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Claims Supervisor, Workers' Compensation (CA Expertise Required)
Cannon Cochran Management 4.0
Claims representative job in San Diego, CA
Workers' Compensation Claim Supervisor
Schedule: Monday-Friday, 8:00 AM-4:30 PM PST Salary Range: $98,000-$110,000 annually Direct Reports: 2-6
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 an experienced Workers' Compensation Claim Supervisor with deep California jurisdiction expertise to lead a team of 3-6 adjusters supporting a PEO/Staffing account. This role may be remote or hybrid, reporting to our Irvine, CA branch.
This is a hands-on leadership role for a supervisor who understands the full California workers' compensation lifecycle-from intake through resolution-and can coach adjusters through complex, fast-paced claims while ensuring strict compliance with regulatory and client-specific requirements. You'll guide claim strategy, mentor your team, and partner closely with clients to deliver consistent, high-quality outcomes.
Responsibilities
When we hire claim supervisors at CCMSI, we look for leaders who believe strong teams create strong outcomes-leaders who own results, develop people, and treat every claim with purpose and care.
Supervise and guide a team of 3-6 California Workers' Compensation adjusters handling cradle-to-grave claims
Ensure claims are investigated, evaluated, and resolved accurately, timely, and in compliance with California WC laws
Review claim files regularly, providing direction on complex, litigated, or high-exposure matters
Oversee reserve accuracy and compliance with client handling instructions
Participate in claim reviews, audits, and quality initiatives
Partner with internal teams, clients, and vendors to resolve issues and maintain service standards
Recruit, onboard, train, and mentor staff; conduct performance evaluations and manage development plans
Address personnel and administrative matters with professionalism and consistency
Ensure compliance with carrier/state reporting requirements
Qualifications
What You'll Bring
Required:
• 10+ years of WC claims experience (California jurisdiction)
• Proven experience adjusting CA WC claims from intake through resolution
• CA SIP designation or CAClaims Certificate (or ability to obtain within 60 days)
• Demonstrated leadership, coaching, and communication skills
Preferred:
• 3+ years of supervisory experience
• Bilingual (English/Spanish) communications skills ) - This role may involve communicating with injured workers, employers, or vendors where Spanish-language skills are beneficial but not required.
• Experience supporting PEO and/or staffing accounts
• Proficiency in Microsoft Office and claims systems
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 claimrepresents 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 #ClaimsLeadership #WorkersCompensationJobs #InsuranceCareers #HybridWork #RemoteJobs #CaliforniaJobs #EmployeeOwned #GreatPlaceToWork #CareerWithPurpose #JoinOurTeam #TPACareers #CCMSICareers #WorkersCompensation #WCSupervisor #ClaimsSupervisor #ClaimsLeadership #ClaimsManagement #RemoteJobs #RemoteLeadership #CaliforniaWorkersComp #CAClaims #CAAdjusters #WorkersCompSupervisor #LI-Hybrid #LI-Remote
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$98k-110k yearly Auto-Apply 6d ago
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Field Property Claim Representative
The Travelers Companies 4.4
Claims representative job in San Diego, 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 the San Diego county. The selected candidate must reside in or be willing to relocate at their own expense to the assigned territory. Ideal locations include Downtown, Santee, El Cajon, La Mesa, Lemon Grove, Chula Vista, Bonita, National City, La Jolla, Poway, 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?
* Bachelor's Degree.
* General knowledge of estimating system Xactimate.
* Customer Service experience -.
* 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.
What is a Must Have?
* High School Diploma or GED.
* One year previous outside property claim handling experience or successful completion of Travelers Outside ClaimRepresentative training program.
* Valid driver's license.
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 2d ago
Supervisor Claims
Insurance Company of The West
Claims representative job in San Diego, CA
Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our journey as we strive to transform the insurance carrier space. We're proud to be in business for over 50 years, and its change agents like yourself that will help us continue to deliver our mission to create the best insurance experience possible.
Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. It's our team members who make us an employer of choice and the vibrant company we are today. We strive to make both our internal and external communities better everyday! Learn more about why you want to be here!
PURPOSE OF THE JOB
The purpose of this job is to ensure efficient, effective activity within technical units assigned to produce professional and optimal claim results through aggressive claim management. This position exists to oversee, lead, and guide a unit of Claims staff while working in compliance with Company philosophies, practices, and procedures.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Establishes and maintains a high degree of the Company's philosophy and technical practices throughout the claims operation.
Conducts periodic audits of staff assignments to ensure operational workflow.
Collaborates in the preparation and delivery of Workers' Compensation education and training programs.
Manages control and direction of reported claims within the authority level established by management.
Participates in different Department projects as assigned by upper Management.
Approves, reserves and makes payments within designated limitations of authority.
Approves reserves and payments within designated limitations of authority.
Executes claims with a reserve authority of no greater than $175,000.
Recommends claim settlements on those exceeding authority, to ensure reserve adequacy on each claim within the unit.
Develops, coaches, leads and mentors a team of claims personnel to ensure claims are processed promptly, professionally and economically.
Communicates Mission, Values and other organization operating principles to staff.
Establishes and maintains the overall work cadence and ensures performance and outcomes strive for excellence in delivery and customer experience. Ensures that the entire team is engaged and that leadership practices in the department encourage development, recognition and retention.
