At Heritage Grocers Group, how we work is defined by shared values that include absolute integrity, respect, and collaboration. However, it's more than that; it's smart and highly driven people united in purpose to serve one another.
Bring your energy and unique perspective and you'll have the opportunity to grow with us professionally, personally, and financially. You'll be part of a team that genuinely cares about helping you succeed, and you'll work alongside talented colleagues, while making a difference in our communities.
POSITION SUMMARY:
Assist Heritage Grocers Group, LLC Risk Management Department in developing a claims management strategy, mitigating risk, and managing the daily activity of workers' compensation claims.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
The essential duties and responsibilities of this position include, but are not limited to, the following:
Manage and administrate employee incident reports for work-related injuries. Ensure all reports are accurate and reported on time to the policy year insurance carrier.
Work directly with various insurance brokers, carriers, adjusters, and defense counsel to investigate and evaluate claims and ensure all documentation was provided.
Receive, investigate, and respond to difficult and sensitive problems and complaints in a professional manner; identifies and reports findings and takes necessary corrective action.
Develop various reports to analyze customer incident trends and recommend preventive measures and corrective actions.
Conduct claims investigations and analyzes risk management claims information to identify significant hazards and loss trends; identifies and recommends preventive measures and corrective actions.
Coordinate with staff, executive management, and/or legal counsel to resolve conflicts related to claim management issues.
Serve as Heritage Grocers Group business units' representative at court hearings, court appearances, depositions, and monitors subpoena processes.
Monitor insurance premiums on an annual basis to make recommendations on appropriate level of insurance.
Upon notification of HGG business units' property damaged by a third party, work with police and appropriate facilities or program staff to process claim, recover losses from third party's insurance provider or directly from third party. If unsuccessful, files a claim in Small Claims Court in coordination with legal counsel and attends those proceedings as scheduled by the courts.
Work with procurement staff to monitor contract insurance compliance and work with third party administrator and insurance broker regarding claims, insurance compliance and insurance concerns.
Attend and represent depositions and mediations for workers compensation cases and work with defense counsels on deposition cases.
Correspond to all workers' compensation case emails, including answers to summons and complaints, etc.
Manage, direct the work, and train the Workers' Compensation Claims Specialist(s) team.
Perform all other duties as assigned.
SKILLS AND QUALIFICATIONS:
Claims Handling Certificate, bachelor's degree preferred.
Minimum 2 to 5 years of investigation duties, workers' compensation claim handling for claims evaluation.
Strong analytical skills.
Negotiation skills.
Strong communication skills.
Ability to multi-task and adapt to a changing environment.
Strong organization and time management skills.
Experience in a work environment that required collaboration across work groups.
Ability to effectively present information to manager, claimants, and customers.
Proficiency in typing required.
Good written (grammar and punctuation) and verbal communication skills, including the ability to communicate effectively (written and verbal) with outside contacts.
Customer service oriented, organization skills, and detail oriented.
PHYSICAL DEMANDS AND WORK CONDITIONS:
The physical demands and work conditions below represent those that must be met to successfully perform the essential functions of this job. Some requirements may be modified to accommodate individuals with disabilities:
Medium work: Exerting up to 20 pounds of force occasionally and/or up to 10 pounds of force constantly to move objects.
Climbing: Ascending or descending stairs, ramps, and the like, using feet and legs and/or hands and arms.
Balancing: Maintaining body equilibrium to prevent falling when walking, standing or crouching on narrow, slippery surfaces.
Stooping: Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles.
Crouching: Bending the body downward and forward by bending leg and spine.
Reaching: Extending hand(s) and arm(s) in any direction.
Standing: Particularly for sustained periods of time.
Walking: Moving about on foot to accomplish tasks, particularly for long distances or moving from one work site to another.
Fingering: Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand or arm as in handling.
Grasping: Applying pressure to an object with the fingers and palm.
Talking: Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly.
Hearing: Perceiving the nature of sounds at normal speaking levels or without correction. Ability to receive detailed information through oral communication and make fine discriminations in sound.
Repetitive Motions: Substantial movements (motions) of the wrists, hands, and/or fingers.
VISUAL ACUITY
The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; expansive reading; visual inspection involving small defects, small parts and/or operation of machines (including inspection); using measurement devices.
IMPORTANT DISCLAIMER NOTICE
The job duties, elements, responsibilities, skills, functions, experience, educational factors, and the requirements and conditions listed in this are representative only and not exhaustive of the tasks that an employee may be required to perform. The Employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business or the work environment change.
Disclaimer :
Pay Scale $95k - $103k
The pay scale above is the salary or hourly wage range that the Company reasonably expects to pay for this position.
Within this range, individual pay is determined by location and other factors including, but not limited to, specific skills, relevant work experience, and relevant education and/or training. This information is provided to applicants in accordance with California Labor Code § 432.3 and state and local minimum wage standards.
$95k-103k yearly 2d ago
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Associate, Wage and Hour - Disputes, Claims & Investigations
Stout 4.2
Claims adjuster job in Irvine, CA
At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence . Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team.
Associate - DCI (Disputes, Claims & Investigations), Wage & Hour
Stout is seeking an Associate with 2-5 years of experience to join our Disputes, Claims & Investigations (DCI) Wage and Hour practice. This is a full-time role offering comprehensive benefits, a 401(k), and eligibility for annual bonuses.
Stout brings deep expertise supporting clients in high-stakes business litigation and economic consulting matters. Associates work closely with experienced professionals and subject-matter experts to analyze complex data and deliver independent, thoughtful analyses.
Impact You'll Make
This role plays a critical part in delivering high-quality analytical support on complex wage and hour matters. Your work will directly contribute to successful client outcomes and the effectiveness of project teams.
Execute and support complex data analyses related to wage and hour disputes and investigations.
Contribute to the development of sound methodologies and analytical approaches that support defensible conclusions.
Help ensure projects are completed on time, within scope, and with a high standard of quality.
Build strong working relationships across project teams to drive collaboration and efficiency.
Support client-facing deliverables that clearly communicate findings and insights.
What You'll Do
These responsibilities reflect the day-to-day work required to support engagements and achieve project objectives.
Review, organize, and analyze large and complex datasets to support litigation and consulting engagements.
Support multiple concurrent projects, anticipating scope, timing, and budget considerations.
Assist in developing work plans, methodologies, and resource needs to optimize project outcomes.
