Claims Manager

3 weeks ago


Los Angeles, United States Frederick Fox Full time

MUST LIVE IN CALIFORNIA - ROLE IS REMOTE

Must Have Must be a current resident of either CA or TX. Minimum of 5 years of claims management experience. Significant experience with CA auto claims, preferably non-standard auto. Must have a current CA adjusting license. Must have a valid passport and be willing to travel, including international travel. Selling point Fastest growing auto insurer in the country, opportunity for growth and stability, growing service lines into multiple new states in coming years and will lead the Product team

Under moderate supervision of Management, the Claims Supervisor performs the essential functions of the position, which includes but is not limited to supervising a team of Claims Representatives and Claims Support Specialists. Ensure that the team meets service standards and performs essential functions at or above the quality and service standards of the Insurance Company.

Duties and Responsibilities

Review automobile claim investigations Make handling recommendations, and provide direction to subordinates Ensure ongoing adjudication of claims within company standards and industry best practices and regulations Determine, recommend and grant authority for settlement and payment processes Responsible for overall file handling and work product quality of subordinates Produce grammatically correct and clearly written correspondence including letters, memos, reports and claim file documentation Assist in the operations of the claims department, including making recommendations and implementing organizational structure adequate for achieving the department’s goals and objectives Maintain a documented system of claims policies, systems, procedures and workflows to ensure smooth operations Provide feedback to Management on process and system improvement initiatives for the department Report to Management as soon there is an awareness of any issues or concerns which may be detrimental to the department or Company; recommend policies and procedures to Management regarding quality issues that may arise Staff Training-Foster a highly focused training and development environment within the Claims Department Communicate and provide timely notification to the Human Resources Department for all things related to employee attendance, punctuality or possible leave related situations Provide timely and thorough documentation for all things related to employee performance, training, recognitions and/or coachings Evaluate subordinates’ performance and administer personnel actions as required in coordination with human resources department Ensure the Department has adequate scheduling, including time-off requests, work shift management, etc. Assist to identify, recruit, hire and develop top talent Ability to achieve targeted performance goals Maintain that sensitive information regarding employees and the Company is kept confidential Regular and predictable punctuality and attendance Other duties as necessary

#J-18808-Ljbffr


  • Manager, Claims

    18 hours ago


    Los Angeles, United States L.A. Care Health Plan Full time

    Press Tab to Move to Skip to Content Link Select how often (in days) to receive an alert: Manager, Claims Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11073 Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established...

  • Manager, Claims

    1 month ago


    Los Angeles, California, United States L.A. Care Health Plan Full time

    Salary Range: $102, Min.) - $132, Mid.) - $163, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...

  • Manager, Claims

    1 month ago


    Los Angeles, United States L.A. Care Health Plan Full time

    Job Summary The Manager, Claims directs the efforts of others in the achievement of the strategic, regulatory and operational objectives of the Health Plan. Provides direct supervision to a team of claims examiners, data entry clerks and claims assistants and continuously monitors department for compliance with regulatory requirements. Ensures all work...

  • Manager, Claims

    1 month ago


    Los Angeles, United States L.A. Care Health Plan Full time

    Salary Range:  $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.)   Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2...


  • Los Angeles, United States Zeeba Automotive Group Inc Full time

    Job Description Job Description Job Summary As an Insurance & Claims Manager, you will be Zeeba’s superstar insurance guru who will partner with our CX, Operations, and Sales departments to provide the best experience for our clients for insurance auto claims. The ideal candidate has experience negotiating and dealing with insurance providers, assessing...


  • Los Angeles, United States Zeeba Automotive Group Inc Full time

    Job Summary As an Insurance & Claims Manager, you will be Zeeba’s superstar insurance guru who will partner with our CX, Operations, and Sales departments to provide the best experience for our clients for insurance auto claims. The ideal candidate has experience negotiating and dealing with insurance providers, assessing accidents, providing comprehensive...


  • Los Angeles, United States Zeeba Automotive Group Inc Full time

    Job DescriptionJob DescriptionJob SummaryAs an Insurance & Claims Manager, you will be Zeeba’s superstar insurance guru who will partner with our CX, Operations, and Sales departments to provide the best experience for our clients for insurance auto claims. The ideal candidate has experience negotiating and dealing with insurance providers, assessing...

  • Claims Manager

    19 hours ago


    Los Angeles, United States Crum & Forster Full time

    Crum & Forster Company Overview: Crum & Forster (C&F) with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A" (Excellent) by AM Best and is proud of our superior customer service platform. Our claims and...

  • Claims Manager

    8 hours ago


    Los Angeles, United States Whiteboard Risk & Insurance Solutions Full time

    Job Description Job Description The Claims Manager will be responsible to act as a liaison for our clients in the management of Worker's Compensation claims. On behalf of the client, you will communicate (through phone and email as necessary) with doctors, insurance adjusters, Worker's Comp attorneys in order to use our process and strategies to get the best...


  • Los Angeles, United States Oliver James Associates Full time

    Job Summary: The position will be responsible managing our field claims process and supporting our claims team in the delivery of accurate and efficient claim outcomes with the highest levels of customer satisfaction. This role requires demonstrated experience in field claims management and all aspects of damage investigation, determination of causation,...

  • Claims Examiner

    1 month ago


    Los Angeles, United States MedPOINT Management Full time

    Job DescriptionJob Description Summary:Accurate review, input and adjudication of provider specialty claims, including UB04s, in accordance with outside regulations, internal production standards and the contractual obligations. Knowledge of medical terminology necessary. Strong knowledge of Commercial, Medicare and Medi-Cal codes. Basic PC knowledge with...

  • Claims Adjuster

    1 day ago


    Los Angeles, California, United States Insurance Placement Solutions Full time

    Insurance Placement Solutions has an immediate opening for a Remote Commercial Auto Bodily Injury/General Liability Claims Adjuster with our client. As a member of our client's claims team, utilize your knowledge of general liability to independently investigate, evaluate, and resolve assigned claims in order to achieve appropriate outcomes. In this...

  • Claims Examiner

    1 week ago


    Los Angeles, United States Experis Full time

    Job Title: Workers Compensation Claims Examiner 6 month Contract $45hr Location: Onsite preferred, Remote (within CA) or Hybrid consideredPRIMARY PURPOSE: Analyze mid- and higher-level workers' compensation claims to determine benefits due, ensure ongoing adjudication within company standards and industry best practices, and identify subrogation...


  • Los Angeles, United States KING'S INSURANCE STAFFING LLC Full time

    Our client, an A Rated Insurance Carrier, is expanding their Workers' Compensation business in the Western Region and seeking to add a Workers' Compensation Claims Manager. This person will be responsible for hiring and developing a team of Workers' Compensation Claims Adjusters (with a heavy emphasis in California). In addition, the Claims Manager will...

  • Claims Supervisor

    2 days ago


    Los Angeles, United States Carl Warren & Company Full time

    COMPANY OVERVIEW: Carl Warren is a nationwide Third-Party Administrator (TPA) with about 150 employees and 20 locations across the country. We provide liability and property claims management and administration services to the private and public sectors, insurance companies, and captives. At Carl Warren, we are committed to investing in our employees...

  • Claims Supervisor

    17 hours ago


    Los Angeles, United States Carl Warren & Company Full time

    COMPANY OVERVIEW:Carl Warren is a nationwide Third-Party Administrator (TPA) with about 150 employees and 20 locations across the country. We provide liability and property claims management and administration services to the private and public sectors, insurance companies, and captives.At Carl Warren, we are committed to investing in our employees’...

  • Claims Supervisor

    2 days ago


    Los Angeles, United States Carl Warren & Company Full time

    COMPANY OVERVIEW:Carl Warren is a nationwide Third-Party Administrator (TPA) with about 150 employees and 20 locations across the country. We provide liability and property claims management and administration services to the private and public sectors, insurance companies, and captives.At Carl Warren, we are committed to investing in our employees’...


  • Los Angeles, United States KING'S INSURANCE STAFFING LLC Full time

    Our client, an A Rated Insurance Carrier, is expanding their Workers' Compensation business in the Western Region and seeking to add a Workers' Compensation Claims Manager. This person will be responsible for hiring and developing a team of Workers' Compensation Claims Adjusters (with a heavy emphasis in California). In addition, the Claims Manager will...

  • Claims Specialist

    5 days ago


    Los Angeles, United States Talent Ocean Full time

    Responsible for comprehensive review, analysis, negotiation, and recommendations for resolution of design and construction claims. - Also responsible for developing and implementing claims avoidance strategies and claims mitigation measures. - Responsible for managing a team of claims specialists. Pay: $237,714.20 - $282,285.71 per year Work setting: -...


  • Los Angeles, United States MedPOINT Management Full time

    Job DescriptionJob DescriptionThe claims examiner is responsible for the adjudication of claims, in accordance with outside regulations and the contractual obligations of the Health Plans and/or the Hospital Client. Researches, reviews and contacts provider services for problem claims and issues, as needed. Suggests process improvements to management and is...