Establishes hiring criteria, on-boarding and training requirements for incoming staff.
Oversees the performance management and development process for the department and performs performance management duties, development planning and coaching for direct reports.
Ensures adherence to all Company policies and procedures and compliance responsibilities.
SUPERVISORY RESPONSIBILITIES
Directly supervises a unit of employees within the Claims team and carries out supervisory responsibilities in accordance with company policies and applicable laws. These responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; conducting performance and salary reviews; rewarding and disciplining employees; addressing complaints and resolving problems; coaching, mentoring, and developing team members to further their skills and knowledge; creating and monitoring development plans; setting performance expectations/goals; forecasting staffing needs and planning for peak times and absences; enforcing department policies and procedures.
EDUCATION AND EXPERIENCE
High school diploma or general education degree (GED) required. Bachelor's degree from four-year college or university preferred. Minimum 4-6 years of related examining experience required.
CERTIFICATES, LICENSES, REGISTRATIONS
IEA Certificate, WCCP Accreditation preferred.
KNOWLEDGE AND SKILLS
Strong understanding of Workers' Compensation claims principles and application. Strong foundation of business acumen. Basic understanding of personnel and performance strategies. Excellent verbal and written communication skills, time management, and organizational skills. Requires a high level of attention to detail. Team oriented and a sense of urgency for execution. Ability to effectively present information to top management and/or public groups Ability to apply principles of logic to a wide range of intellectual and practical problems.
PHYSICAL REQUIREMENTS
Office environment - no specific or unusual physical or environmental demands and employees are regularly required to sit, walk, stand, talk, and hear.
WORK ENVIRONMENT
This position operates in an office environment and requires the frequent use of a computer, telephone, copier, and other standard office equipment.
We are currently not offering employment sponsorship for this opportunity
#LI-ET1 #LI-Hybrid
The current range for this position is
$90,559.93 - $152,723.07
This range is exclusive of fringe benefits and potential bonuses. If hired at ICW Group, your final base salary compensation will be determined by factors unique to each candidate, including experience, education and the location of the role and considers employees performing substantially similar work.
WHY JOIN ICW GROUP?
Challenging work and the ability to make a difference
You will have a voice and feel a sense of belonging
We offer a competitive benefits package, with generous medical, dental, and vision plans as well as 401K retirement plans and company match
Bonus potential for all positions
Paid Time Off
Paid holidays throughout the calendar year
Want to continue learning? We'll support you 100%
ICW Group is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. ICW Group will not discriminate against an applicant or employee on the basis of race, color, religion, national origin, ancestry, sex/gender, age, physical or mental disability, military or veteran status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state or local law.
___________________
Job Category
Claims
$90.6k-152.7k yearly Auto-Apply 13d ago
Supervisor, Liability Claims
Alliant 4.1
Claims representative job in San Diego, CA
SUMMARY Responsible for managing, reporting and monitoring liability claims files. Provides coverage/policy interpretation for liability claims, as well as guidance on liability coverage and claims issues. Provides proactive oversight, guidance, and professional development to a team of liability Claims Adjusters.
ESSENTIAL DUTIES AND RESPONSIBILITIES Partners proactively with management to inform, analyze, educate and mitigate potential future liability claims; identifies high frequency and/or severity trends for immediate action;
Resolves complex exposure claims, using high service oriented file handling working closely with clients to resolve conflicts, settle disputes, resolve grievances;
Presents potentially problematic and high value cases to management for review and settlement boundary approval;
Manages and maintains information regarding claims and requests for documents from employees and others, and monitors claims;
Maintains claims information for regular quarterly review, and carrier notifications. Files all notices and reports of claims to all carriers;
Reviews/acts on reported litigated claims; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties;
Responds to decisions, agreement, and/or court order; creates action plan; determines need for examination; gains client authorization;
Proactively addresses cases involving a legal inquiry or dispute and develops a strategy to bring a case to satisfactory resolution;
Supervises staff including; motivating/mentoring staff, providing employee training and development, conducting performance reviews and performing disciplinary action as appropriate;
Complies with agency management system data standards and data integrity (enters and maintains complete and accurate information);
Other duties as assigned.
QUALIFICATIONS
EDUCATION / EXPERIENCEBachelor's Degree or equivalent combination of education and experience
Eight (8) or more years related work experience
Valid Insurance License
SKILLSExcellent verbal and written communication skills
Good leadership, problem solving, and time management skills
Good planning, organizational, and prioritization skills
Ability and motivation to work independently
Ability to interface with executive - internally and externally
Proficient in Microsoft Office products
Frequent travel required (35%+)#LI-DM1
$77k-114k yearly est. 21d ago
Claims Innovation - Senior Analyst - Casualty or Commercial PD
Geico Insurance 4.1
Claims representative job in Poway, 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.
About GEICO
The Government Employees Insurance Company (GEICO) is a private American auto insurance company with headquarters in Chevy Chase, Maryland. GEICO is a wholly owned subsidiary of Berkshire Hathaway and is the third largest auto insurer in the United States. In 2023, GEICO earned premiums worth over $40 billion U.S. dollars.
