Liability Claims Specialist
2 weeks ago
Job Title: Liability Claims Specialist
Location: California (Remote and In-Office)
Employment Type: Temporary to Hire, Hybrid (3 days remote, 2 days in-office)
Shift: 8:00 AM - 5:00 PM
Compensation: $43.57/hr
Position Overview:
The Liability Claims Specialist will be responsible for managing litigated and intricate non-litigated claims that involve significant injuries, general liability, employment practice liability, and various legal conflicts. This role demands the formulation of strategies aimed at achieving favorable resolutions while adhering to client service standards.
Key Responsibilities:
- Review and process reports/forms; address inquiries; seek legal counsel and facilitate prompt resolutions.
- Oversee the litigation process for claims, ensuring compliance with defense counsel protocols and service expectations.
- Respond to legal decisions, agreements, and court directives, creating actionable plans as necessary.
- Identify claims that are amenable to early resolution.
- Collect and document supplementary information, collaborating with client representatives.
- Pinpoint issues and devise defense strategies in partnership with the defense team.
- Establish and modify accrued liabilities, and authorize legal expenditures.
- Recognize subrogation opportunities and manage relevant tenders.
- Participate in mediations, trials, arbitrations, or hearings as required (often via virtual platforms).
- Coordinate strategic discussions with the defense team, including authority deliberations and mock trial preparations.
Additional Responsibilities:
Perform other duties as assigned and contribute to the organization's quality initiatives.
Qualifications:
Must reside in California.
Education & Licensing:
High school diploma or GED required; Bachelor's degree from an accredited institution preferred; relevant professional certification is a plus.
Experience:
A minimum of five (5) years of experience in litigation management, including claims management or an equivalent combination of education and experience is required.
Skills & Knowledge:
- Proficient in legal documentation and discovery processes.
- Exceptional oral and written communication skills, including presentation capabilities.
- Skilled in Microsoft Office applications.
- Strong analytical and interpretive abilities.
- Excellent organizational, interpersonal, and negotiation skills.
- Able to work effectively within a team environment.
- Capable of meeting or exceeding service expectations and performance standards.
Work Environment:
Hybrid (combination of remote and in-office work).
Mental & Physical Requirements:
Clear and conceptual thinking ability; sound judgment, problem-solving skills, and discretion; ability to manage work-related stress, multiple priorities, and deadlines. Physical requirements include computer keyboarding and occasional travel as necessary.
About ManpowerGroup:
ManpowerGroup is a global leader in workforce solutions, dedicated to helping organizations adapt in a rapidly evolving work environment by sourcing, assessing, developing, and managing talent. We are committed to providing equal employment opportunities in a professional, high-quality work atmosphere.
-
Claims Support Specialist
2 weeks ago
Orange, California, United States Sedgwick Claims Management Services Full timePosition 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...
-
Claims Support Specialist
2 weeks ago
Orange, California, United States Sedgwick Claims Management Services Full timePosition 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...
-
Claims Support Specialist
2 weeks ago
Orange, California, United States Sedgwick Claims Management Services Full timePosition 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...
-
Indemnity Claims Specialist
2 weeks ago
Orange, California, United States Experis Full timeJob 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...
-
Workers Compensation Claims Specialist
3 days ago
Orange, California, United States Intercare Insurance Full timeJob 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...
-
Claims Review Specialist
2 weeks ago
Orange, California, United States Astiva Health, Inc Full timeJob 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,...
-
Claims Support Specialist
2 weeks ago
Orange, California, United States Sedgwick Full timeAt 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...
-
Claims Examiner
4 days ago
Orange, California, United States BCForward Full timeJob 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...
-
Eligibility Specialist I
2 weeks ago
Orange, California, United States Prospect Medical Holdings Full timePosition Overview The Eligibility Specialist is tasked with the monthly management of eligibility data files, alongside the necessary updates to the IDX system, which includes additions, modifications, and terminations. This role requires conducting thorough research and analysis on eligibility data. The ideal candidate will possess experience in verifying...
-
Lead Medical Billing and Coding Specialist
2 weeks ago
Orange, California, United States Insight Global Full timeInsight Global is seeking a Lead Medical Billing and Coding Specialist with expertise in outpatient clinic and infusion services.In this pivotal role, you will report directly to the CFO and be responsible for managing the claims and coding processes for clinical and infusion therapy services. Your key responsibilities will include:Claims Processing:...
