Current jobs related to Claims Adjuster - Sacramento - Synectics

  • Claims Adjuster Specialist

    24 hours ago

    Sacramento, California, United States Cynet Systems Full time

    Job Summary:Cynet Systems is seeking a highly skilled and experienced Claims Adjuster to join our team. As a Claims Adjuster, you will be responsible for managing workers compensation claims, determining compensability and benefits due, and ensuring accurate reserve management.Key Responsibilities:Claims Management: Develop and manage action plans to...

  • Property Claims Adjuster

    23 hours ago

    Sacramento, California, United States American Family Insurance Full time

    Job SummaryWe are seeking a skilled Property Claims Adjuster to join our team at American Family Insurance. As a Property Claims Adjuster, you will be responsible for investigating and resolving property claims in a timely and professional manner.Key ResponsibilitiesInvestigate and Resolve Claims: Conduct thorough investigations of property claims, gathering...

  • Property Field Claims Adjuster

    3 days ago

    Sacramento, California, United States Alacrity Solutions Full time

    Company Overview Alacrity Solutions is a comprehensive provider offering seamless insurance claims, repair, and recovery solutions. As one of the leading independent firms in North America, we specialize in managing property, auto, heavy equipment, and casualty claims. Our extensive services include staffing capabilities, temporary housing solutions, a...

  • Senior Liability Claims Adjuster

    1 week ago

    Sacramento, United States Gallagherbassett Full time

    ** Senior Liability Claims Adjuster** **** New Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond...

  • Senior Liability Claims Adjuster

    3 months ago

    Sacramento, United States Gallagherbassett Full time

    ** Senior Liability Claims Adjuster** **** New Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond...

  • Property Claims Field Adjuster

    4 days ago

    Sacramento, California, United States Alacrity Solutions Full time

    Company OverviewAlacrity Solutions is a comprehensive provider specializing in the management of insurance claims, repairs, and recovery solutions. As one of the leading independent firms in North America, we offer a wide range of services including property, auto, heavy equipment, and casualty claims management. Our extensive capabilities encompass...

  • Property Claims Field Adjuster

    4 days ago

    Sacramento, California, United States Alacrity Solutions Full time

    Company OverviewAlacrity Solutions is a premier provider of comprehensive insurance claims, repair, and recovery services. As one of the leading independent firms in North America, we specialize in managing property, auto, heavy equipment, and casualty claims. Our extensive range of services includes staffing solutions, temporary housing, managed repair...

  • Claims Adjuster

    5 days ago

    Sacramento, United States BCforward Full time

    Claims Adjuster - Workers Compensation BCforward is currently seeking a highly motivated Claims Adjuster - Workers Compensation for an opportunity in South San Francisco CA 94080Position Title: Claims Adjuster - Workers Compensation Location: Sacramento, CA 95814 Anticipated Start Date: ASAP Please note this is the target date and is subject to change....

  • Claims Adjuster

    3 months ago

    Sacramento, United States Insurance Placement Solutions Full time

    Insurance Placement Solutions has an immediate opening for a Remote Workers Compensation Claims Adjuster with our client. As a member of our client’s claims team, utilize your knowledge of workers’ compensation to independently investigate, evaluate and resolve assigned claims in order to achieve appropriate outcomes. In this position, you will...

  • Claims Adjuster

    2 days ago

    Sacramento, United States Cynet Systems Full time

    Job Description: Pay Range: $47hr - $52hr Responsibilities: Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency. Develops and manages workers compensation claims' action plans to resolution, coordinates...

  • Claims Adjuster

    2 days ago

    Sacramento, United States NESCO Inc Full time

    SIP - Must live in California Position is remote but must live in CA. Min 3 years as indemnity examiner handling CA Claims WC experience required. PRIMARY PURPOSE: To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to...

  • Lead Claims Specialist

    1 week ago

    Sacramento, California, United States Ryder System, Inc. Full time

    Lead Claims Specialist at Ryder System, Inc. Location: Remote Overview The Lead Claims Specialist at Ryder System, Inc. plays a pivotal role in overseeing intricate bodily injury and property damage claims within the organization’s liability framework. This position entails thorough investigation, adjustment of claims, and management of...

  • Lead Claims Analyst

    1 week ago

    Sacramento, California, United States Ryder System, Inc. Full time

    Lead Claims Analyst at Ryder System, Inc. Location: Remote Overview The Lead Claims Analyst at Ryder System, Inc. plays a crucial role in overseeing intricate bodily injury and property damage claims within the organization's liability framework. This position requires thorough investigation, claim adjustment, and the management of various...

  • Daily Property Field Adjuster

    3 months ago

    Sacramento, United States Alacrity Solutions Full time

    Job DescriptionJob DescriptionAlacrity SolutionsIndependent ContractorDaily Property Field AdjusterAbout Alacrity SolutionsAlacrity 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,...

  • Liability Program Manager

    1 week ago

    Sacramento, United States TheBest Claims Solutions Full time

    Our client, a Third Party Administrator, is looking for a Liability Program Manager for a Direct Hire Opportunity reporting to their Fresno, CA office.Required Qualifications:5+ years of handling general liability for Public EntitiesDemonstrates extensive working knowledge of the tort and statutory laws and claims practicesAbility to handle complex liability...

  • MULTI-LINE ADJUSTER

    3 months ago

    Sacramento, United States Property Claim Professionals Full time

    Job DescriptionJob DescriptionA dynamic organization supplying quality claims outsource solutions to insurance carriers, countrywide is seeking multi-line adjusters in your area. There are many competing vendors in our marketplace, but we are not your typical “vendor”. Our company was built by insurance company claims executives to support insurance...

  • Senior Claims Representative

    3 months ago

    Sacramento, United States Ryder System, Inc. Full time

    RyderSenior Claims Representative - REMOTE Sacramento, CA, 94278, USA _Job Seekers can review the Job Applicant Privacy Policy by clicking HERE. ( Summary The Senior Claims Representative handles complex and mid-to-high exposure bodily injury and property damage claims under Ryder's self-administered liability program. This position...

  • Workers Compensation Claims Manager

    17 hours ago

    Sacramento, California, United States Cynet Systems Full time

    Job SummaryCynet Systems is seeking a highly skilled and experienced Claims Adjuster to join our team. As a Claims Adjuster, you will be responsible for managing workers compensation claims, determining compensability and benefits due, and ensuring accurate reserve management.Key ResponsibilitiesClaims Management: Manage workers compensation claims from...

  • High-Exposure Claims Investigator

    24 hours ago

    Sacramento, California, United States American Family Mutual Insurance Company Full time

    Job SummaryWe are seeking a highly skilled and experienced Large Loss Field Claims Adjuster to join our team at American Family Mutual Insurance Company. As a key member of our claims team, you will be responsible for investigating and resolving complex property claims, ensuring that our customers receive fair and timely settlements.Key...

  • Complex Property Claims Specialist

    18 hours ago

    Sacramento, California, United States American Family Mutual Insurance Company Full time

    Job SummaryWe are seeking a highly skilled and experienced Large Loss Field Claims Adjuster to join our team at American Family Mutual Insurance Company. As a key member of our claims team, you will be responsible for investigating and resolving complex property claims, ensuring that our customers receive fair and timely settlements.Key...

Claims Adjuster

1 month ago

Sacramento, United States Synectics Full time

Description :

  • To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.
  • Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files documentation with state agency.
  • Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.
  • Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
  • Manages subrogation of claims and negotiates settlements.
  • Communicates claim action with claimant and client.
  • Ensures claim files are properly documented and claims coding is correct.
  • May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
  • Maintains professional client relationships.
  • Supports the organization's quality program(s).
QUALIFICATIONS
  • Bachelor's degree from an accredited college or university preferred.
  • Four (4) years of claims management experience or equivalent combination of education and experience required.
  • Working knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business
  • Excellent oral and written communication, including presentation skills
  • PC literate, including Microsoft Office products
  • Analytical and interpretive skills
  • Strong organizational skill
  • Good interpersonal skills
  • Excellent negotiation skills
  • Ability to work in a team environment
  • Ability to meet or exceed Service Expectations
  • SIP a plus
  • Min 3+ years as indemnity examiner handling CA Claims WC experience required.
  • Prior public entity experience is preferred.

Benefits:

Healthcare Insurance: Synectics offers eligible employees and their dependents healthcare coverage through BlueCross BlueShield of Illinois. Eligibility begins on the 1st day of the calendar month following 60 days of continuous full time employment with Synectics. Premiums are subsidized by Synectics.

Dental Insurance: Synectics offers eligible employees and their dependents a dental plan through MetLife. Eligibility begins on the 1st day of the calendar month following 60 days of continuous full time employment with Synectics.

Vision Insurance : Synectics offers eligible employees vision insurance through VSP. Eligibility begins on the 1st day of the calendar month following 60 days of continuous full time employment with Synectics.401(k) Plan: The Synectics Inc. Investment Savings Retirement Plan. Synectics offers all employees who are 21 years of age or older the opportunity to invest in the 401(k) Plan on the first enrollment date that is at least 30 days after employment begins. Enrollment dates are each January 1st, April 1st, July 1st, and October 1st.

Technical Certification Bonus: Synectics is pleased to award its employees a bonus of up to $500 for an approved professional certification. In determining the bonus amount, Synectics will consider the cost of the test(s) for any certification relating to your current position, achieved during your employment with us. Only one Certification Bonus per calendar year may be awarded per employee. Only current, active employees will be eligible to receive this bonus. It will be awarded 90 days after the Synectics office has received documentation confirming the successful completion of the certification.

Synectics is an equal opportunity employer.