GEICO is going through a massive digital transformation to re-platform the Insurance industry, removing friction across Customers, Partners, Marketplace, Segments, Channels, and Experiences as we grow our reach and market share.
About The Role
GEICO is hiring a Innovation Analyst to join their Claims Innovation team. As an Innovation Analyst, you will support GEICO's Claims Innovation team in identifying, analyzing, and implementing opportunities to improve processes and technology. This role partners with cross-functional teams to deliver innovative solutions that enhance efficiency, accuracy, and customer experience.
Responsibilities:
* Evaluate and analyze existing claims processes, data, and performance metrics to identify areas of opportunity for efficiency, effectiveness, or accuracy
* Gather and analyze data to provide insights into claims processes and performance metrics
* Support the development of actionable strategies and assist in implementing process and technology enhancements.
* Assist the Director, Claims Innovation in establishing priorities, goals, and objectives
* Collaborate with Operations, Product, AI/ML, and Engineering teams to define and prioritize requirements.
* Prepare reports and presentations summarizing findings, recommendations, and project progress.
* Contribute to and/or lead pilot programs, POC's, or A/B testing and reporting on performance and progress
* Participate in innovation workshops, ideation sessions, and design sprints.
* Monitor project risks, benefits, and performance metrics; escalate issues as needed.
* Stay informed on industry trends, emerging technologies, and best practices.
About You
Skills & experiences:
* 3+ years of experience in business process optimization, business analysis, consulting, innovation, or process engineering.
* Leadership experience in P&C insurance claims
* Bachelor's degree in Business, Finance, Economics, Statistics, or related field.
* Knowledge of innovation methodologies, processes, and principles
* Strong analytical skills and ability to interpret data for decision-making.
* Effective communicator with strong collaboration skills.
* Demonstrated ability to adapt and learn in a fast-paced environment.
* Commitment to diversity, equity, and inclusion.
Leadership qualities:
* Leads from the front and isn't shy about using their voice
* Ability to lead and influence with empathy and humility
* Ability to navigate and lead through complexity
* Curiosity, critical thinking skills; a lifelong learner who sees situations through multiple lenses
* Exceptional character and an ability to instill confidence and build trust. Someone who possesses high emotional intelligence, and is an attentive, empathetic listener
Location:
Remote, or available office
#LI-HB1
Annual Salary
$82,000.00 - $172,200.00
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.
$82k-172.2k yearly Auto-Apply 14d ago
Daily Claims Adjuster - San Diego, CA
Cenco Claims 3.8
Claims representative job in San Diego, CA
CENCO is a well-established provider of property claims solutions, partnering with top insurance carriers to deliver prompt, accurate, and reliable adjusting services. We are currently seeking experienced Daily Property Claims Adjusters to support residential and commercial claims throughout San Diego and the greater Southern California area. This role is ideal for independent adjusters looking for consistent work and the freedom of field-based assignments.
Key Responsibilities:
Conduct in-person inspections of property damage from wind, water, fire, and other covered events.
Capture thorough documentation, including detailed reports and high-quality photos.
Develop accurate estimates using Xactimate or Symbility.
Maintain clear, professional communication with policyholders, contractors, and carriers.
Efficiently manage each claim from inspection through submission, ensuring deadlines are met.
What You'll Need:
Licensing: Active California adjuster license required.
Software: Experience with Xactimate or Symbility is preferred.
Tools: Reliable transportation, ladder, laptop, and basic field equipment.
Work Style: Independent, detail-oriented, and self-motivated.
Responsiveness: Ability to quickly accept assignments and complete them on time.
Why Join CENCO?
Steady claim volume throughout the San Diego region
Competitive compensation with fast, dependable payments
Strong back-office support and streamlined claims processes
If you're a qualified adjuster looking for dependable daily work and the chance to grow with a respected industry partner, we'd love to hear from you!
$53k-65k yearly est. Auto-Apply 60d+ ago
Supervisor, Liability Claims
Alliant Insurance Services 4.7
Claims representative job in San Diego, CA
SUMMARY Responsible for managing, reporting and monitoring liability claims files. Provides coverage/policy interpretation for liability claims, as well as guidance on liability coverage and claims issues. Provides proactive oversight, guidance, and professional development to a team of liability Claims Adjusters.
ESSENTIAL DUTIES AND RESPONSIBILITIES Partners proactively with management to inform, analyze, educate and mitigate potential future liability claims; identifies high frequency and/or severity trends for immediate action;
Resolves complex exposure claims, using high service oriented file handling working closely with clients to resolve conflicts, settle disputes, resolve grievances;
Presents potentially problematic and high value cases to management for review and settlement boundary approval;
Manages and maintains information regarding claims and requests for documents from employees and others, and monitors claims;
Maintains claims information for regular quarterly review, and carrier notifications. Files all notices and reports of claims to all carriers;
Reviews/acts on reported litigated claims; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties;
Responds to decisions, agreement, and/or court order; creates action plan; determines need for examination; gains client authorization;
Proactively addresses cases involving a legal inquiry or dispute and develops a strategy to bring a case to satisfactory resolution;
Supervises staff including; motivating/mentoring staff, providing employee training and development, conducting performance reviews and performing disciplinary action as appropriate;
Complies with agency management system data standards and data integrity (enters and maintains complete and accurate information);
Other duties as assigned.
