Insurance Claim Examiner

2 weeks ago


Anaheim, United States cesna Full time
Job DescriptionJob Description[Position]
Claims Examiner for Insurance Industry.

[About Our Client]
One of the largest non-life insurance companies based in South Korea. We currently writes all lines of property and casualty insurance in CA, NY, OH, IN, PA, TX and HI State.

Financial Ratings:
- A.M. Best Rating: A+ (Superior)
“Superior: A++ to A+ grade assigned to insurance companies that have superior ability to meet their financial obligations.” ?
- S&P Rating: A+ (Stable)
“The financial strength ratings reflect its very strong competitive position and lower adequate capital and earnings, excellent operating performance.”

[Job Description]
  • Handle Liability Claims, claims involving Commercial General Liability claims including Bodily Injury, Slip and Falls, Premise Liability and Auto Bodily Injury Liability, including litigation.
  • Manage and supervise TPA adjusters and outside vendors who directly handle the case.
  • Work proactively towards claims resolution with defense counsel
  • Determine if coverage applies for claims reported
  • Evaluate damages to ascertain compensation amount
  • Respond to claims calls and e-mails from agents and claimants
  • Negotiate claim settlements
  • Participate in claims related audits
  • Prepare detailed claim reports to management for additional authority or coverage issues with recommendation.?
  • Effectively manage and control litigation and claim expenses

[Qualifications]
-Over 5 years experience in an insurance company with regard to Commercial auto liability claims or Commercial general liability claims.
-Bachelor’s degree or equivalent professional work experience.
-Knowledge of Microsoft Office Suite as well as other business-related software.
-Capability to build and maintain positive relationships through teamwork.

[What's On Offer]
We offer competitive salary plus benefit package that includes health, vision, and dental insurance with 401K.
-Medical, Dental & Vision Insurance
-401(K)
-Paid Time Off Vacation
-Paid Sick Days

Powered by JazzHR

3W1by5Pt3W



  • Anaheim, United States DB Insurance Full time

    Company and Position Overview DB Insurance Co Ltd (US Branch) is looking for a full-time LIABILITY CLAIMS ADJUSTER/EXAMINER who has experience handling Commercial General Liability/Auto BI Liability claims. **About DB Insurance** DB Insurance Co., Ltd. Is one of the largest non-life insurance companies based in South Korea. DB Insurance Co., Ltd. (U.S....


  • Anaheim, United States Mahtani Insurance Services Full time

    Job DescriptionJob DescriptionMahtani Insurance Services is a long-term agency with a strong reputation for client and staff retention. We prioritize creating a family atmosphere where our team members feel supported and valued. With a clientele base consisting mostly of business owners, we thrive on referrals and maintain a tight-knit group culture. Our...


  • Anaheim, United States Healthcare Services, Inc. Full time

    Overview: The Financial Coordinator will be responsible for managing coordination of benefits (COB), assisting clients with insurance processes, and supporting billing operations. This role requires attention to detail, strong communication skills, and the ability to maintain confidentiality. **Responsibilities**: - **Complete Coordination of Benefits...

  • Ohs Medical Biller

    6 days ago


    Anaheim, United States Planned Parenthood of Orange and San Bernardino Counties Full time

    Additional Comp Info: Salary based on experience. Overview: Planned Parenthood of Orange and San Bernardino Counties has a** full-time hybrid (3 days in office) opportunity for a **OHS Medical Biller** in Anaheim, CA.** Assures timely eligibility for appointments, working with OHS dashboard, billing and reimbursement of clean claims, corrects denied claims,...


  • Anaheim, United States Aero Mobility, Inc. Full time

    Job DescriptionJob DescriptionPosition Summary: The Reimbursement Specialist performs administrative and reimbursement functions. Prepare and handle billing for accounts to ensure timely reimbursement. Identify insurance requirements including qualifications needed to ensure payor requirements are met. Verify balances and receipts of all cash payments....


  • Anaheim, United States Aero Mobility, Inc. Full time

    Job DescriptionJob DescriptionPosition Summary: The Reimbursement Specialist performs administrative and reimbursement functions. Prepare and handle billing for accounts to ensure timely reimbursement. Identify insurance requirements including qualifications needed to ensure payor requirements are met. Verify balances and receipts of all cash payments....


  • Anaheim, United States ALFEL RESOURCES INC Full time

    Job DescriptionJob DescriptionBenefits/PerksCompetitive CompensationGreat Work EnvironmentCareer Advancement OpportunitiesJob SummaryAre you looking to launch a career in medical billing? Whether you're an experienced medical biller or a newcomer to the field, if you have a strong eagerness to learn, we want to hear from you!We are seeking a motivated...


  • Anaheim, United States ALFEL RESOURCES INC Full time

    Job DescriptionJob DescriptionBenefits/PerksCompetitive CompensationGreat Work EnvironmentCareer Advancement OpportunitiesJob SummaryAre you looking to launch a career in medical billing? Whether you're an experienced medical biller or a newcomer to the field, if you have a strong eagerness to learn, we want to hear from you!We are seeking a motivated...


  • Anaheim, United States ALFEL RESOURCES INC Full time

    Job DescriptionJob DescriptionBenefits:401(k) matchingCompetitive salaryHealth insurancePaid time offBenefits/PerksCompetitive CompensationGreat Work EnvironmentCareer Advancement OpportunitiesJob SummaryAre you looking to launch a career in medical billing? Whether you're an experienced medical biller or a newcomer to the field, if you have a strong...


  • Anaheim, United States ALFEL RESOURCES INC Full time

    Job DescriptionJob DescriptionBenefits:401(k) matchingCompetitive salaryHealth insurancePaid time offBenefits/PerksCompetitive CompensationGreat Work EnvironmentCareer Advancement OpportunitiesJob SummaryAre you looking to launch a career in medical billing? Whether you're an experienced medical biller or a newcomer to the field, if you have a strong...

  • OHS Medical Biller

    Found in: beBee jobs US - 6 days ago


    Anaheim, United States Anaheim Admin Full time

    Planned Parenthood of Orange and San Bernardino Counties has a full-time hybrid (3 days in office) opportunity for a OHS Medical Biller in Anaheim, CA.Assures timely eligibility for appointments, working with OHS dashboard, billing and reimbursement of clean claims, corrects denied claims, appeals denied or delayed claims for OHS payers in order to receive...


  • Anaheim, United States All County Environmental Full time

    Job DescriptionJob DescriptionAll County Environmental & Restoration is seeking experienced candidates for Business Development Manager to join our growing team..The Business Development Manager will be responsible for generating new business opportunities by engaging with insurance companies, adjusters, and property owners. The ideal candidate will have a...

  • OHS Medical Biller

    Found in: beBee S US - 4 days ago


    Anaheim, United States Anaheim Admin Full time

    Planned Parenthood of Orange and San Bernardino Counties has a full-time hybrid (3 days in office) opportunity for a OHS Medical Biller in Anaheim, CA. Assures timely eligibility for appointments, working with OHS dashboard, billing and reimbursement of clean claims, corrects denied claims, appeals denied or delayed claims for OHS payers in order to...


  • Anaheim, United States KPC GLOBAL MEDICAL CENTERS INC. Full time

    Job DescriptionJob DescriptionHybrid $3,000 Sign-on BonusPatient Account Specialist I (Hospital or Healthcare Exp Req)Performs account follow up from third-party payers including traditional commercial insurance carriers, Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), EPO's, International Payers, Auto Liability and other...


  • Anaheim, United States KPC GLOBAL MEDICAL CENTERS INC. Full time

    Job DescriptionJob DescriptionHybrid $3,000 Sign-on BonusPatient Account Specialist I (Hospital or Healthcare Exp Req)Performs account follow up from third-party payers including traditional commercial insurance carriers, Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), EPO's, International Payers, Auto Liability and other...


  • Anaheim, United States Alfred A Sidhom M D Inc Full time

    **Benefits**: - Dental insurance - Health insurance - Vision insurance Back/Front Office Medical Assistant with Urology experience needed for busy Urology office located in Anaheim. Small 2 physician friendly office open since 1987 with a committed staff. **Responsibilities**: - The duties of this position will include: rooming patients, assisting during...

  • Dental Receptionist

    2 days ago


    Anaheim, United States Princess Dental Staffing Full time

    Our outstanding dental practice is seeking an exceptional Dental Receptionist / Front Desk for an opportunity to join our dedicated team. To promote optimal dental health and overall wellness through comprehensive, compassionate care, innovative treatments, and patient education, ensuring every smile shines with confidence and vitality." Dental...


  • Anaheim, United States Alfred A Sidhom M D Inc Full time

    Job DescriptionJob DescriptionBenefits:Dental insuranceHealth insuranceVision insurance Back/Front Office Medical Assistant with Urology experience needed for busy Urology office located in Anaheim. Small 2 physician friendly office open since 1987 with a committed staff. Responsibilities:The duties of this position will include: rooming patients, assisting...


  • Anaheim, United States MRG Exams Full time

    Are you a Licensed Audiologist looking to take on an assessment role?Would you find it rewarding to serve the Veteran community?We are looking for an Audiologist to perform medical assessments on United States Veterans as part of the VA's disability benefits process.The Veteran files the claim before they see you. All of their medical records are uploaded...


  • Anaheim, United States MRG Exams Full time

    Are you a Licensed Audiologist looking to take on an assessment role?Would you find it rewarding to serve the Veteran community?We are looking for an Audiologist to perform medical assessments on United States Veterans as part of the VA's disability benefits process.The Veteran files the claim before they see you. All of their medical records are uploaded...