Senior Workers Compensation Claims Adjuster
2 days ago
We are seeking a highly skilled Senior Workers Compensation Claims Adjuster to join our team at Travelers Insurance. As a Senior Workers Compensation Claims Adjuster, you will be responsible for managing Workers' Compensation claims with lost time to conclusion and negotiating settlements where appropriate to resolve claims.
Key Responsibilities- Conduct investigations, including assessing policy coverage, contacting insureds, injured workers, medical providers, and other parties in a timely manner to determine compensability.
- Establish and update reserves to reflect claim exposure and document rationale.
- Manage files with an emphasis on file quality, including timely contact and proper documentation and proactive resolution of outstanding issues.
- Develop strategies to manage losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best possible outcome.
- Collaborate with our internal nurse resources (Medical Case Manager) in order to integrate the delivery of medical services into the overall claim strategy.
- Prepare necessary letters and state filings within statutory limits.
- Evaluate claims for potential fraud.
- Proactively manage inventory with documented plans of action to ensure timely and appropriate file closing or reassignment.
- Negotiate settlement of claims within designated authority.
- High school diploma or equivalent required.
- Minimum of 2 years Workers Compensation claim handling experience.
At Travelers Insurance, we offer a comprehensive benefits package, including health insurance, retirement plans, paid time off, and a wellness program. We are an equal opportunity employer and are committed to recruiting, retaining, and developing the diverse talent of all of our employees.
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Rancho Cordova, California, United States Travelers Insurance Company Full timeJob SummaryWe are seeking a highly motivated and detail-oriented Workers Compensation Claim Representative Trainee to join our team at Travelers Insurance Company. As a key member of our Claims Organization, you will play a critical role in providing exceptional service to our customers and their injured employees.Key ResponsibilitiesInvestigate and evaluate...
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Claims Specialist
7 days ago
Rancho Cucamonga, California, United States CorVel Corporation Full timeThe Claims Specialist at CorVel Corporation manages workers' compensation claims within company best practices, ensuring a best possible outcome under the direct supervision of a senior claims professional. This is a remote position.Key Responsibilities:Receives claims, confirms policy coverage, and acknowledges the claimDetermines validity and...
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Auto Claims Adjuster
3 weeks ago
Rancho Cordova, California, United States THE TRAVELERS INDEMNITY COMPANY Full timeJob Title: Auto Claims AdjusterWe are seeking a skilled Auto Claims Adjuster to join our team at THE TRAVELERS INDEMNITY COMPANY. As an Auto Claims Adjuster, you will be responsible for handling moderate to complex Personal and Business Insurance Auto Damage claims, as well as low complexity Bodily Injury Liability claims.Key Responsibilities:Deliver...
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Rancho Cucamonga, California, United States Sedgwick Full timeAbout the RoleWe are seeking a skilled Claims Representative Workers Compensation to join our team at Sedgwick. As a key member of our team, you will be responsible for processing low-level workers compensation claims, determining benefits due, and ensuring ongoing adjudication of claims within company standards and industry best practices.Key...
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Senior Claims Specialist
4 weeks ago
Rancho Cucamonga, California, United States CorVel Enterprise Comp, Inc. Full timeJob Title: Senior Claims SpecialistCorVel Enterprise Comp, Inc. is seeking a highly skilled Senior Claims Specialist to join our team. As a key member of our claims department, you will be responsible for managing complex and problematic workers' compensation claims within delegated limited authority to determine benefits due.Key Responsibilities:Investigate...
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Senior Claims Specialist
3 weeks ago
Rancho Cucamonga, California, United States CorVel Corporation Full timeJob Title: Senior Claims SpecialistCorVel Corporation is seeking a highly skilled Senior Claims Specialist to join our team. As a key member of our claims department, you will be responsible for managing complex and problematic workers' compensation claims within delegated authority limits.Key Responsibilities:Investigate and gather information regarding...
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Senior Claims Specialist
4 weeks ago
Rancho Cucamonga, California, United States CorVel Corporation Full timeJob Title: Senior Claims SpecialistCorVel Corporation is seeking a highly skilled Senior Claims Specialist to join our team. As a Senior Claims Specialist, you will be responsible for managing complex and problematic workers' compensation claims within delegated limited authority to determine benefits due.Key Responsibilities:Investigate and gather...
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Senior Claims Specialist
2 days ago
Rancho Cucamonga, California, United States CorVel Enterprise Comp, Inc. Full timeJob DescriptionThe Senior Claims Specialist at CorVel Enterprise Comp, Inc. plays a crucial role in managing complex and problematic workers' compensation claims. This position requires strong analytical and problem-solving skills to determine benefits due and work closely with case managers and attorneys to achieve the best possible outcome.This is a remote...