QUALIFICATIONS
EDUCATION / EXPERIENCEBachelor's Degree or equivalent combination of education and experience
Eight (8) or more years related work experience
Valid Insurance License
SKILLSExcellent verbal and written communication skills
Good leadership, problem solving, and time management skills
Good planning, organizational, and prioritization skills
Ability and motivation to work independently
Ability to interface with executive - internally and externally
Proficient in Microsoft Office products
Frequent travel required (35%+)#LI-DM1
$83k-111k yearly est. 21d ago
Independent Insurance Claims Adjuster in San Ysidro, California
Milehigh Adjusters Houston
Claims representative job in San Diego, CA
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
$52k-65k yearly est. Auto-Apply 60d+ ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Claims representative job in San Diego, 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-64k yearly est. Auto-Apply 7d ago
Field Property Claim Representative
Travelers 4.8
Claims representative job in San Diego, 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 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$67,000.00 - $110,600.00Target Openings1What Is the Opportunity?This role is eligible for a sign on bonus.
LOCATION REQUIREMENT: This position services Insureds/Agents in the San Diego county. The selected candidate must reside in or be willing to relocate at their own expense to the assigned territory. Ideal locations include Downtown, Santee, El Cajon, La Mesa, Lemon Grove, Chula Vista, Bonita, National City, La Jolla, Poway, 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?
Bachelor's Degree.
General knowledge of estimating system Xactimate.
Customer Service experience -.
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.
What is a Must Have?
High School Diploma or GED.
One year previous outside property claim handling experience or successful completion of Travelers Outside ClaimRepresentative training program.
Valid driver's license.
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 *********************************************************
$37k-48k yearly est. Auto-Apply 3d ago
Claims Field Complex Property Adjuster
AAA 4.2
Claims representative job in Escondido, CA
This position handles complex homeowner claims matters involving property lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include investigation, coverage evaluation, negotiation strategies and claims resolution of complex claims. Employs discretion and independent judgment to ensure compliance with state and federal law; and with established company Best Practices. This position demonstrates leadership skills and may involve mentoring and training less experienced personnel.
Job Duties
Conduct field investigations, evaluate and estimate claim values on very severe damage including total loss fires, earthquakes, landslides, explosions and collapse. Write structural repair estimates in excess of several hundred thousand dollars.
Determine coverage by interpreting case law, insurance codes and regulations, building codes and ordinances, and insurance contracts on a variety of complex issues; including concurrent causation, efficient proximate and predominate causes, arson, innocent co-insureds. Recognize and appropriately address complex coverage issues.
Direct, communicate and interact with a variety of forensic experts including Cause and Origin Investigators, Civil, Structural and Soils Engineers and Hygienists.
Negotiate directly with insureds, attorneys and public adjusters to resolve complicated and high value claims.
Prepare comprehensive formal reporting on high-profile claims to senior management.
Mentor and develop lesser experienced personnel.
May attend and participate in legal proceedings.
Objectively discern and address items that may be questioned in audits.
Qualifications
Bachelors Equivalent combination of education and experience Preferred
7-9 years Prior claims handling experience. Required
7-9 years Property claims administration experience. Preferred
4-6 years Experience in the construction industry. Preferred
Working knowledge of claims administration best practices and procedures.
Advanced knowledge of insurance, fault assessment, negligence and subrogation principles required.
Advanced knowledge of Microsoft Office suite, general computer software and claims software.
Comprehensive understanding of vehicle and building repair procedures and third-party liability issues.
Advanced leadership skills among peers required.
Advanced organization and planning recognition skills required
Advanced oral and written communication skills required.
Advanced interpersonal skills required.
Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State Required
Chartered Property Casualty Underwriter - Insurance Institute of America Preferred
Associate in Claims - Insurance Institute of America Preferred
An insurance/claims adjuster license may be required for claims administration in specific states. Preferred
Travel Requirements
Claims field duties may involve company car usage and local travel to inspect accident scenes or first-party homeowner losses. (40% proficiency)
The starting pay range for this position is:
$44.66 - $59.47
Additionally, for full time positions, you will be eligible to participate in our incentive program based upon the achievement of organization, team and personal performance.
.
Remarkable benefits:
• Health coverage for medical, dental, vision
• 401(K) saving plans with company match AND Pension
• Tuition assistance
• Floating holidays and PTO for community volunteer programs
• Paid parental leave
• Wellness programs
• 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).
$44.7-59.5 hourly Auto-Apply 20d ago
Claims Investigator - Experienced
Command Investigations
Claims representative job in San Diego, CA
Job DescriptionCLAIMS INVESTIGATOR Seeking an experienced investigator with multi-lines investigations to include W/C and P&C experience. SIU experience is also 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 highly needed.
