims, including: Suspicious vandalism claims. Suspicious vehicle theft claims. Suspicious fire losses. Suspicious injury claims. Suspicious hit while parked claims Any other suspicious claims. Document investigations and findings. Ensure ongoing adjudication of claims within company standards, industry best practices, and all state and federal regulations. Comply with state and federal laws, Department of Insurance criteria, insurance carrier criteria, and follow company policies, procedures, and work rules. Produce grammatically correct and clearly written correspondence including letters, memos, reports, and claim file documentation. Maintain regular and predictable punctuality and attendance. Attend fraud-related presentations/seminars/meetings and inform company management of important information learned at these events. Perform other duties as necessary. Requirements: QUALIFICATIONS AND SKILLS: Three or more years of experience in the Property and Casualty insurance industry handling automobile claims. Clear understanding of insurance industry practices, standards, and terminology. Ability to pass a background check. Disciplined approach to all job-related activities. Strong foundation of personal organization, sound decision-making, analytical skills, interpersonal and customer service skills. Ability to work in a fast-paced environment while managing multiple priorities simultaneously. Ability to achieve targeted performance goals. INTER-RELATIONSHIP COMPONENT: Ability to develop excellent working relationships with staff, clients, partners, and outside agencies. Effective and friendly communication conducive to teamwork and professionalism. Ability to work cohesively with other company partners and staff to achieve company goals. Represent the company in a professional manner and contribute to the corporate image. Consistently provide excellent client service. WORKING CONDITIONS: This is a non-exempt position that complies with the alternative work schedule when applicable. May require mandatory overtime as deemed appropriate by management. The office environment is highly technical, supporting a paperless environment. Travel may be required. Fast-paced work environment where accuracy is essential to successful task completion. Requires extended periods of computer use and sitting. Benefits: Medical, Dental, Vision, 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. *Dependent on plan selected
    $51k-70k yearly est. 2d ago
  • General Liability Adjuster

    Aegis Security Insurance 4.2company rating

    Claims Adjuster job in Los Angeles, CA

    K2 Claims Services, LLC (“K2 Claims”), a subsidiary of K2 Insurance Services, is seeking a full-time General Liability Adjuster to join its team. This position will be primarily remote with occasional meetings and/or projects located in our offices in San Diego, California or Harrisburg, Pennsylvania. The preferred candidate will have 5+ years of liability experience in commercial and homeowner liability claims. The candidate should be a self-starter and motivated to help build a world-class TPA. K2 Claims offers the opportunity to join an established company in growth mode. K2 Claims is a third-party administrator that services property, general liability, auto, professional liability and worker's compensation claims for specialty programs. Our pay and benefits program includes competitive salary, bonus plan, medical, dental, and vision insurance with no waiting period, paid time-off in year of hire, and 401(k) with employer match. The General Liability Adjuster job responsibilities and expectations will include: Handling claims pursuant to state specific insurance regulations along with K2 Claims' Best Practices. The ability to handle low exposure to complex liability claims in a broad spectrum of claims types including dog bites, slip/falls, wrongful evictions, general business disputes, assumption of risk type claims, etc. Investigating liability which may include obtaining statements from involved parties, analyzing documents/relevant facts and evaluating damages. Negotiating settlements within your provided settlement authority. The ability and understanding to analyze risk transfer options and/or insurance priority (e.g. time of risk). The ability and organization skills to handle time sensitive demands and/lawsuits. Referring claims to subrogation and/or SIU. Writing detailed large loss reports regarding the claim, recommended reserve/settlement authority and/or plan of action for sr. management and our clients. Analyzing coverage and preparing detailed reservation of rights and/or coverage declination letters. Manage litigated cases including referring to counsel, establishing a litigation plan and legal budget and providing settlement authority pursuant to delegated authority. Must obtain and maintain required adjuster licenses. The position may require some travel for training, mediations, and/or trials. Ideally, the General Liability Adjuster will have the following education and experience: A Bachelor's Degree. Previous experience handling liability claims for several types of programs including homeowners and commercial programs in a TPA and/or insurance carrier environment. Familiarity with multiple states' statutory requirements regarding claims handling requirements. Strong customer service focus. Excellent verbal and written communication skills. Ability to manage multiple tasks in a fast-paced environment. Proficiency in Word, Excel, and Outlook. Flexibility for occasional business travel. Annual salary: $90,000 - $105,000
    $90k-105k yearly 12d ago
  • Outside Property Claim Representative Trainee

