Claims Adjuster
4 weeks ago
George Hills Company is seeking a highly skilled Claims Adjuster to join our team. As a Claims Adjuster, you will be responsible for investigating, evaluating, and adjusting General and Automobile Liability claims.
Key Responsibilities- Investigate and analyze claims to determine the extent of insurance provider's liability
- Correspond with claimants, medical specialists, and witnesses to compile information
- Calculate benefit payments and approve payment of claims within a certain monetary limit
- Assess and estimate vehicle damage, assist with business or managerial research, and compile information through interviews
- Evaluate customer records, examine evidence, and follow contract, property, or insurance laws
- Bachelor's degree preferred
- At least three years of experience with insurance claims, self-insurance, pooled insurance, or Joint Powers Authorities
- Comprehensive knowledge relating to the handling of public entity liability claims
- Excellent written and verbal communication skills
George Hills Company offers a competitive salary range of $66,560 to $80,000 DOE and a flexible hybrid work schedule.
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Workers Compensation Claims Adjuster
1 week ago
Irvine, CA, United States TheBest Claims Solutions Full timeOur client, is in need of a Temporary Workers' Compensation Claims Examiner for their Irvine Office to work on a hybrid basis. The ideal candidate will have 3+ years of California Workers Compensation Experience.Any additional information you require for this job can be found in the below text Make sure to read thoroughly, then apply.Required...
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Medical Only Claims Adjuster
6 days ago
Folsom, United States Next Level Administrators, LLC Full timeMedical Only Claims Adjuster Job DescriptionReports to: Team Manager-Folsom, CA Job Description This individual is responsible for handling from inception to completion work related injuries that do not involve any lost time from work. The Medical Only Claims Adjuster is responsible for maintaining current file documentation, which coincides with the...
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Medical Only Claims Adjuster
6 days ago
Folsom, United States Next Level Administrators, LLC Full timeMedical Only Claims Adjuster Job DescriptionReports to: Team Manager-Folsom, CA Job Description This individual is responsible for handling from inception to completion work related injuries that do not involve any lost time from work. The Medical Only Claims Adjuster is responsible for maintaining current file documentation, which coincides with the...
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Claims Adjuster
2 weeks ago
Irvine, CA, United States Ultimate Staffing Full timeClaims Adjuster - Direct Hire Opportunity will work onsite Monday - Friday 8:00 am to 5:00 pm in the corporate office of our client who is a Residential Property Management Company. The Claims Adjuster inputs, creates, investigates, evaluates, negotiates and settles a variety of claim types. You must have experience with Property and General Liability...
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Claims Examiner/Adjuster
3 weeks ago
Anaheim, CA, United States DB Insurance Full timeJob Title: Claims Examiner/AdjusterCompany Overview:DB Insurance Co Ltd (US Branch) is a leading insurance company seeking a full-time Claims Examiner/Adjuster to handle Commercial General Liability/Auto BI Liability claims.About DB Insurance:DB Insurance Co., Ltd. is one of the largest non-life insurance companies based in South Korea. DB Insurance Co.,...
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Claims Adjuster
2 weeks ago
Los Angeles, CA, United States Sunrise Systems, Inc. Full timeJob Title: Claims Adjuster - Workers CompensationLocation: Los Angeles, CA 90071Duration: 3+ months contract to begin withPosition Type: Hourly contract Position (W2 only)Note: Job schedule-40 hours on site Job hours-8:00-4:30 Interview process-WEBEX prescreen/Then in-person interview Summary: The main function of a Workers' Compensation Claims Adjuster is...
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Medical Claims Adjuster
1 week ago
Los Angeles, CA, United States WPAS Full time*Job Purpose*While professional experience and qualifications are key for this role, make sure to check you have the preferable soft skills before applying if required.Processes benefit claims for dental, vision, prescription, medical, retiree medical trust (RMT) benefits, and death benefits. Has knowledge of benefit plan provisions, exclusions, limitations,...
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Claims Assistant
5 months ago
Folsom, United States CorVel Corporation Full timeThe Claims Assistant will assist and support the claims staff in the set-up and administration of workers’ compensation claims/case management and other tasks depending on the specific needs of the customers. This is an onsite position. ESSENTIAL JOB DUTIES & RESPONSIBILITIES: Sets up new claims Process mail, handle files (until paperless), and...
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Claims Assistant
4 weeks ago
Folsom, United States CorVel Corporation Full timeThe Claims Assistant will assist and support the claims staff in the set-up and administration of workers’ compensation claims/case management and other tasks depending on the specific needs of the customers. This is a remote opportunity. ESSENTIAL JOB DUTIES & RESPONSIBILITIES: Sets up new claims Process mail, handle files (until paperless), and...
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Medical Claims Examiner Processor I
2 weeks ago
Folsom, United States BRMS Full timeSummary: The Medical Claims Examiner I - Processor I is responsible for ensuring claims are coded and processed correctly and for meeting production requirements. Processes claims by performing the following duties. Essential Duties and Responsibilities include the following. Other duties may be assigned.Comprehensive understanding of employee benefits for...
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Medical Claims Examiner Processor I
1 week ago
Folsom, United States BRMS Full timeSummary: The Medical Claims Examiner I - Processor I is responsible for ensuring claims are coded and processed correctly and for meeting production requirements. Processes claims by performing the following duties. Essential Duties and Responsibilities include the following. Other duties may be assigned.Comprehensive understanding of employee benefits for...
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CA Senior Claims Specialist
4 weeks ago
Folsom, United States CorVel Corporation Full timeCorVel is seeking a full time Sr. Claims Specialist. The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and...
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CA Senior Claims Specialist
3 months ago
Folsom, United States CorVel Corporation Full timeThe Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to...
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Claims Assistant
4 weeks ago
Folsom, United States CorVel Corporation Full timeThe Claims Assistant will play a vital role in supporting the claims staff in the set-up and administration of workers' compensation claims and case management. This is a remote opportunity that requires excellent communication skills, PC literacy, and the ability to work independently and as part of a team.Key Responsibilities:Set up new claims and process...
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Claims & Chargeback Specialist
5 days ago
Calabasas, CA, United States EDI Specialists, Inc. Full timeThe Claims & Chargebacks Specialist will be responsible for claims and chargeback administration for suppliers, carriers, and vendors. This will include data gathering, analysis, report generation, and negotiation on claims and chargebacks. This role will be a member of the Accounting team and work directly with Customer Experience, Operations, and...
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Claims Manager
1 week ago
Orange, CA, United States The Home Depot Full timePosition Purpose:Position can sit in Atlanta, GA or Orange, CAResponsible for defining, implementing and managing internal claims mediation program, incoming lawsuits and Third Party Claims Administrator (TPA) practices to manage quality and costs associated with bodily injury liability claims. Key Responsibilities:Leads day-to-day operations of a multiline...
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Claims Examiner II
3 weeks ago
Fairfield, CA, United States Yoh Full timeClaims Examiner II: needed for a contract opportunity with Yoh's client located in Redding, CA!Top Skills You Should Possess:High school diploma or equivalent; minimum one (1) year in Medi-Cal billing and/or claims examining experience in an automated environment.What You'll Be Doing:Reviews, researches, and resolves pended claims for Medi-Cal types:...
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Reinsurance Coordinator
1 month ago
Folsom, United States BRMS Full timeSummary: The Reinsurance Coordinator is responsible for monitoring and preparing stop loss data and reports for use by carriers and internal management.***This is not a remote position*** Essential Duties and Responsibilities include the following. Other duties may be assigned.Claims perspectiveDeals with clients that hits the 50% stop loss or has Trigger...
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Regulatory Compliance Specialist
4 weeks ago
Folsom, United States CorVel Corporation Full timeThe Regulatory Compliance Specialist is responsible for ensuring compliance with all jurisdictional regulations within the designated department, mitigating potential legal and other company cost exposure. This position is solely responsible for recommending and helping implement process and internal policy changes based on state regulation changes. This...
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Litigation Counsel
2 weeks ago
Anaheim, CA, United States Insight Global Insurance Client Full timeRequired Skills and Experience *JD degree from an accredited law schoolActive member in good standing of the CA state bar3+ years of experience in property, casualty, and auto insurance litigation (either in-house or with a law firm)Strong litigation and trial skills, with experience managing complex casesExcellent negotiation, communication, and analytical...