Must have reliable transportation, along with own digital recorder and 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:
W/C and P&C 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)
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$43k-59k yearly est. 26d ago
Daily Property Field Adjuster
Alacrity Solutions
Claims representative job in San Diego, CA
Job Description
Alacrity Solutions
Independent Contractor
Daily Property Field Adjuster
Alacrity Solutions is a full end-to-end provider delivering streamlined insurance claims, repair, and recovery solutions. As one of the largest independent providers of insurance claims services in North America, we provide property, auto, heavy equipment, and casualty claims management services. Our staffing capabilities, temporary housing services, managed repair network, and subrogation services support a fully integrated solution for all your needs from first notice of loss through completion of repairs. By assembling the best service providers through strategic acquisitions and relying on the right talent, Alacrity Solutions provides consistent, professional, and scalable services throughout the entire claim handling and resolution process. To learn more, visit **************************
The objective of a Daily Property Field Adjuster is to provide excellent claim handling services for our clients regarding daily claim work within your area which can include multiple perils.
Contract Requirements Include:
A contract will be issued within 24 hours of accepting your first claim assignment with Alacrity. This IA contract will include pay details and other pertinent information regarding your work as an independent contract with Alacrity. A completed contract is required to issue pay.
Skills & Requirements/Licensure:
MUST live within 50-100 miles of posted location and willing to travel to location.
Minimum 2-3 years property field adjusting experience.
Independent adjusting license in your home state (area of work), or a designated home state license if residing in a non-licensing state.
Experienced in wind, hail, theft, fire, water losses and other perils preferred.
Have reliable transportation, computer, digital camera, ladder, and other miscellaneous items necessary to perform adjuster responsibilities.
Willing and able to climb roofs.
Computer and Phone System Requirements:
Smart Cell Phone able to access to internet.
Xactimate and/or Symbility proficient with current subscription
Working Laptop computer with reliable high-speed internet
Digital camera and other miscellaneous items necessary to perform adjuster responsibilities.
Working Conditions / Physical & Mental Demands:
The physical demands described here are representative and must be met by the independent contractor to successfully perform this job.
100% travel is required within designated working territory based on the location of assignments received.
Normal office or field claims environment. Ability to operate a motor vehicle for up to 8 hours daily, repeatedly entering and exiting the vehicle. Must be able to make physical inspections of auto loss sites. Must be able to work outdoors in all types of weather. Available to work catastrophic loss events. A willingness to work irregular hours and to travel with possible overnight requirements a plus.
Why Choose Alacrity?
Flexibility: Self-determined Scheduling
Diversity Statement
Alacrity is an equal opportunity employer and is committed to providing employees with a work environment free of discrimination and harassment. All decisions pertaining to an employee's employment are made without regard to race, color, religion, sex (including sexual orientation, pregnancy, childbirth), gender, gender identity or expression, age, national origin, ancestry, physical or mental disability, medical condition, reproductive health decisions, veteran's status, genetic information, creed, marital status, disability, citizenship status, or any other characteristic protected by applicable law.
How Long We Retain Personal Information:
We will keep your personal information for as long as necessary to fulfill legitimate business purposes and in accordance with applicable laws.
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$53k-71k yearly est. 17d ago
Field Adjuster
Heritage Mga LLC
Claims representative job in San Diego, CA
Field Adjuster - Complex Field Specialist
This is a remote role, must be based in Southern California, ideally San Diego area.
Analyzes and reviews claims for accuracy, completeness and eligibility. Resolves claims by investigating losses, calculating and negotiating settlements. Prepares and maintains reports and records for processing.
Investigates, evaluates, reserves, negotiates and settles assigned claims in accordance with Best Practices. Provides quality claim handling and superior customer service on assigned claims, while engaging in indemnity and expense management. Promptly manages claims by completing essential functions including contacts, investigation, damages development, evaluation, reserving, and disposition.
Essential Duties and Responsibilities:
• Follow and maintain claims management guidelines to determine insurance coverage by examining claims
forms, policies, and other records as appropriate.
• Perform detailed investigations by coordinating field audits, and performing in-depth interviews both telephone
and in person to research claims. Resolves claims by comparing claim information with evidence obtained to
determine eligibility.
• Settles claim by determining insurance carrier's liability and negotiating agreement with appropriate parties
according to company policy provisions
• Collects, updates and maintains all claim documentation including statements, pictures, reports, estimates, etc.
and verifies the accuracy and completeness of claim forms.
• Reports on pending claims and findings to the Claims Manager
• Provide updates on customer problems and safety or policy violations. Responds to inquiries and requests for
information from customers and staff.
• Identifies exposures to the company and facilitates senior-level management's knowledge of pending claims and
litigation that may have an adverse impact on the corporate goals.
• Acts as the liaison to attorneys, insurance companies and individuals investigating any incidents that may result
in asset loss.
• Travels within an assigned region in the course of processing claims.
• Maintains the integrity of the company and products offered by complying with federal and state regulations as
well as company policies and procedures.
• Communicates with co-workers, management, clients, vendors, and others as needed in a courteous and
professional manner.
• Maintains the integrity of the company and products offered by complying with federal and state regulations as well
as company policies and procedures.
• May perform other duties and responsibilities as assigned.
Job Qualifications:
• A High School Diploma or equivalent is required; Associate's Degree preferred. A combination of education and
significant directly related experience may be considered in lieu of degree.
• 620 Licensure required.
• Three to five years of experience processing claims; in the property and casualty segment preferred.
• Demonstrated ability to research, conduct proactive investigations and negotiate successful resolutions.
• Proficiency with Microsoft Office products required; claims software and internet research tools preferred.
• Experience with Xactware products preferred.