Collaborate closely with team members to meet deadlines and manage competing client expectations.
Support written analyses, reports, and presentations prepared for clients and other stakeholders.
Apply creative problem-solving techniques to manage risks and address analytical challenges.
What You Bring
This section outlines the qualifications and technical skills needed to succeed in the role.
Bachelor's degree from an accredited college or university, preferably in Economics, Mathematics, or a related field.
2-5 years of experience in wage and hour consulting or a closely related field.
Working knowledge of advanced data management and analytical tools such as SAS, SQL, STATA, R, or similar platforms.
Proficiency in Microsoft Office applications, including Word, Excel, PowerPoint, and Access.
Strong written and verbal communication skills with the ability to present complex information clearly.
Demonstrated ability to manage multiple projects simultaneously and work effectively with cross-functional teams.
How You'll Thrive
These competencies and behaviors will help you excel and grow within Stout's collaborative culture.
Maintain flexibility and adaptability in response to changing project requirements and timelines.
Demonstrate strong organizational skills and rigorous attention to detail.
Exhibit intellectual curiosity, self-motivation, and a commitment to quality control.
Collaborate effectively with colleagues while managing competing priorities.
Uphold Stout's core values and deliver Relentless Excellence in both client service and internal teamwork.
Why Stout?
At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life.
We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve.
We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals.
Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives.
Learn more about our benefits and commitment to your success.
en/careers/benefits
The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job.
Stout is an Equal Employment Opportunity.
All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status or any other characteristic protected by applicable local, state or federal law.
Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. It is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case.
A reasonable estimate of the current range is $74,000.00 - $135,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - en/careers/benefits.
$40k-47k yearly est. 1d ago
Bottler Claims Representative (Temp to Hire)
Monster 4.7
Claims adjuster job in Corona, CA
Energy:
Forget about blending in. That's not our style. We're the risk-takers, the trailblazers, the game-changers. We're not perfect, and we don't pretend to be. We're raw, unfiltered, and a bit unconventional. But our drive is unrivaled, just like our athletes. The power is in your hands to define what success looks like and where you want to take your career. It's not just about what we do, but about who we become along the way. We are much more than a brand here. We are a way of life, a mindset. Join us.
A day in the life:
As a Bottler Claims Representative at Monster Energy, you'll be at the heart of the action, processing, validating, and coding promotional invoices with the precision of a high-speed racer! Get ready to rev up your data-entry skills and keep the promotions engine running smoothly. Your role is all about ensuring everything flows seamlessly, just like the thrilling rush of a Monster Energy drink!
The impact you'll make:
Review, validate, and process distributor invoices in accordance with company policies and procedures. Requires frequent communication with distributors and the Sales Team to obtain necessary supporting documentation and approvals.
Verify invoice program details, ensure accuracy, compliance, and adherence to promotional execution or contractual agreements. -->> Collect, organize, and maintain supporting documents required for invoice validation and/or support in SAP, Vistex, Sales Force and or other source locations.
Accurately code and enter invoice details into SAP, Vistex, Sales Force, and or other source locations, to ensure proper GL coding and reporting.
Identify discrepancies or errors in claims and work with relevant teams to resolve issues efficiently.
Ensure all claims adhere to company policies, industry regulations, and audit requirements.
Maintain accurate and up-to-date records of processed claims for tracking and audit purposes.
Identify opportunities to enhance efficiency and accuracy in claims processing workflows.
Work closely with internal teams, including Finance and Sales and Chain Claims, to support business objectives and streamline operations alongside any additional ad hoc duties.
Who you are:
Prefer a Bachelor's Degree in the field of --Accounting, Math, Business Administration, or other related field of study
Additional Experience Desired: Minimum 1 year of experience in Accounts Payable position
Additional Experience Desired: Minimum 1 year of experience in processing vendor invoices, data entry, account reconciliation
Computer Skills Desired: Proficiency with Microsoft's office desktop solutions (Intermediate Excel a must - Test Scores required), Teams, Outlook, SharePoint, SAP or other accounting technology a plus.
Preferred Certifications: N/A
Additional Knowledge or Skills to be Successful in this role: Typing, 10 Key desired
Monster Energy provides a competitive total compensation. This position has an estimated hourly rate of $17.00 - $23.00 per hour. The actual pay may vary depending on your skills, qualifications, experience, and work location.
$17-23 hourly 60d+ ago
Outside Property Claim Representative
The Travelers Companies 4.4
Claims adjuster job in Colton, CA
Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
Job Category
Claim
Compensation Overview
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
Salary Range
$67,000.00 - $110,600.00
Target Openings
1
What Is the Opportunity?
This role is eligible for a sign-on bonus!
LOCATION REQUIREMENT: This position services Insureds/Agents in Riverside County. The selected candidate must reside in or be willing to relocate at their own expense to the assigned territory.
Ideal locations include Riverside, Redlands, Jurupa Valley, Moreno Valley, Beaumont, Grand Terrace, Colton, Bloomington, Rialto, 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 *********************************************************
$67k-110.6k yearly 35d ago
Workers' Compensation Claim Rep II (CA Expertise Required)
Cannon Cochran Management 4.0
Claims adjuster job in Irvine, CA
Workers' Compensation Claim Representative II
Schedule: Monday-Friday, 8:00 AM-4:30 PM PST Salary Range: $70,000-$80,000 annually (dependent on experience)
Build Your Career With Purpose at CCMSI
At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.
We don't just process claims-we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified
Great Place to Work
, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.
Job Summary
We are seeking a Workers' Compensation Claim Representative II to manage California workers' compensation claims from intake through resolution for a PEO/Staffing account. This role may be remote or hybrid, reporting to our Irvine, CA branch.
This position is designed for an experienced adjuster who can independently manage claims, apply sound judgment, and deliver consistent results within California's complex regulatory environment. You'll handle more complex claim scenarios, contribute to claim strategy, and partner closely with supervisors, clients, and vendors to drive quality outcomes.
Responsibilities
When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person's livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems with purpose and care.
Independently investigate, evaluate, and resolve California workers' compensation claims in compliance with CCMSI standards and client handling instructions
Manage claims cradle-to-grave, including compensability, medical management, litigation coordination, and resolution strategy
Review medical, legal, and miscellaneous invoices for accuracy, reasonableness, and claim-relatedness; negotiate disputed bills
Establish, monitor, and adjust reserves in accordance with authority levels and best practices
Authorize and issue claim payments within assigned settlement authority
Negotiate settlements with injured workers and attorneys in accordance with client authorization
Coordinate with and assist in the selection and oversight of defense counsel
Identify and pursue subrogation opportunities
Prepare and maintain accurate claim documentation, reports, payments, and reserve summaries
Ensure compliance with service commitments, jurisdictional requirements, and excess reporting obligations
Deliver consistent, high-quality claim service aligned with CCMSI's corporate standards
Qualifications
What You'll Bring
Required
5-10 years of workers' compensation claims experience, with demonstrated success handling Californiaclaims
Proven ability to manage claims independently from intake through resolution
Strong working knowledge of the California workers' compensation claims process
Excellent communication, organization, and time-management skills
Ability to prioritize work, meet deadlines, and manage a full caseload with minimal supervision
Reliable, predictable attendance within established client service hours
Preferred
SIP designation or ability to obtain within a defined timeframe
Associate degree or higher
Experience supporting PEO and/or staffing accounts
Proficiency with Microsoft Word, Excel, Outlook, and claims systems
Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required.
Why You'll Love Working Here
4 weeks PTO + 10 paid holidays in your first year
Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
Career growth: Internal training and advancement opportunities
Culture: A supportive, team-based work environment
How We Measure Success
At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:
• Quality claim handling - thorough investigations, strong documentation, well-supported decisions
• Compliance & audit performance - adherence to jurisdictional and client standards
• Timeliness & accuracy - purposeful file movement and dependable execution
• Client partnership - proactive communication and strong follow-through
• Professional judgment - owning outcomes and solving problems with integrity
• Cultural alignment - believing every claim represents a real person and acting accordingly
This is where we shine, and we hire adjusters who want to shine with us
Compensation & Compliance
The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.
Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.
ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.
Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.
Our Core Values
At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who:
Lead with transparency We build trust by being open and listening intently in every interaction.
Perform with integrity We choose the right path, even when it is hard.
Chase excellence We set the bar high and measure our success. What gets measured gets done.
Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
Win together Our greatest victories come when our clients succeed.
We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you.
#NowHiring #WorkersCompensation #WCClaims #WCClaimRepII #ClaimsAdjuster #CaliforniaWorkersComp #CAClaims #CAAdjusters #InsuranceCareers #ClaimsCareers #TPACareers #PEOClaims #StaffingClaims #HybridWork #RemoteJobs #CaliforniaJobs #EmployeeOwned #GreatPlaceToWorkCertified #CareerWithPurpose #CCMSICareers #LI-Hybrid #LI-Remote
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$70k-80k yearly Auto-Apply 28d ago
Independent Insurance Claims Adjuster in Riverside, California
Milehigh Adjusters Houston
Claims adjuster job in Riverside, CA
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMSADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance ClaimsAdjuster? 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 ClaimsAdjuster, 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 ClaimsAdjuster 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 ClaimsAdjuster.
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 claimsadjusting.
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 claimsadjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claimsadjusting 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 ClaimsAdjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
$52k-66k yearly est. Auto-Apply 60d+ ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Claims adjuster job in Riverside, 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. Auto-Apply 36d ago
Claims Adjuster
Aspire General Insurance
Claims adjuster job in Rancho Cucamonga, CA
Job Brief: Aspire General Insurance is seeking a detail-oriented and customer-focused ClaimsAdjuster to join our team. The ClaimsAdjuster will be responsible for investigating, evaluating, and settling insurance claims to ensure a fair and timely resolution for our policyholders.
Responsibilities:
Review and analyze insurance policies to determine coverage
Investigate claims by interviewing claimants, witnesses, and medical experts
Evaluate evidence, reports, and medical records to determine the extent of liability
Negotiate settlements with claimants or their legal representatives
Communicate with policyholders, agents, and other relevant parties throughout the claims process
Maintain accurate and detailed claim files
Skills Required:
Bachelor's degree in Business, Finance, or related field
2+ years of experience in claimsadjusting or related field
Strong analytical and problem-solving skills
Excellent communication and negotiation abilities
Knowledge of insurance regulations and policies
Proficiency in Microsoft Office and claims processing software
If you are a motivated individual with a passion for helping others and a keen eye for detail, we encourage you to apply for the ClaimsAdjuster position at Aspire General Insurance.
$52k-66k yearly est. 60d+ ago
Claims Adjuster Trainee - Ontario, CA
Msccn
Claims adjuster job in Ontario, 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. Unless specifically stated otherwise, this role is "On-Site" at the location detailed in the job post.
National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.
Job Description
National General Insurance is currently hiring for an auto Telephone ClaimsAdjuster Trainee. Candidates must be able to work in-office at our Ontario, California location.
The Claims Inside Auto Trainee Analyst II is responsible for investigating and confirming the facts of loss for automobile accidents. This role determines coverage, liability, damages and otherwise adjusts and negotiates claims within authority.
Launch your claims career by learning how to investigate, analyze, and make meaningful decisions that help people when it matters most. This trainee role offers hands-on learning, support, and the opportunity to build a strong foundation in auto claims.
Key Responsibilities
• Handles basic investigation regarding most aspects of auto claims (coverage, liability and damages)
• Identifies customer needs and works to meet those needs using appropriate customer service skills
• Applies a basic understanding of systems and technology used within the company
• Partners to determine subrogation or fraud potential and how to handle
• Exhibits basic understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department
• Begins recognizing and identifying body parts of a vehicle and other potential property damage
Compensation
Base compensation offered for this role is $22.84/hr - $29.57 and is based on experience and qualifications.Total compensation for this role is comprised of several factors, including the base compensation outlined above, plus incentive pay (i.e. commission, bonus, etc.), if applicable for the role.
$22.8-29.6 hourly 9d ago
Workers Compensation Claims Supervisor - Glendale
Avonrisk
Claims adjuster job in Upland, CA
Job Description
Workers' Compensation Claims Supervisor - Lead a Dynamic Team in Glendale reporting to the Glendale office 3 times a week
We're seeking an experienced and motivated Workers' Compensation Claims Supervisor to join our team in Glendale, CA. As a Supervisor, you'll lead a team of 7, including 5 ClaimsAdjusters and 2 Claims Assistants, providing guidance, mentorship, and performance feedback to ensure exceptional claim handling and adherence to company standards and regulations.
Our Mission:
To be the leading third party administrator offering professional and technological resources through pro-active and aggressive claims and managed care solutions in support of our clients' objectives.
Innovative processes and state-of-the-art technology support our people. Competent and experienced individuals provide the human element needed to deliver good service and drives good outcomes.
Our Goal:
To be recognized as the most trusted and innovative partner in providing Claims and Managed Care solutions that are tailored to the specific needs of our clients.
Your Impact:
Provide ongoing coaching, counseling, and feedback to team members to enhance skills and performance
Ensure all claims are handled in accordance with relevant statutes and company guidelines
Address personnel issues promptly and decisively, keeping management informed of corrective action
Foster a collaborative and productive team environment focused on excellence in claim resolution
Our Offer:
Competitive salary and benefits package, including medical, dental, vision, and 401(k)
Opportunity for professional growth and advancement in a dynamic organization
Collaborative work environment with a team dedicated to workers' compensation excellence
Interested? Get in Touch:
To learn more about this exciting opportunity and what Intercare has to offer, please do one of the following:
Apply to this posting
Call me directly at ************
Email ************************
We look forward to hearing from you!
“Pursuant to the Los Angeles and San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest or conviction records.”
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$70k-126k yearly est. Easy Apply 19d 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. 9h ago
Public Adjuster I
Allied Public Adjusters Inc.
Claims adjuster job in Newport Beach, CA
Job DescriptionOur Company: At Allied Public Adjusters (APA), our North Star is clear: we envision a world where every property loss is settled truthfully and equitably. Since 1997, weve worked on behalf of policyholders to demand whats right using technical expertise, field investigations, and uncompromising quality. We empower policyholders with the most skillful representation, while ensuring that carriers have the information they need to do whats right.
Our team is a dedicated group of professionals committed to ensuring individuals receive fair insurance settlements. We combine licensed expertise with an in-house assortment of legal professionals, construction estimators, accountants, and adjusters. At Allied, were not just about claims; were about people. Join us as we advocate for transparency, equity, and the rightful interests of our community.
Core Values:
We Show Up with G.R.I.T.:
Go-Getters, Relationship Builders, Intelligent Experts, Truth Champions
Every day. In every role. Through every decision and every moment of every engagement. This is the ethos that defines us. So, lets define it for one another.
Role:
APA is currently expanding and is looking for motivated individuals to come onboard as public adjusters. The Public Adjuster I is a professional claims handler who advocates for the policyholder in appraising and negotiating a claimant's insurance claim throughout the claim process. The PA works well in a rapid paced environment, model behaviors that reflect APAs core values and reports to a Managing Public Adjuster. The purpose of a PA I is to develop foundational skills in claims handling, client communication, and documentation while supporting more senior adjusters. The PA I will learn to manage claims with structured guidance.
Responsibilities:
Assist in managing assigned claims with support and guidance
Learn and apply policy interpretation and coverage fundamentals
Promptly handle claims that are assigned, creating a positive client experience
Conduct onsite inspections (with direction or supervision as necessary)
Capture photos and measurements to accurately measure losses
Prepare detailed scope and cost estimates (including using experts when needed)
Investigate claims thoroughly and present strong cases to negotiate settlements for clients.
Follow internal processes, documentation standards, and timelines
Maintain timely client communication and expectations
Draft reports and claim documentation
Properly document claim files pursuant to company standards
Effectively and efficiently utilize support teams such as legal, engineering, and leadership where needed to resolve claims and maximize value for our clients
Be a good team player and assist others where needed. This may include mentoring junior staff members in various situations.
Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
Qualifications:
02 years claims, construction, property, insurance, legal, or related experience
State Public Adjuster License (or ability to obtain)
Strong writing, organization, follow-through, and professionalism
Understanding of the insurance Industry standards, policies applicable laws and regulations
Construction knowledge and experience
Within your first year, you will have:
Built and manage a full and dynamic case load with timely movement on each claim
Achieve strong claim outcomes for clients
Demonstrate relentless advocacy while maintaining professionalism
Maintain excellent communication standards : proactive client updates, clear expectations, well documented outreach
Build trust and strong relationships with clients to produce high client satisfaction and referral feedback
Meet or exceed claim cycle time standards while balancing quality and urgency
Produce audit-ready files with complete documentation
Collaborate effectively with company departments to drive results
Demonstrate strategic, clear intentioned claim critical thinking
Show ownership mentality by treating every claim like it matters in a proactive manner
Demonstrate resilience and persistence, and embrace objections and denials
Contribute positively to the company culture and results
Key Performance Indicators:
Client satisfaction scores
Response & follow-up timeliness
Documentation accuracy
Claim cycle time
Learning progression benchmarks
Financial goals
Benefits:
Salary: Salary: $80,000- 105,000 annually plus up to 10% bonus
401(k) with 3% non-elective contribution.
Health, dental and vision insurance. Along with voluntary selections as well.
Generous paid holidays and paid time-off.
Opportunities for career advancement and professional growth.
Car and phone allowance, if needed.
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
$80k-105k yearly 6d ago
Claims Investigator - Experienced
Command Investigations
Claims adjuster job in Riverside, CA
Job Description
Seeking experienced investigators with commercial or personal lines experience, with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience is highly desired, but not required. We are seeking individuals who possess proven investigative skill sets within the industry, as well as honesty, integrity, self-reliance, resourcefulness, independence, and discipline. Good time management skills are a must.
Must have reliable transportation, digital recorder and digital camera. Job duties include, but are not limited to, taking in-person recorded statements, scene photos, writing a detailed, comprehensive report, client communications, as well as meeting strict due dates on all assignments.
If you have the desire to operate at your highest professional level within an organization that values and rewards excellence, please submit your resume. Only the finest individuals are considered for hire. Visit our website and find out why at ******************
The Claims Investigator should demonstrate proficiency in the following areas:
AOE/COE, Auto, or Homeowners Investigations.
Writing accurate, detailed reports
Strong initiative, integrity, and work ethic
Securing written/recorded statements
Accident scene investigations
Possession of a valid driver's license
Ability to prioritize and organize multiple tasks
Computer literacy to include Microsoft Word and Microsoft Outlook (email)
Full-Time benefits Include:
Medical, dental and vision insurance
401K
Extensive performance bonus program
Dynamic and fast paced work environment
We are an equal opportunity employer.
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$44k-60k yearly est. 14d ago
Auto Claims Specialist I (Manheim)
Cox Enterprises 4.4
Claims adjuster job in Riverside, CA
Company Cox Automotive - USA Job Family Group Vehicle Operations Job Profile Arbitrator I Management Level Individual Contributor Flexible Work Option No remote option; must work at a specified Cox location Travel % No Work Shift Day Compensation Hourly base pay rate is $19.90 - $29.81/hour. The hourly base rate may vary within the anticipated range based on factors such as the ultimate location of the position and the selected candidate's knowledge, skills, and abilities. Position may be eligible for additional compensation that may include commission (annual, monthly, etc.) and/or an incentive program.
Job Description
At Manheim (a Cox Automotive company), we strive to make sure every customer is completely satisfied when they do business with us. On the off-chance we fall short, we do our best to make things right, pronto.
That's where you come in.
We're looking for an Auto Claims Specialist I to learn the ropes of resolving customer complaints and ensuring we don't make the same mistake again. Do you have the skills we're looking for? Keep reading for more details!
Benefits
* We all have lives and responsibilities outside of work. We have an exceptional work/life balance at Cox, with accommodating work schedules and flexible time-off policies.
* We show our appreciation for our talent with a competitive salary package and top-notch bonus & incentive plans.
* How does a great healthcare benefits package from day one sound? Multiple options are available for individuals and families. One employee-only plan could be FREE, if you participate in our health screening program.
* 10 days of free child or senior care through your complimentary Care.com membership.
* Generous 401(k) retirement plans with up to 6% company match.
* Employee discounts on hundreds of items, from cars to computers to continuing education.
* Looking to grow your family? You'll have access to our inclusive parental leave policies, plus comprehensive fertility coverage and adoption assistance.
* Want to volunteer in your community? We encourage that, and even offer paid hours for you to do so.
* We all love our pets-whether they walk, crawl, fly, swim or slither-and we're happy to supply insurance for them as well.
At Cox, we believe in being transparent - please click on this link (Cox Benefits Overview) to learn more about our amazing benefits.
What You'll Do
From your very first day on the job, you'll receive guidance and coaching so you can learn the ropes. You'll work with everyone from buyers to sellers to dealers in coordinating and validating customer returns and claims. With Guidance, responsibilities include:
* Reviews customer claims to verify that they meet Manheim's National Arbitration policies and any account-specific guidelines.
* Investigates basic, less complex cases (e.g., late title claims, basic condition report claims, vehicle availability, post-sale inspection fails, mechanical/structural/undisclosed vehicle damage, etc.) or those requiring more prescriptive decision-making.
* Interfaces with all departments involved in the complaint (i.e., reconditioning, front office, dealer services, vehicle entry, etc.), including during the fact finding and investigative phases.
* Uses appropriate resources to investigate and facilitate relevant inspection, documentation, and communication to ensure appropriate actions are completed to move cases forward or to resolution.
* Uses appropriate levels/limits of financial approval authority to resolve cases.
* Evaluate claims by obtaining, comparing, evaluating, and validating various forms of information.
* Prepares and facilitates communication for resolution via telephone, email, and in-person discussion.
* Mediates disputes and negotiates repair and/or pricing of disputed vehicles to arrive at a mutually acceptable solution and to keep vehicles sold.
* Monitors and maintains accurate files for each arbitration case, verifying the accuracy of all required documentation, including invoices and settlement agreements.
* Engages with supervisor/manager to determine if escalation is required.
* Performs other duties as assigned.
Who You Are
You've got a knack for negotiation. You're ethical, dependable, and trustworthy. You're eager to learn. You also have the following qualifications:
Minimum
* A high school diploma or GED and less than 2 years of related experience.
* Accuracy and attention to detail.
* Organizational and time management skills.
* The ability to adapt in a fluid and changing environment.
Preferred
* 1+ years of automotive or body shop experience.
* Claimsadjuster experience.
Cox is a great place to be, wouldn't you agree? Apply today!
Drug Testing
To be employed in this role, you'll need to clear a pre-employment drug test. Cox Automotive does not currently administer a pre-employment drug test for marijuana for this position. However, we are a drug-free workplace, so the possession, use or being under the influence of drugs illegal under federal or state law during work hours, on company property and/or in company vehicles is prohibited.
Benefits
Employees are eligible to receive a minimum of sixteen hours of paid time off every month and seven paid holidays throughout the calendar year. Employees are also eligible for additional paid time off in the form of bereavement leave, time off to vote, jury duty leave, volunteer time off, military leave, and parental leave.
About Us
Through groundbreaking technology and a commitment to stellar experiences for drivers and dealers alike, Cox Automotive employees are transforming the way the world buys, owns, sells - or simply uses - cars. Cox Automotive employees get to work on iconic consumer brands like Autotrader and Kelley Blue Book and industry-leading dealer-facing companies like vAuto and Manheim, all while enjoying the people-centered atmosphere that is central to our life at Cox. Benefits of working at Cox may include health care insurance (medical, dental, vision), retirement planning (401(k)), and paid days off (sick leave, parental leave, flexible vacation/wellness days, and/or PTO). For more details on what benefits you may be offered, visit our benefits page. Cox is an Equal Employment Opportunity employer - All qualified applicants/employees will receive consideration for employment without regard to that individual's age, race, color, religion or creed, national origin or ancestry, sex (including pregnancy), sexual orientation, gender, gender identity, physical or mental disability, veteran status, genetic information, ethnicity, citizenship, or any other characteristic protected by law. Cox provides reasonable accommodations when requested by a qualified applicant or employee with disability, unless such accommodations would cause an undue hardship.
Applicants must currently be authorized to work in the United States for any employer without current or future sponsorship. No OPT, CPT, STEM/OPT or visa sponsorship now or in future.
$19.9-29.8 hourly Auto-Apply 8d ago
Auto Claims Specialist I (Manheim)
Cox Holdings, Inc. 4.4
Claims adjuster job in Riverside, CA
Company
Cox Automotive - USA
Job Family Group
Vehicle Operations
Job Profile
Arbitrator I
Management Level
Individual Contributor
Flexible Work Option
No remote option; must work at a specified Cox location
Travel %
No
Work Shift
Day
Compensation
Hourly base pay rate is $19.90 - $29.81/hour. The hourly base rate may vary within the anticipated range based on factors such as the ultimate location of the position and the selected candidate's knowledge, skills, and abilities. Position may be eligible for additional compensation that may include commission (annual, monthly, etc.) and/or an incentive program.
Job Description
At Manheim (a Cox Automotive company), we strive to make sure every customer is completely satisfied when they do business with us. On the off-chance we fall short, we do our best to make things right, pronto.
That's where you come in.
We're looking for an Auto Claims Specialist I to learn the ropes of resolving customer complaints and ensuring we don't make the same mistake again. Do you have the skills we're looking for? Keep reading for more details!
Benefits
We all have lives and responsibilities outside of work. We have an exceptional work/life balance at Cox, with accommodating work schedules and flexible time-off policies.
We show our appreciation for our talent with a competitive salary package and top-notch bonus & incentive plans.
How does a great healthcare benefits package from day one sound? Multiple options are available for individuals and families. One employee-only plan could be FREE, if you participate in our health screening program.
10 days of free child or senior care through your complimentary Care.com membership.
Generous 401(k) retirement plans with up to 6% company match.
Employee discounts on hundreds of items, from cars to computers to continuing education.
Looking to grow your family? You'll have access to our inclusive parental leave policies, plus comprehensive fertility coverage and adoption assistance.
Want to volunteer in your community? We encourage that, and even offer paid hours for you to do so.
We all love our pets-whether they walk, crawl, fly, swim or slither-and we're happy to supply insurance for them as well.
At Cox, we believe in being transparent - please click on this link (Cox Benefits Overview) to learn more about our amazing benefits.
What You'll Do
From your very first day on the job, you'll receive guidance and coaching so you can learn the ropes. You'll work with everyone from buyers to sellers to dealers in coordinating and validating customer returns and claims. With Guidance, responsibilities include:
Reviews customer claims to verify that they meet Manheim's National Arbitration policies and any account-specific guidelines.
Investigates basic, less complex cases (e.g., late title claims, basic condition report claims, vehicle availability, post-sale inspection fails, mechanical/structural/undisclosed vehicle damage, etc.) or those requiring more prescriptive decision-making.
Interfaces with all departments involved in the complaint (i.e., reconditioning, front office, dealer services, vehicle entry, etc.), including during the fact finding and investigative phases.
Uses appropriate resources to investigate and facilitate relevant inspection, documentation, and communication to ensure appropriate actions are completed to move cases forward or to resolution.
Uses appropriate levels/limits of financial approval authority to resolve cases.
Evaluate claims by obtaining, comparing, evaluating, and validating various forms of information.
Prepares and facilitates communication for resolution via telephone, email, and in-person discussion.
Mediates disputes and negotiates repair and/or pricing of disputed vehicles to arrive at a mutually acceptable solution and to keep vehicles sold.
Monitors and maintains accurate files for each arbitration case, verifying the accuracy of all required documentation, including invoices and settlement agreements.
Engages with supervisor/manager to determine if escalation is required.
Performs other duties as assigned.
Who You Are
You've got a knack for negotiation. You're ethical, dependable, and trustworthy. You're eager to learn. You also have the following qualifications:
Minimum
A high school diploma or GED and less than 2 years of related experience.
Accuracy and attention to detail.
Organizational and time management skills.
The ability to adapt in a fluid and changing environment.
Preferred
1+ years of automotive or body shop experience.
Claimsadjuster experience.
Cox is a great place to be, wouldn't you agree? Apply today!
Drug Testing
To be employed in this role, you'll need to clear a pre-employment drug test. Cox Automotive does not currently administer a pre-employment drug test for marijuana for this position. However, we are a drug-free workplace, so the possession, use or being under the influence of drugs illegal under federal or state law during work hours, on company property and/or in company vehicles is prohibited.
Benefits
Employees are eligible to receive a minimum of sixteen hours of paid time off every month and seven paid holidays throughout the calendar year. Employees are also eligible for additional paid time off in the form of bereavement leave, time off to vote, jury duty leave, volunteer time off, military leave, and parental leave.
About Us
Through groundbreaking technology and a commitment to stellar experiences for drivers and dealers alike, Cox Automotive employees are transforming the way the world buys, owns, sells - or simply uses - cars. Cox Automotive employees get to work on iconic consumer brands like Autotrader and Kelley Blue Book and industry-leading dealer-facing companies like vAuto and Manheim, all while enjoying the people-centered atmosphere that is central to our life at Cox. Benefits of working at Cox may include health care insurance (medical, dental, vision), retirement planning (401(k)), and paid days off (sick leave, parental leave, flexible vacation/wellness days, and/or PTO). For more details on what benefits you may be offered, visit our benefits page. Cox is an Equal Employment Opportunity employer - All qualified applicants/employees will receive consideration for employment without regard to that individual's age, race, color, religion or creed, national origin or ancestry, sex (including pregnancy), sexual orientation, gender, gender identity, physical or mental disability, veteran status, genetic information, ethnicity, citizenship, or any other characteristic protected by law. Cox provides reasonable accommodations when requested by a qualified applicant or employee with disability, unless such accommodations would cause an undue hardship.Applicants must currently be authorized to work in the United States for any employer without current or future sponsorship. No OPT, CPT, STEM/OPT or visa sponsorship now or in future.
$19.9-29.8 hourly Auto-Apply 10d ago
Technical Claims Specialist, Workers Compensation - West Region
Liberty Mutual 4.5
Claims adjuster job in Orange, CA
Under limited supervision and established practices, responsible for the investigation, evaluation, and disposition of Complex Workers Compensation cases of high exposure and severity. Applies established medical management strategies on high dollar complex claims. Has developed high level of knowledge of Workers Compensation claims handling techniques, a full knowledge of LMG claims procedures and is cognizant of new industry trends and claim handling techniques Uses available data to track claims trends and other claim related metrics.
Candidates should be based in California with California Self-Insured Certification or based in West Region with experience in handling Alaska Workers Compensation claims.
The salary range posted reflects the range for the varying pay scale that encompasses each of the Liberty Mutual regions and the overall cost of living for that region.
Responsibilities
Investigates claims to determine whether coverage is provided, establish compensability and verify exposure.
Resolves claims within authority and makes recommendations regarding case value and resolution strategy to Branch Office Management and HO Examining on cases which exceed authority.
Participates in pricing, reserving and strategy discussions with HO Examining and Examining Management.
Works closely with staff and outside defense counsel in managing litigated files according to established litigation management protocols.
Identifies and appropriately handles suspicious claims and claims with the potential to develop adversely.
Identifies and appropriately handles claims with third party subrogation potential, SIF (Self-Insured Fund) and MSA (Medicare Set Aside) exposure.
Establishes and maintains accurate reserves on all assigned files.
Makes timely reserve recommendations to Branch Office Management and HO Examining on cases which exceed authority.
Prepares for and attends mediation sessions and/or settlement conferences and negotiates on behalf of LMG and LMG Insureds.
Demonstrates the ability to understand new and unique exposures and coverages.
Demonstrates the ability to understand key data elements and claims related data analysis.
Confers directly with policyholders on coverage and resolution strategy issues.
Coordinates and participates in training sessions for less experienced staff, including both Complex Non-Complex staff.
Qualifications
A bachelor's degree or equivalent business experience is required
In addition, the candidate will generally possess 5-7 years of related claims experience with 1-2 years of experience in complex claims
Demonstrated proficiency in Excel, PowerPoint as well as excellent written and verbal communication skills required
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in
every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive
benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
California
Los Angeles Incorporated
Los Angeles Unincorporated
Philadelphia
San Francisco
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$64k-91k yearly est. Auto-Apply 7d ago
Bottler Claims Representative (Temp to Hire)
Monster Beverage 1990 Corporation 4.1
Claims adjuster job in Corona, CA
About Monster Energy: Forget about blending in. That's not our style. We're the risk-takers, the trailblazers, the game-changers. We're not perfect, and we don't pretend to be. We're raw, unfiltered, and a bit unconventional. But our drive is unrivaled, just like our athletes. The power is in your hands to define what success looks like and where you want to take your career. It's not just about what we do, but about who we become along the way. We are much more than a brand here. We are a way of life, a mindset. Join us.
A day in the life:
As a Bottler Claims Representative at Monster Energy, you'll be at the heart of the action, processing, validating, and coding promotional invoices with the precision of a high-speed racer! Get ready to rev up your data-entry skills and keep the promotions engine running smoothly. Your role is all about ensuring everything flows seamlessly, just like the thrilling rush of a Monster Energy drink!
The impact you'll make:
* Review, validate, and process distributor invoices in accordance with company policies and procedures. Requires frequent communication with distributors and the Sales Team to obtain necessary supporting documentation and approvals.
* Verify invoice program details, ensure accuracy, compliance, and adherence to promotional execution or contractual agreements. -->> Collect, organize, and maintain supporting documents required for invoice validation and/or support in SAP, Vistex, Sales Force and or other source locations.
* Accurately code and enter invoice details into SAP, Vistex, Sales Force, and or other source locations, to ensure proper GL coding and reporting.
* Identify discrepancies or errors in claims and work with relevant teams to resolve issues efficiently.
* Ensure all claims adhere to company policies, industry regulations, and audit requirements.
* Maintain accurate and up-to-date records of processed claims for tracking and audit purposes.
* Identify opportunities to enhance efficiency and accuracy in claims processing workflows.
* Work closely with internal teams, including Finance and Sales and Chain Claims, to support business objectives and streamline operations alongside any additional ad hoc duties.
Who you are:
* Prefer a Bachelor's Degree in the field of --Accounting, Math, Business Administration, or other related field of study
* Additional Experience Desired: Minimum 1 year of experience in Accounts Payable position
* Additional Experience Desired: Minimum 1 year of experience in processing vendor invoices, data entry, account reconciliation
* Computer Skills Desired: Proficiency with Microsoft's office desktop solutions (Intermediate Excel a must - Test Scores required), Teams, Outlook, SharePoint, SAP or other accounting technology a plus.
* Preferred Certifications: N/A
* Additional Knowledge or Skills to be Successful in this role: Typing, 10 Key desired
Monster Energy provides a competitive total compensation. This position has an estimated hourly rate of $17.00 - $23.00 per hour. The actual pay may vary depending on your skills, qualifications, experience, and work location.
$17-23 hourly 60d+ ago
General Liability Claims Specialist
Your Next Career
Claims adjuster job in Santa Fe Springs, CA
The Claims Specialist will report directly to the Director of Risk Management. Duties include overseeing and monitoring the timely response and proper handling of General Liability, Auto and Property claims on behalf of Superior Grocers. Moreover, attendance of Small Claims court matters will be ensured as required. Position will have the autonomy and authority to make settlement decisions within a pre-determined range. Responsible for timely feedback/response and providing necessary documentation to insurance company/TPA, defense counsel and corporate office staff as instructed. Display and communicate an understanding of insurance concepts, internal practices and procedures.
DAILY JOB DUTIES:
1. Claim documentation
Respond timely to incoming claims and monitor ongoing open claim inventory
2. Claim investigation as needed
Telephone and on-site investigation
Employee and customer interviews
Referrals to outside vendors
3. Review and oversee new and existing customer related claims
Accident Reports and related support documentation must be completed timely, thoroughly and objectively, thereafter provided to TPA/defense counsel/necessary parties.
Assist with determination of liability and corresponding/appropriate defense tactics
Ensure the timely logging of all new claims (delegate to Claims Assistant if necessary) and timely reporting to our Insurance Carrier, with guidance by the Dir of Risk Management
4. Review, oversee and manage legacy customer claims continuously and ongoing
Utilize TPA website/database (if appl.) or internal tracking system to review the status and monitor claims being handled by outside adjusters.
Review and approve the status of any claim, any reserve changes, and maintain communication with the adjuster handling the claim.
Vice-Versa the adjuster can communicate with Senior Claims Specialist for added information
a. Authority requests are presented to the Director of Risk Management
b. Other Samples of requests from adjusters
Coordinate employee recorded statements
Coordinate internal/external investigations of incidents
Copy and analyze video tapes
Provide information on employees; current and terminated
a. When a claim is sent to our Attorney, same duties as above apply
b. Follow instructions communicated to pass on to defense attorney
c. Defense attorney is assigned in coordination with the Director of Risk Management
Be prepared with monthly status report (when requested) concerning any significant changes on our position of liability or damages
Calendar deposition appearances as necessary
Calendar hearings as necessary
Calendar Mediation or settlement conferences
WEEKLY JOB DUTIES:
1. Maintain customer claim files in order
Systematically inspect and maintain the claims database to ensure all reported claims are accurately logged, properly classified according to protocols, and fully accounted for
Ensure all supporting evidence, including video footage and investigation reports, is collected on new claims, promptly updated as information becomes available, and efficiently forwarded to the assigned insurance adjuster
Manage the open claims inventory through disciplined diary maintenance, conducting a weekly review of all active files and utilizing a 45- to 60-day diary system to monitor case progression and address pending issues
2. Store Inspections
Store visits will be done as instructed by the Director of Risk Management
Inspect for adverse liability conditions and/or store operations
a. Report to manager my findings and discuss a solution
b. Report to manager if a sweep compliance is unacceptable
3. Porter Inspections
Meet with a Store and Safety personnel as instructed
Review porter inspections
Review porter schedules for each store
Provide porter training on using scanners, the purpose for a sweep, and the need to be diligent in doing their job and in using the scanner
4. Insurance Certificate Program
Assist to Maintain up to date our Insurance Certificate Program
a. Insurance certificates from vendors and contractors as needed.
b. Requests are made as needed
c. New Vendor Application process
5. Insurance Needs
Handle any General Liability Auto, and Property insurance needs
a. Add new vehicles as instructed
b. Add new stores as instructed
MONTHLY JOB DUTIES:
1. Claims
Generate monthly reports, regarding frequency and location of customer claims
a. Analyze report; recommend preventative measures share with store management
Review monthly billing and present to Director of Risk Management timely
a. Check figures, claims, etc. ensuring reimbursement is appropriate
b. Perform monthly store inspections as needed
QUARTERLY JOB DUTIES:
1. Claims
Quarter end reports (same as monthly)
Participate in quarterly claim reviews with TPA
YEARLY JOB DUTIES:
1. Assist where necessary regarding General Liability, Auto, and Property Insurance renewal
Administrative duties only
Job Requirements:
Education:
Bachelor's degree in business is preferred
In addition, attend insurance seminars and insurance classes with emphasis in insurance concepts, including, premises liability and related tort applicable to the position.
Experience:
At least 5 years work experience in the field if no bachelor's degree
Knowledge:
Working knowledge of Excel and Word.
Skills and Ability:
Excellent verbal and written communication skills
Ability to multi-task
Bilingual (Spanish and English) helpful, but not mandatory
Range: $90,000 - $100,000 annually
Superior will not inquire about or seek information about applicant's criminal history until after a conditional offer of employment has been made to the applicant.
TO VIEW THE APPLICANT, NOTICE ABOUT YOUR PERSONAL INFORMATION CLICK THE LINK BELOW.
https://superiorgrocers.com/about-us/privacy-disclosure/
$90k-100k yearly 38d ago
Claims Specialist - Provider Claims
Kinetic Personnel Group, Inc.
Claims adjuster job in Ontario, CA
Pay range is $26-$28/hr
Kinetic Personnel Group is recruiting for a Claims Specialist - Provider Claims for a $5 billion/year Public Health Plan in the Ontario California area. This government agency is renowned for the work it does in the community and being a great place to work.
This position is remote with occasional meetings in the office. Candidates should be local to Southern California. This will be a temporary position initially, with the possibility of converting to a permanent government job after 6 months. Pay rate can increase,and includes CalPERS pension, ~10% yearly bonus, 457b (~6% contribution) and excellent benefits including excellent PTO/Holiday schedule (year one).
The Claims Specialist- Provider Claims is responsible for fulfilling the technical support needs of appeals and support staff, while ensuring that appeals and call center tasks are conducted consistently and accurately. Additional responsibilities include handling escalated claim-related telephone inquiries, assisting with cross-training as needed, performing complex claimadjustment projects, and processing Provider Disputes in accordance with regulatory requirements.
Job duties:
Review and process provider dispute resolutions according to state and federal designated timeframes.
Review and assist with applying identified refunds submitted by the CART team.
Research reported issues; adjustclaims and determine the root cause of the dispute.
Draft written responses to providers in a professional manner within required timelines.
Independently review and price complex edits related to all claim types to determine the appropriate handling for each including payment or denial.
Complete the required number of weekly reviews deemed appropriate for this position.
Respond to provider inquiries regarding disputes that have been submitted.
Maintain, track, and prioritize assigned caseload through provider dispute database to ensure timely completion.
Maintain knowledge of claims procedures and all appropriate reference materials; participate in ongoing training as needed.
Communicate with a variety of people, both verbally and in writing, to perform research, gather information related to the case that is under review.
Recommend opportunities for improvement identified through the trending and analysis of all incoming PDRs.
Requirements:
Four (4) years of experience in a managed care environment in the area of claims processing; appeals & adjustments, and customer service, preferably in an HMO or Managed Care setting
Medi-Cal/Medicare experience and prior experience in a lead role preferred
High school diploma or GED required (will be verified)
KPG123
$26-28 hourly 24d ago
Claims Specialist
Elite Sourcing
Claims adjuster job in Costa Mesa, CA
Property Damage Claims Specialist
Elite Sourcing is seeking an experienced Property Damage Claim Specialist to join a well-known Law Firm in Costa Mesa, CA. You will be responsible for investigating and evaluating property damage claims arising from automobile accidents, working closely with the demands team and clients to ensure fair compensation for damages.
Responsibilities:
Investigate property damage claims involving auto accidents, including reviewing police reports, witness statements, and damage assessments
Evaluate claims and determine fair and reasonable settlements, considering policy coverage, damages, and other relevant factors
Maintain accurate and detailed records of claims, investigations, and settlements
Communicate effectively with customers, agents, and other stakeholders throughout the claims process
Stay up-to-date with industry developments, regulations, and best practices to ensure compliance and minimize risk
Collaborate with other adjusters, supervisors, and support staff to resolve complex claims and ensure efficient claims handling
Requirements:
1+ years of experience as an auto claimsadjuster or in CA personal injury law (preferred)
Bilingual in Spanish (preferred)
Strong understanding of CA insurance laws and regulations
Ability to work in large teams and be computer savvy.
Experienced with Microsoft Office Suite
Excellent time management, communication, organizational, and analytical skills
Experienced working in a paperless environment.
Must be able to type at least 40 wpm
Pay/Benefits:
$50K-$70K DOE
Medical, Dental, Vision
401K
PTO
How much does a claims adjuster earn in Riverside, CA?
The average claims adjuster in Riverside, 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 Riverside, CA
$59,000
What are the biggest employers of Claims Adjusters in Riverside, CA?
The biggest employers of Claims Adjusters in Riverside, CA are: