P&C Claims Specialist

4 days ago


Orange, California, United States Foundation Risk Partners Full time
Job Summary

This role involves managing claims to minimize costs for our customers while adhering to relevant statutes, rules, and regulations. The successful candidate will understand the differences between working for a carrier and a broker, and will be able to advocate for our clients' interests.

Key Responsibilities
  • Timely acknowledgement of claims
  • Review and determination of coverage
  • Initial contact with insured or their representatives
  • Check and work diary daily
  • Timely input of file notes
  • Assist with determination of liability and damages
  • Ongoing contact and communication with insured and claimant
  • Assist in the direction of defense counsel and expert witnesses
  • Claim reviews and reporting
  • Assist with negotiation of settlements
  • Concluding claim
Requirements
  • 5+ years of prior P&C experience
  • Basic knowledge of CA law
  • Proficient skill in Microsoft Office product
  • Education - High School Diploma, Bachelor's Degree preferred
Compensation

The salary range for this position is $85,000-$110,000 USD. Actual salaries will vary based on factors including performance, location, and experience.

Disclaimer

Management reserves the right to modify, add, or remove duties from particular jobs and to assign other duties as necessary.

Equal Employment Opportunity (EEO)

FRP provides equal employment opportunity to qualified persons regardless of race, color, sex, religion, national origin, age, sexual orientation, gender identity, disability, veteran status, or any other classifications protected by law.

Benefits

FRP offers a comprehensive range of health-related benefit options including medical, vision, and dental. We offer a 401(k) with company match, company paid life insurance, STD, LTD and a generous PTO policy starting at 18 days per year plus 10 paid holidays & 2 floating holidays.



  • Orange, California, United States Sedgwick Claims Management Services Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Claims Assistant to provide support to our claims staff and perform other office tasks as needed.Key ResponsibilitiesClaims Setup and Entry: Set up and enter new claims into our claims management system.Claims Review and Input: Review and input notes and diaries in the claims management...


  • Orange, California, United States Sedgwick Claims Management Services Full time

    Position Overview:As a vital member of the claims team, you will assist in the management of workers' compensation claims, ensuring efficient processing and support for our clients.Key Responsibilities:Initiate and input new claims into the claims management system.Review and update notes and diaries related to claims.Provide administrative support to claims...


  • Orange, California, United States Sedgwick Claims Management Services Full time

    Position Overview: As a vital member of the claims team, the individual will assist in various administrative functions to ensure efficient claims processing. Key Responsibilities: Establish and input new claims into the claims management system accurately.Review and document notes and diaries related to claims.Support the claims staff with additional office...


  • Orange, California, United States Sedgwick Claims Management Services Full time

    Position Overview:As a vital member of the claims team, you will provide essential support to ensure efficient processing of workers' compensation claims. Your role will encompass various administrative tasks tailored to meet the needs of our clients.Key Responsibilities:Initiate and input new claims into the claims management system with accuracy.Review and...


  • Orange, California, United States Sedgwick Claims Management Services Full time

    Job SummaryWe are seeking a skilled Workers Compensation Claims Associate to join our team at Sedgwick Claims Management Services.Key ResponsibilitiesAnalyze reported lower-level workers compensation claims to determine benefits due.Ensure ongoing adjudication of claims within company standards and industry best practices.Adjust medical-only workers...


  • Orange, California, United States Manpower Group Inc. Full time

    Job Title: Liability Claims SpecialistLocation: California (Remote and In-Office)Employment Type: Temporary to Hire, Hybrid (3 days remote, 2 days in-office)Shift: 8:00 AM - 5:00 PMCompensation: $43.57/hrPosition Overview:The Liability Claims Specialist will be responsible for managing litigated and intricate non-litigated claims that involve significant...


  • Orange, California, United States Experis Full time

    Job Title:Indemnity Claims SpecialistLocation:Remote position available for candidates located in CaliforniaContract Duration:4+ months on W2Pay Rate:$38 per hour_________________________________________________________Primary Purpose:Evaluate mid- to advanced-level indemnity claims, ascertain entitlements, and ensure continuous adjudication in alignment...


  • Orange, California, United States Intercare Insurance Full time

    Job Description**Job Summary:**As a Workers Compensation Claims Specialist at Intercare Insurance, you will play a critical role in managing and resolving workers' compensation claims in a timely and efficient manner. This position requires a high degree of claims handling expertise, including experience in managing indemnity cases with complex or high...


  • Orange, California, United States Prospect Medical Holdings Full time

    Job Title: Medical Claims ExaminerAt Prospect Medical Holdings, we are seeking a highly skilled Medical Claims Examiner to join our team. As a Medical Claims Examiner, you will play a critical role in ensuring the accuracy and timeliness of claims processing.Responsibilities:Apply claim processing experience to audit and analyze all levels of claims...


  • Orange, California, United States Astiva Health, Inc Full time

    Job Title: Claims Auditor/RecoveryTarget Compensation Range: $90,000 - $120,000/year, depending on the level of relevant qualifications and experience.About Us:Astiva Health, Inc. is a leading healthcare organization focused on Medicare and HMO services. We are dedicated to providing comprehensive care that meets the diverse needs of our community,...


  • Orange, California, United States Astiva Health, Inc Full time

    Job Title: Claims Auditor/RecoveryAstiva Health, Inc. is seeking a skilled Claims Auditor/Recovery to join our team in Orange, CA. As a Claims Auditor/Recovery, you will be responsible for ensuring claims are processed in accordance with P&P and Medicare Guidelines.Key Responsibilities:Ensure claims are processed accurately and efficiently.Provide support to...


  • Orange, California, United States Sedgwick Full time

    At Sedgwick, we prioritize the well-being of our team members. Our culture is built on a foundation of care, flexibility, and support for your professional and personal needs. We believe in fostering an environment where you can thrive, both in your career and in your life. Joining Sedgwick means engaging in meaningful work that positively impacts the lives...


  • Orange, California, United States Sedgwick Full time

    Job SummarySedgwick is seeking a skilled Claims Examiner Workers Compensation to join our team. As a Claims Examiner Workers Compensation, you will play a critical role in analyzing complex workers' compensation claims and determining benefits due. Your expertise will be essential in managing claims through well-developed action plans to achieve timely and...


  • Orange, California, United States Sedgwick Full time

    About the RoleWe are seeking a skilled Claims Associate Workers Compensation to join our team at Sedgwick. As a Claims Associate Workers Compensation, you will play a critical role in analyzing reported lower-level workers compensation claims to determine benefits due and ensuring ongoing adjudication of claims within company standards and industry best...


  • Orange, California, United States Sedgwick Full time

    Job SummarySedgwick is seeking a skilled Claims Examiner Workers Compensation to join our team. As a Claims Examiner Workers Compensation, you will play a critical role in analyzing complex workers' compensation claims and determining benefits due. Your expertise will be essential in managing claims through well-developed action plans to achieve timely and...

  • Claims Examiner

    22 hours ago


    Orange, California, United States Cynet Systems Full time

    Job Title: Claims ExaminerJob Summary:Cynet Systems is seeking a skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for analyzing and processing complex workers' compensation claims, investigating and gathering information to determine exposure, and managing claims through well-developed action plans to achieve timely and...

  • Claims Auditor

    2 days ago


    Orange, California, United States Prospect Medical Holdings Full time

    Job SummaryThe Claims Auditor plays a critical role in ensuring the accuracy and timeliness of claims adjudication. This individual will lead the analysis and monitoring of trends identified through the audit process, applying claim and/or inquiry processing experience to audit and analyze simple to advanced-level claims processing procedures and...

  • Claims Examiner

    3 weeks ago


    Orange, California, United States BCForward Full time

    Job OpportunityWe are seeking a highly motivated Claims Examiner - Workers Compensation to join our team at BCForward.Job Summary:As a Claims Examiner - Workers Compensation, you will be responsible for examining and processing workers' compensation claims in a timely and efficient manner. You will work closely with our clients to understand their needs and...

  • Claims Assistant

    6 days ago


    Orange, California, United States Sedgwick Full time

    About SedgwickSedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Our mission is to help organizations protect their employees, customers, and assets, while also providing a positive and supportive work environment for our colleagues.Job SummaryWe are seeking a highly motivated and detail-oriented...

  • Claims Assistant

    3 days ago


    Orange, California, United States Sedgwick Full time

    About the RoleSedgwick is seeking a Claims Assistant to join our team in Orange, CA. As a Claims Assistant, you will play a vital role in supporting our claims staff and performing various office tasks.Key ResponsibilitiesSet up and enter new claims into our claims management system.Input and review notes/diaries in the claims management system as...