• Demonstrate customer service focus / superior customer service skills.
• Ability to work in a fast paced environment; ability to multitask.
• Collaborative partner; ability to contribute to a positive work environment.
• Excellent communication skills and ability to interact on a professional level with internal and external personnel
• Results driven with strong problem solving and analytical skills.
• Ability to work independently in a fast paced environment; meets deadlines, and manages changing priorities
effectively.
• Detail-oriented and exceptionally organized
• Collaborative partner; ability to contribute to a positive work environment.
• Ability to climb, kneel, and crawl required; may worked in confined spaces. Ability to lift and move items up to
30 lbs. alone; more with assistance from a partner.
This position is based within an assigned region; travel throughout the region is required with occasional travel to locations beyond the assigned region. Company paid pre-employment drug test and health screening required
General Information:
All employees must pass a pre-employment background check. Other checks may be needed based on position: driving history, credit report, etc.
The preceding has been designed to indicate the general nature of work performed; the level of knowledge and skills typically required; and usual working conditions of this position. It is not designed to contain, or be interpreted as, a comprehensive listing of all requirements or responsibilities that may be required by employees in this job. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.
Heritage Insurance Holdings, Inc. is an Equal Opportunity, Affirmative Action Employer. We will not discriminate unlawfully against qualified applicants or employees with respect to any term or condition of employment based on race, color, national origin, ancestry, sex, sexual orientation, age, religion, physical or mental disability, marital status, place of birth, military service status, or other basis protected by law.
$53k-71k yearly est. Auto-Apply 60d+ ago
Claims Examiner/Associate Claims Examiner
Berkley 4.3
Claims representative job in San Diego, CA
Company Details
Preferred Employers Insurance, A Berkley Company
specializes in providing workers' compensation insurance to California business owners. The company serves three major Product/Client Segments: Small Business, Mid-Larger Businesses and Group Association Members (Programs). The company's distribution partners (agents & brokers) number just under 400 locations throughout the state. Preferred serves thousands of policyholders and provides medical claims handling and claims management as needed to care for injured workers. The company is rated
A+ Superior
by industry-rating organization, AM Best & Company.
Company URL: *********************
The company is an equal opportunity employer.
Responsibilities
Preferred Employers Insurance is entering an exciting chapter of growth, and our Claims team will play a pivotal role in shaping our success in the year ahead. We're looking for passionate professionals to join us in delivering exceptional service and results.
Opportunities:
Experienced Claims Adjusters & Senior Adjusters - Bring your expertise and make an immediate impact.
Associate Claims Examiner (ACE) - Ideal for high-potential individuals with little to no prior claims experience who are eager to learn and grow.
If you're ready to be part of a dynamic team and help shape the future of our organization, we'd love to hear from you!
Our Claims team manages workers' compensation claims with integrity, accuracy, and a commitment to exceptional service. Whether you're an experienced examiner or just starting your career, you'll play a key role in ensuring timely and fair resolution of claims in compliance with California WCAB rules and regulations.
For Experienced Claims Examiners:
Analyze and process workers' compensation claims, determining coverage, compensability, and exposure.
Negotiate settlements within authority limits and manage litigation when necessary.
Calculate and assign reserves; ensure reserve adequacy throughout the life of the claim.
Prepare state filings and manage vendor referrals for investigations or litigation.
Actively pursue recoveries, including subrogation and other offsets.
Maintain professional relationships and deliver consistent, high-quality claims service.
For Associate Claims Examiners:
Participate in comprehensive training on workers' compensation laws and claims handling.
Handle medical-only and minor indemnity claims under supervision.
Conduct three-point contact investigations and determine compensability for uncomplicated claims.
Develop action plans and manage claims to timely resolution.
Provide excellent customer service and complete work queues and diaries promptly.
Qualifications
Experienced Examiners:
Bachelor's degree preferred
1-10 years of workers' compensation claims experience
Professional certification as applicable
Strong negotiation, analytical, and communication skills
Associate Examiners:
Bachelor's degree preferred
Strong written/verbal communication and organizational skills
Analytical mindset and eagerness to learn
PC literate
Additional Company Details We do not accept any unsolicited resumes from external recruiting agencies or firms.
The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include:
• Base Salary Range: $60,000 - $116,000
• Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.
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.
Claims Supervisor, Workers' Compensation (CA Expertise Required)
Cannon Cochran Management 4.0
Claims representative job in San Diego, CA
Workers' Compensation Claim Supervisor
Schedule: Monday-Friday, 8:00 AM-4:30 PM PST Salary Range: $98,000-$110,000 annually Direct Reports: 2-6 adjusters
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 Supervisor with California jurisdiction expertise to remotely lead a team of adjusters out of our Las Vegas, NV branch. This role is critical in ensuring claims are handled accurately, efficiently, and in compliance with client and regulatory requirements. You'll provide clear guidance and direction throughout the lifecycle of each claim, while mentoring and developing your team for long-term success.