    Travelers Indemnity Co

    Claims Adjuster job in Glendale, 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 160 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 CategoryClaimCompensation 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$48,700.00 - $80,400.00Target Openings2What Is the Opportunity?This position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence. There is an opening in each of the following two territories: - The selected candidate must reside in or be willing to relocate at their own expense to the assigned territory. Ideal locations include Alhambra, Rosemead, Monterey Park, East LA, El Monte, and surrounding areas. - The selected candidate must reside in or be willing to relocate at their own expense to the assigned territory. Ideal locations include Culver City, San Fernando, Sherman Oaks, West Hollywood, Santa Monica, Burbank and surrounding areas. This is an entry level position that requires satisfactory completion of required training to advance to Claim Professional, Outside Property. This position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. 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. As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration.What Will You Do? Completes required training which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training may require travel. The on the job training includes practice and execution of the following core assignments: Handles 1st party property claims of moderate severity and complexity as assigned. Establishes accurate scope of damages for building and contents losses and utilizes as a basis for written estimates and/or computer assisted estimates. Broad scale use of innovative technologies. Investigates and evaluates all relevant facts to determine coverage (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first party property claims under a variety of policies. Secures recorded or written statements as appropriate. Establishes timely and accurate claim and expense reserves. Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters. Negotiates and conveys claim settlements within authority limits. Writes denial letters, Reservation of Rights and other complex correspondence. Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools. Meets all quality standards and expectations in accordance with the Knowledge Guides. Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures. Manages file inventory to ensure timely resolution of cases. Handles files in compliance with state regulations, where applicable. Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners. Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit. Identifies and refers claims with Major Case Unit exposure to the manager. Performs administrative functions such as expense accounts, time off reporting, etc. as required. Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed. May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed. Must secure and maintain company credit card required. 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. In order to progress to Claim Representative, a Trainee must demonstrate proficiency in the skills outlined above. Proficiency will be verified by appropriate management, according to established standards. This position requires the individual to access and inspect all areas of a dwelling or structure which is physically demanding including walk on roofs, and enter tight spaces (such as attic staircases, entries, crawl spaces, etc.) The individual must be able to carry, set up and safely climb a ladder with a Type IA rating Extra Heavy Capacity with a working load of 300 LB/136KG, weighing approximately 38 to 49 pounds. While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position Perform other duties as assigned. What Will Our Ideal Candidate Have? Bachelor's Degree preferred or a minimum of two years of work OR customer service related experience preferred. Demonstrated ownership attitude and customer centric response to all assigned tasks - Basic Verbal and written communication skills -Intermediate Attention to detail ensuring accuracy - Basic Ability to work in a high volume, fast paced environment managing multiple priorities - Basic Analytical Thinking - Basic Judgment/ Decision Making - Basic Valid passport preferred. What is a Must Have? High School Diploma or GED and one year of customer service experience OR Bachelor's Degree required. Valid driver's license - 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 *********************************************************
    $48.7k-80.4k yearly 60d+ ago
  • Homeowners Property Damage Adjuster

    Canon Recruiting Group 3.3company rating

    Claims Adjuster job in Los Angeles, CA

    Direct hire role Salary range: $70,000-$80,000 Onsite full-time Encino with field investigations. Full job description We are seeking a detail-oriented and experienced Property Damage Case Manager and/or Adjuster to join our team. In this role, you will assess and evaluate property damage claims, conduct site inspections, analyze insurance policies, meet with insurance adjusters and/or their independent adjusters/vendors and work closely with attorneys to manage, process, and work towards claim settlements for our clients. The ideal candidate will have strong negotiation skills and a deep understanding of property damage claims and insurance practices. Key Responsibilities Investigate, analyze, and evaluate property damage claims. Review insurance policies to determine coverage and claim viability. Assess damages through site inspections, photos, and documentation. Prepare detailed reports outlining findings and recommendations. Negotiate settlements with insurance companies on behalf of clients. Collaborate with attorneys and legal staff to develop case strategies. Maintain accurate claim files and documentation. Provide expert insights into claim disputes and assist with litigation support when necessary. Qualifications Experience: Minimum 5 years as a property damage adjuster, claims examiner, or related role. Education: Bachelor's degree preferred; relevant experience will be considered. Construction knowledge and experience is a plus. Certifications: No Certification is required. Law firm will assist is acquiring certifications. Strong knowledge of property damage claims, insurance policies, and industry standards. Excellent negotiation and communication skills. Ability to handle multiple claims and work in a fast-paced environment. Proficiency in claim management software and Microsoft Office Suite. Here at Canon Recruiting, People are our priority, and we are committed to Include Diversity in every segment of who we are. It is only through our Diversity, we are made a stronger organization, and increase our ability to provide top tier candidates that our clients have come to know Canon for. We have an inclusive environment all employees are celebrated for their unique differences. The different perspectives and experiences of our workforce give us the competitive advantage that is essential for success in an ever-changing market. By promoting inclusion with the same enthusiasm, we devote to quality and competency, and using the experience from a diverse assortment of backgrounds and experiences, Canon is able to improve the services and value we deliver to clients, employees, and customers. At Canon, Diversification and Inclusiveness are much more than a corporate ambition; they are a critical component in our daily corporate life. Canon Recruiting is committed to a diverse and inclusive workplace. Canon Recruiting is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status. The pay range for this position is listed above. Base pay information is based on market location. We will consider for employment qualified applicants with arrest and conviction records. Our range of benefits may include health care and 401(k) savings plans. For individuals with disabilities who would like to request an accommodation, please email hr@canonrecruiting.com
    $70k-80k yearly 12d ago
  • General Liability Adjuster

    K2 Insurance Services, LLC

    Claims Adjuster job in Los Angeles, CA

    K2 Claims Services, LLC (“K2 Claims”), a subsidiary of K2 Insurance Services, is seeking a full-time General Liability Adjuster to join its team. This position will be primarily remote with occasional meetings and/or projects located in our offices in San Diego, California or Harrisburg, Pennsylvania. The preferred candidate will have 5+ years of liability experience in commercial and homeowner liability claims. The candidate should be a self-starter and motivated to help build a world-class TPA. K2 Claims offers the opportunity to join an established company in growth mode. K2 Claims is a third-party administrator that services property, general liability, auto, professional liability and worker's compensation claims for specialty programs. Our pay and benefits program includes competitive salary, bonus plan, medical, dental, and vision insurance with no waiting period, paid time-off in year of hire, and 401(k) with employer match. The General Liability Adjuster job responsibilities and expectations will include: Handling claims pursuant to state specific insurance regulations along with K2 Claims' Best Practices. The ability to handle low exposure to complex liability claims in a broad spectrum of claims types including dog bites, slip/falls, wrongful evictions, general business disputes, assumption of risk type claims, etc. Investigating liability which may include obtaining statements from involved parties, analyzing documents/relevant facts and evaluating damages. Negotiating settlements within your provided settlement authority. The ability and understanding to analyze risk transfer options and/or insurance priority (e.g. time of risk). The ability and organization skills to handle time sensitive demands and/lawsuits. Referring claims to subrogation and/or SIU. Writing detailed large loss reports regarding the claim, recommended reserve/settlement authority and/or plan of action for sr. management and our clients. Analyzing coverage and preparing detailed reservation of rights and/or coverage declination letters. Manage litigated cases including referring to counsel, establishing a litigation plan and legal budget and providing settlement authority pursuant to delegated authority. Must obtain and maintain required adjuster licenses. The position may require some travel for training, mediations, and/or trials. Ideally, the General Liability Adjuster will have the following education and experience: A Bachelor's Degree. Previous experience handling liability claims for several types of programs including homeowners and commercial programs in a TPA and/or insurance carrier environment. Familiarity with multiple states' statutory requirements regarding claims handling requirements. Strong customer service focus. Excellent verbal and written communication skills. Ability to manage multiple tasks in a fast-paced environment. Proficiency in Word, Excel, and Outlook. Flexibility for occasional business travel. Annual salary: $90,000 - $105,000
    $90k-105k yearly 9d ago
  • General Liability Adjuster

    K2 Claims Services, LLC

    Claims Adjuster job in Los Angeles, CA

    Job Description K2 Claims Services, LLC (“K2 Claims”), a subsidiary of K2 Insurance Services, is seeking a full-time General Liability Adjuster to join its team. This position will be primarily remote with occasional meetings and/or projects located in our offices in San Diego, California or Harrisburg, Pennsylvania. The preferred candidate will have 5+ years of liability experience in commercial and homeowner liability claims. The candidate should be a self-starter and motivated to help build a world-class TPA. K2 Claims offers the opportunity to join an established company in growth mode. K2 Claims is a third-party administrator that services property, general liability, auto, professional liability and worker’s compensation claims for specialty programs. Our pay and benefits program includes competitive salary, bonus plan, medical, dental, and vision insurance with no waiting period, paid time-off in year of hire, and 401(k) with employer match. The General Liability Adjuster job responsibilities and expectations will include: Handling claims pursuant to state specific insurance regulations along with K2 Claims’ Best Practices. The ability to handle low exposure to complex liability claims in a broad spectrum of claims types including dog bites, slip/falls, wrongful evictions, general business disputes, assumption of risk type claims, etc. Investigating liability which may include obtaining statements from involved parties, analyzing documents/relevant facts and evaluating damages. Negotiating settlements within your provided settlement authority. The ability and understanding to analyze risk transfer options and/or insurance priority (e.g. time of risk). The ability and organization skills to handle time sensitive demands and/lawsuits. Referring claims to subrogation and/or SIU. Writing detailed large loss reports regarding the claim, recommended reserve/settlement authority and/or plan of action for sr. management and our clients. Analyzing coverage and preparing detailed reservation of rights and/or coverage declination letters. Manage litigated cases including referring to counsel, establishing a litigation plan and legal budget and providing settlement authority pursuant to delegated authority. Must obtain and maintain required adjuster licenses. The position may require some travel for training, mediations, and/or trials. Ideally, the General Liability Adjuster will have the following education and experience: A Bachelor’s Degree. Previous experience handling liability claims for several types of programs including homeowners and commercial programs in a TPA and/or insurance carrier environment. Familiarity with multiple states’ statutory requirements regarding claims handling requirements. Strong customer service focus. Excellent verbal and written communication skills. Ability to manage multiple tasks in a fast-paced environment. Proficiency in Word, Excel, and Outlook. Flexibility for occasional business travel. Annual salary: $90,000 - $105,000
    $90k-105k yearly 15d ago

Learn more about claims adjuster jobs

How much does a claims adjuster earn in Eastvale, CA?

The average claims adjuster in Eastvale, CA earns between $47,000 and $73,000 annually. This compares to the national average claims adjuster range of $40,000 to $64,000.

Average claims adjuster salary in Eastvale, CA

$59,000
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