Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.Develop...Show moreLast updated: 8 days ago
Promoted
CLAIMS ADJUSTER - WORKERS COMPENSATION
eTeam, Inc.CA, United States
Full-time
Job Title : Claims Adjuster - Workers Compensation.Duration : 3 Months (Possibly Extension).Min 3 Years of CA claims handling experience required.
If candidate is from other state, 3 years of CA Claim...Show moreLast updated: 9 days ago
Promoted
CLAIMS ADJUSTER
George Hills CompanyCA, United States
$66,560.00–$80,000.00 yearly
Full-time
For 70 years George Hills has offered our clients unparalleled service and innovative excellence in claims administration and offered our employees a positive and collaborative culture that builds ...Show moreLast updated: 13 days ago
Promoted
New!
WORKERS' COMPENSATION CLAIMS ADJUSTER
Argo GroupCA, United States
$89,880.00–$105,840.00 yearly
Full-time
Argo Group is a leader in specialty insurance with a vibrant culture built on respect, equality, wellness and opportunity.
We're an innovative organization that's small enough to be agile and big en...Show moreLast updated: 8 hours ago
Promoted
CLAIMS ADJUSTER - WORKERS COMPENSATION
Synectics IncCA, United States
Full-time
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 identif...Show moreLast updated: 9 days ago
Promoted
New!
SENIOR WORKERS COMPENSATION CLAIMS ADJUSTER
PMA CompaniesCA, United States
$78,500.00–$97,200.00 yearly
Full-time
As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve approp...Show moreLast updated: 8 hours ago
Auto & Property Adjuster
DGARichmond, CA
Our client is looking for multiple Adjusters to join their team! The ideal candidate must have at least 3 years of auto and property claims experience and the understanding of 3rd party liability c...Show moreLast updated: 30+ days ago
Promoted
CLAIMS FIELD SENIOR PROPERTY ADJUSTER
American Automobile AssociationCA, United States
$37.64–$50.16 hourly
Full-time
Claims Field Senior Property Adjuster.This position handles moderate to complex claims matters involving homeowner property insurance in compliance with all regulatory and statutory requirements.Th...Show moreLast updated: 6 days ago
Promoted
WORK COMP CLAIMS ADJUSTER TEMPORARY ASSIGNMENT
Intercare InsuranceCA, United States
Full-time
Workers Compensation Claims Adjuster - Temporary Assignment.MUST Reside in California & MUST have California Workers Compensation Claims Experience.
Workers' Compensation Claims Adjuster - Assist a ...Show moreLast updated: 10 days ago
Promoted
Large Loss Field Claims Adjuster (CA)
American Family InsuranceRichmond, CA, United States
$97,000.00–$160,000.00 yearly
At American Family Insurance Claims Services (AFICS, Inc.We're leveraging our expertise, technology and new ways of working to actively reinvent one of America's largest industries-creating positiv...Show moreLast updated: 21 days ago
Promoted
Commercial Auto Claims Adjuster
VirtualVocationsOakland, California, United States
Full-time
A company is looking for a Senior Commercial Auto Claims Adjuster - BI and Litigation.Key ResponsibilitiesAnalyze claims exposure and execute decision-making to resolve claims effectivelyInteract w...Show moreLast updated: 12 days ago
Promoted
New!
SENIOR WORKERS' COMPENSATION CLAIMS ADJUSTER
Southern California Edison (SCE)CA, United States
Permanent
Join the Clean Energy Revolution.Become a Senior Workers' Compensation Claims Adjuster at Southern California Edison (SCE) and build a better tomorrow.
At Southern California Edison, advocating for ...Show moreLast updated: 8 hours ago
Claims Adjuster - Workers Compensation
TEKsystemsLos Angeles,CA,90001,USA
Summary : The main function of a Workers' Compensation Claims Adjuster is to investigate analyze and determine the extent of insurance company's responsibility for lost wages medical benefits and pe...Show moreLast updated: 30+ days ago
Property Claims Large Loss Field Adjuster
Liberty Mutual InsuranceOakland, California, United States
Full-time
The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location.
The full salary range for this role reflect...Show moreLast updated: 30+ days ago
Crop Claims Seasonal Adjuster
GAIC Great American Insurance CompanyCalifornia, USA
Remote
Part-time
Working for a leader in the insurance industry means opportunity for you.Great American Insurance Group's member companies are subsidiaries of American Financial Group.
We combine a "small company" ...Show moreLast updated: 30+ days ago
Claims Adjuster
George HillsOakland, CA
Full-time
The Claims Adjuster investigates, evaluates, and adjusts General and Automobile Liability claims.Although assigned claims generally consist of low to medium exposure, first and third-party automobi...Show moreLast updated: 30+ days ago
Commercial Claims Adjuster - Carrier or TPA - REMOTE
Work At Home Vintage ExpertsOakland, CA, US
$28.00–$36.00 hourly
Remote
Full-time +2
Quick Apply
Put your Insurance Experience to work – FROM HOME!.Our unique platform provides you with.WHAT YOU’LL LOVE ABOUT WAHVE.We created a welcoming place to work with friendly and professional...Show moreLast updated: 24 days ago
Auto Claims Adjuster - Remote
501 CSAA Insurance Services, Inc.California, United States
Remote
Full-time
CSAA Insurance Group (CSAA IG), a AAA insurer, is one of the top personal lines property and casualty insurance groups in the U.
Our employees proudly live our core beliefs and fulfill our enduring ...Show moreLast updated: 30+ days ago
Promoted
New!
WORKERS COMPENSATION CLAIMS ADJUSTER II
Intercare Holdings Insurance Services, Inc.CA, United States
$35.00–$44.00 hourly
Full-time
Reports directly to the unit Claims Supervisor.In accordance with applicable statutes and in keeping with company rules, regulations, and established performance objectives, is responsible for effe...Show moreLast updated: 8 hours ago
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 return-to-work efforts, and approves claim payments.
pproves 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.
Qualifications Education And Licensing :
Bachelor's degree from an accredited college or university preferred.
Experience Four (4) years of claims management experience or equivalent combination of education and experience required.
Skills And Knowledge :
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