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Workers' Compensation Defense Attorney
4 weeks ago
Rancho Cucamonga, California, United States FBSPL Full timeJob Title: Workers' Compensation Defense AttorneyLocation: Rancho Cucamonga, CAJob Overview:FBSPL is seeking a highly experienced Workers' Compensation Defense Attorney with 5 or more years of relevant experience to join our team in Rancho Cucamonga, CA. The ideal candidate will have extensive knowledge of California workers' compensation laws and possess...
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Senior Liability Claims Specialist
1 week ago
Rancho Cucamonga, California, United States CorVel Corporation Full timeJob Title: Senior Liability Claims SpecialistCorVel Corporation is seeking a highly skilled Senior Liability Claims Specialist to join our team. As a key member of our claims team, you will be responsible for managing complex and non-complex liability claims, working within delegated authority to achieve the best possible outcomes for CorVel and our...
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Senior Liability Claims Specialist
4 weeks ago
Rancho Cucamonga, California, United States CorVel Enterprise Comp, Inc. Full timeJob Title: Senior Liability Claims SpecialistCorVel Enterprise Comp, Inc. is seeking a highly skilled Senior Liability Claims Specialist to join our team. As a key member of our claims team, you will be responsible for managing complex and non-complex Auto and General Liability claims, ensuring timely and effective resolution for our clients.Key...
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Senior Liability Claims Specialist
3 weeks ago
Rancho Cucamonga, California, United States CorVel Corporation Full timeJob Title: Senior Liability Claims SpecialistCorVel Corporation is seeking a highly skilled Senior Liability Claims Specialist to join our team. As a key member of our claims team, you will be responsible for managing complex and non-complex Auto and General Liability claims, ensuring timely and effective resolution for our clients.Key...
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Claims Specialist
3 weeks ago
Rancho Cucamonga, California, United States CorVel Corporation Full timeJob Title: Claims SpecialistThe Claims Specialist plays a crucial role in managing workers' compensation claims within CorVel Corporation, ensuring timely and effective resolution of claims. This position requires strong analytical and communication skills, with the ability to work independently and as part of a team.Key Responsibilities:Receive and process...
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Claims Examiner III
2 days ago
Rancho Cordova, California, United States Tristar Insurance Services LLC Full timeJob DetailsJob Title: Claims Examiner IIIJob Location: Sacramento - Rancho Cordova, CARemote Type: HybridPosition Type: Full TimeEducation Level: High School Diploma or GEDSalary Range:$85,000.00 - $95,000.00Travel Percentage: NoneJob Shift: DayJob Category: InsuranceJob SummaryAt Tristar Insurance Services LLC, we are seeking an experienced Claims Examiner...
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Claims Manager
21 hours ago
Rancho Cucamonga, California, United States CorVel Enterprise Comp, Inc. Full timeJob DescriptionThe Claims Manager is responsible for overseeing the overall operation of a designated office. This role involves formulating and administering company best practices, developing long-range goals and objectives, analyzing costs, activities, and operations, and supporting the goals of the claims department and CorVel. This is a remote...
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Benefits and Leave Coordinator
1 week ago
Rancho Cordova, California, United States Turning Point Community Programs Full timeJob SummaryWe are seeking a highly organized and detail-oriented Benefits and Leave Specialist to support the administration of employee benefits programs and leave of absences processes.Key ResponsibilitiesAssist the Benefits Manager in the administration of employee benefits programs, including health insurance, disability insurance, life insurance,...
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Claim Professional Intern
2 weeks ago
Rancho Cordova, California, United States Travelers Insurance Full timeOpportunity OverviewThe Travelers Claim Intern program offers a unique chance to gain hands-on experience in the insurance industry, focusing on claims resolution and customer service. As an intern, you will work closely with experienced claim professionals, developing essential skills and knowledge in claims investigation, negotiation, and resolution.Key...
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Benefits Administrator
1 month ago
Rancho Cordova, California, United States Turning Point Community Programs Full timeJob SummaryWe are seeking a highly organized and detail-oriented Benefits Coordinator to join our team at Turning Point Community Programs. The successful candidate will be responsible for administering employee benefits programs, including health insurance, disability insurance, life insurance, workers compensation, employee assistance, retirement, leave of...
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Claims Specialist
1 week ago
Rancho Cucamonga, California, United States CorVel Corporation Full timeJob Title: Claims SpecialistThe Claims Specialist plays a vital role in managing workers' compensation claims, ensuring timely and accurate processing, and providing exceptional customer service. This position requires strong analytical and communication skills, with the ability to work independently and as part of a team.Key Responsibilities:Receive and...
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Claims Specialist
1 week ago
Rancho Cucamonga, California, United States CorVel Corporation Full timeJob SummaryThe Claims Specialist is responsible for managing workers' compensation claims within delegated authority to achieve the best possible outcome. This role supports the goals of the claims department and CorVel Corporation.Key ResponsibilitiesReceive and confirm claims, verifying policy coverage and acknowledging the claimant.Determine the validity...