Responsibilities
• Oversee proper handling of WC claims to protect the interests of the adjuster, client, and carrier
• Review claim files regularly and provide direction on complex or litigated matters
• Assist with reserve accuracy and compliance with client handling instructions
• Participate in claim reviews and ensure adherence to jurisdictional laws and best practices
• Recruit, train, and mentor staff; conduct performance reviews and manage PIPs
• Address personnel issues and manage administrative responsibilities
• Ensure compliance with carrier/state reporting requirements
Qualifications
What You'll Bring
Required:
• 10+ years of WC claims experience (California jurisdiction)
• Prior experience adjusting WC claims from start to resolution
• CA SIP designation or CAClaims Certificate (or ability to obtain within 60 days)
• Strong leadership, communication, and organizational skills
Preferred:
• 3+ years of supervisory experience
• Bilingual (English/Spanish) communications skills ) - This role may involve communicating with injured workers, employers, or vendors where Spanish-language skills are beneficial but not required.
• Proficiency in Microsoft Office and claims systems
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 claimrepresents 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 #ClaimsLeadership #WorkersCompensationJobs #InsuranceCareers #HybridWork #RemoteJobs #CaliforniaJobs #EmployeeOwned #GreatPlaceToWork #CareerWithPurpose #JoinOurTeam #TPACareers #CCMSICareers #WorkersCompensation #WCSupervisor #ClaimsSupervisor #ClaimsLeadership #ClaimsManagement #RemoteJobs #RemoteLeadership #CaliforniaWorkersComp #CAClaims #CAAdjusters #WorkersCompSupervisor #LI-Hybrid #LI-Remote
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$98k-110k yearly Auto-Apply 6d ago
Complex Commercial Construction Defect Claim Representative
The Travelers Companies 4.4
Claims representative job in San Diego, 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
$94,400.00 - $155,800.00
Target Openings
1
What Is the Opportunity?
This role is eligible for a sign-on bonus of up to $20,000.
This position is hybrid (3 days in office, 2 days remote).
Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned Specialty Liability Bodily Injury and Property Damage claims. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. Provides consulting and training resources, and serves as a contact and technical resource to the field and our business partners. This job does not manage staff.
What Will You Do?
* Directly handles assigned severity claims.
* Provides quality customer service and ensures quality and timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case.
* Consults with Manager on use of Claim Coverage Counsel as needed.
* Directly investigates each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Interview witnesses and stakeholders; take necessary statements, as strategically appropriate.
* Actively engages in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts.
* Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damage documentation.
* Maintains claim files and documents claim file activities in accordance with established procedures.
* Utilizes evaluation documentation tools in accordance with department guidelines.
* Proactively creates Claim File Analysis (CFA) by adhering to quality standards.
* Utilizes diary management system to ensure that all claims are handled timely.
* At required time intervals, evaluate liability & damages exposure.
* Establishes and maintains proper indemnity and expense reserves.
* Recommends appropriate cases for discussion at roundtable.
* Attends and/or present at roundtables/ authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense.
* Actively and enthusiastically shares experience and knowledge of creative resolution techniques to improve the claim results of others.
* Applies the Company's claim quality management protocols and Best Practices to all claims; documents the rationale for any departure from applicable protocols with or without assistance.
* Develops and employ creative resolution strategies.
* Responsible for prompt and proper disposition of all claims within delegated authority.
* Negotiates disposition of claims with insureds and claimants or their legal representatives.
* Recognizes and implements alternate means of resolution.
* Manages litigated claims. Develops litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers.
* Applies litigation management through the selection of counsel, evaluation and direction of claim and litigation strategy,
* Tracks and controls legal expenses to assure cost-effective resolution.
* Effectively and efficiently manage both allocated and unallocated loss adjustment expenses.
* Perform other duties as assigned.
What Will Our Ideal Candidate Have?
* Bachelor's Degree.
* 5 years equivalent business experience.
* Advanced level knowledge and skill in claim and litigation.
* Basic working level knowledge and skill in various business line products.
* Strong negotiation and customer service skills.
* Skilled in coverage, liability and damages analysis and has a thorough understanding of the litigation process, relevant case and statutory law and expert litigation management skills.
* Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims.
* Able to make independent decisions on most assigned cases without involvement of supervisor.
* Openness to the ideas and expertise of others actively solicits input and shares ideas.
* Thorough understanding of commercial lines products, policy language, exclusions, ISO forms, and effective claims handling practices.
* Demonstrated coaching, influence and persuasion skills.
* Advanced written and verbal communication skills are required so as to understand, synthesize, interpret and convey, in a simplified manner, complex data and information to audiences with varying levels of expertise.
* Can adapt to and support cultural change.
* Strong technology aptitude; ability to use business technology tools to effectively research, track, and communicate information.
* Analytical Thinking - Advanced.
* Judgment/Decision Making - Advanced.
* Communication - Advanced.
* Negotiation - Advanced.
* Insurance Contract.
* Knowledge - Advanced.
* Principles of Investigation - Advanced.
* Value Determination - Advanced.
* Settlement Techniques - Advanced.
* Legal Knowledge - Advanced.
* Medical Knowledge - Intermediate.
What is a Must Have?
* High School Degree or GED.
* 3 years of liability claim handling experience and/or comparable litigation claim experience.
* In order to perform the essential job functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements.
* Generally, license(s) are required to be obtained within three months of starting the job.