-
Reimbursement Specialist
3 days ago
Orange, California, United States BMR Partners Inc. Full timeJob Title: Reimbursement SpecialistJob Summary:BMR Partners Inc. is seeking a highly skilled Reimbursement Specialist to join our team. As a Reimbursement Specialist, you will play a critical role in ensuring timely and accurate claim submissions to all payers, maintaining the confidentiality of patients/customers and their personal information, and...
-
Corporate Safety Director
3 days ago
Orange, California, United States KDC Construction Full timeJob SummaryWe are seeking a highly skilled and experienced Corporate Safety Director to join our team at KDC Construction. As a key member of our organization, you will be responsible for ensuring the company meets all safety expectations and actively supports Occupational Health and Safety.The successful candidate will oversee and direct the Safety Program...
-
Procurement and Construction Manager
5 days ago
Orange, California, United States Rust Resources Inc Full timeJob DescriptionOverview:The Contract Manager is responsible for rigorously managing all contracts for the engineering, procurement, and construction of a petrochemicals facility in the U.S. gulf coast. The role is responsible for the management of a major EPC Contract in the field through closeout.Locations/Timing:The Contract Manager will be located in The...
-
Human Resources Specialist
1 week ago
Orange, California, United States Citi Staff Full timeJob OverviewHuman Resources Specialist - Staffing SectorIn the staffing sector, client satisfaction is paramount. We seek an individual who comprehends the intricacies of this field and can adeptly manage its challenges.The Human Resources Specialist remains informed about updates in employment legislation and organizational policies, procedures, and...
-
Bilingual Chinese Disenrollment Specialist
1 month ago
Orange, California, United States Alignment Healthcare USA, LLC Full timeOverview of the Role: Alignment Health is seeking a bilingual Chinese (Mandarin or Cantonese) passionate, attentive, and customer-service oriented disenrollment specialist to join the member retention team.October through December during Annual Enrollment Period (AEP)Serve as a "subject matter expert" in escalated member calls at risk of disenrollment and be...
-
Bilingual Legal Support Specialist
1 week ago
Orange, California, United States Aoudi Law Firm Full timePosition OverviewThe selected candidate will be proficient in both Spanish and English. This position involves supporting the attorney and case manager with various responsibilities related to Worker's Compensation claims, as well as facilitating communication with opposing counsel, medical offices, and clients. Candidates should possess a solution-oriented...
-
Referral Nurse Specialist
6 days ago
Orange, California, United States Prospect Medical Holdings Full timeJob SummaryThe Referral Nurse Specialist is a key member of the Prospect Medical Holdings team, responsible for providing support to healthcare providers and ensuring seamless referrals for our patients.Key ResponsibilitiesReview Treatment Authorization Requests (TARs) and Cerecons requests for approval, modification, and denial, working closely with the...
-
Pastoral Care Specialist
6 days ago
Orange, California, United States Doncaster Council Full timeJob SummaryThe Pastoral Support Worker will provide early intervention to situations on site before they become bigger issues. This will involve problem-solving and seeking support from the team when needed.Key ResponsibilitiesProvide support and guidance to young people with specialist communication needs, including Deafness, Autism, and Learning...
-
Traveling Cath Lab Radiology Specialist
2 weeks ago
Orange, California, United States Lead Health Full timePosition Overview:Lead Health is currently seeking a skilled Cath Lab Radiology Specialist for a travel assignment. This role is crucial in providing exceptional patient care in various healthcare settings.Key Responsibilities:- Perform diagnostic and interventional procedures in the Cath Lab.- Collaborate with healthcare professionals to ensure optimal...
-
Senior Bilingual Customer Support Specialist
2 weeks ago
Orange, California, United States Cogent Infotech Corp Full timePosition: Senior Bilingual Customer Support SpecialistLocation: Orange, CADuration: TemporaryCompensation: $25-$28 per hourOverview:Cogent Infotech Corp is in search of a dedicated and skilled Senior Bilingual Customer Support Specialist to enhance our team. This role is pivotal in providing exceptional service to our members and healthcare providers,...