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 *********************************************************
$41k-54k yearly est. 48d ago
Senior Claims Examiner
Insurance Company of The West
Claims representative job in San Diego, CA
Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our journey as we strive to transform the insurance carrier space. We're proud to be in business for over 50 years, and its change agents like yourself that will help us continue to deliver our mission to create the best insurance experience possible.
Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. It's our team members who make us an employer of choice and the vibrant company we are today. We strive to make both our internal and external communities better everyday! Learn more about why you want to be here!
PURPOSE OF THE JOB
The Senior Claims Examiner handles moderate to complex claims with a focus on providing the highest level of service for policyholders and ICW Group to independently bring claims to an equitable conclusion within Company standards and best practice guidelines. The Senior Claims Examiner works with a sense of urgency, understands insurance coverage concepts, and navigates the legal system with the support of counsel to drive strategic outcomes.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Manages all aspects of a complex Californiaclaims inventory.
Effectively communicates with policyholders, agents, attorneys, and witnesses to gather information and provide the highest possible level of customer service.
Promptly investigates claims to determine exposure, works with appropriate experts and makes strategic recommendations.
Utilizes appropriate resolution tactics (e.g., mediation, negotiation, denial, litigation or offer) to proactively drive outstanding results.
Operates within the requirements of related state and/or the governing entity rules and regulations as well as internal claims handling policies and procedures.
Directs defense counsel throughout the litigation process in line with ICW litigation guidelines while monitoring legal fees and costs.
Additional Responsibilities:
Consistently provides exceptional customer service.
Effectively collaborates with team members from various departments for project and process discussions.
Acts as a Subject Matter Expert for the department.
Makes recommendations for streamlining processes and adopting the industry's best practices.
Ensures accuracy of data in claims system for compliance with applicable regulatory reporting.
Provides knowledge transfer across the organization.
Continuously seeks to improve technical skills by attending job related training and tracking current case law.
Acts as a mentor and provides training for less experienced team members.
Prepares and presents claims status reports for internal and external stakeholders.
Administers timely and appropriate benefits to injured workers; manages and approves payment of benefits within designated authority level. Works within applicable state rules, regulations as well as ICW Group's internal claims handling policies and procedures.
Creates and adjusts reserves in a timely manner to ensure reserving activities are consistent with company policies.
Resolves claims fairly and equitably, acting in the best interest of the insured while providing timely benefits to injured workers as required by law.
SUPERVISORY RESPONSIBILITIES
This position has no supervisory responsibility but will serve as a technical leader.
EDUCATION AND EXPERIENCE
Bachelor's degree from an accredited institution (or equivalent education and experience) along with 5+ years of related claims experience.
CERTIFICATES, LICENSES, REGISTRATIONS
Workers' Compensation:
Certification that meets the minimum standards of training, experience, and skill required. WCCA and WCCP preferred. State Workers Compensation License is required in some branches.
KNOWLEDGE AND SKILLS
Good understanding of laws and jurisdictional restraints to manage claims. Excellent verbal communication skills, time management, attention to detail and organizational skills required. Ability to read, analyze, and interpret technical journals, financial reports, and legal documents. Ability to write reports, business correspondence, and procedure manuals. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to effectively present information at meetings, to management and clients. Must be adept at learning new technology and embrace change.
PHYSICAL REQUIREMENTS
Office environment - no specific or unusual physical or environmental demands and employees are regularly required to sit, walk, stand, talk, and hear.
WORK ENVIRONMENT
This position operates in an office environment and requires the frequent use of a computer, telephone, copier, and other standard office equipment.
We are currently not offering employment sponsorship for this opportunity
#LI-ET1 #LI-Hybrid
The current range for this position is
$68,481.25 - $115,489.01
This range is exclusive of fringe benefits and potential bonuses. If hired at ICW Group, your final base salary compensation will be determined by factors unique to each candidate, including experience, education and the location of the role and considers employees performing substantially similar work.
WHY JOIN ICW GROUP?
• Challenging work and the ability to make a difference
• You will have a voice and feel a sense of belonging
• We offer a competitive benefits package, with generous medical, dental, and vision plans as well as 401K retirement plans and company match
• Bonus potential for all positions
• Paid Time Off with an accrual rate of 5.23 hours per pay period (equal to 17 days per year)
• 11 paid holidays throughout the calendar year
• Want to continue learning? We'll support you 100%
ICW Group is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. ICW Group will not discriminate against an applicant or employee on the basis of race, color, religion, national origin, ancestry, sex/gender, age, physical or mental disability, military or veteran status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state or local law.
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Job Category
Claims
$68.5k-115.5k yearly Auto-Apply 48d ago
Claims Investigator - Experienced
Command Investigations
Claims representative job in San Diego, CA
CLAIMS INVESTIGATOR Seeking an experienced investigator with multi-lines investigations to include W/C and P&C experience. SIU experience is also 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 highly needed.
Must have reliable transportation, along with own digital recorder and 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:
W/C and P&C 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)
How much does a claims representative earn in La Mesa, CA?
The average claims representative in La Mesa, CA earns between $31,000 and $58,000 annually. This compares to the national average claims representative range of $28,000 to $53,000.
Average claims representative salary in La Mesa, CA
$42,000
What are the biggest employers of Claims Representatives in La Mesa, CA?
The biggest employers of Claims Representatives in La Mesa, CA are: