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Auto claims adjuster Jobs in San Francisco, CA
- Promoted
SR. WORKERS' COMPENSATION CLAIMS ADJUSTER
EliteCA, United States- Promoted
Large Loss Field Claims Adjuster (CA)
American Family InsuranceSan Francisco, California, United States- Promoted
- New!
Claims - Field Claims Representative
The Cincinnati Insurance CompaniesSan Francisco, CA, United States- Promoted
- New!
CLAIMS SENIOR AUTO ADJUSTER
American Automobile AssociationCA, United States- Promoted
WORKERS COMPENSATION CLAIMS ADJUSTER III
Intercare Holdings Insurance Services, Inc.CA, United StatesField Auto Adjuster - South San Francisco / Daly City, CA
Allstate BenefitsDaly City, CA, US- Promoted
WORK COMP CLAIMS ADJUSTER TEMPORARY ASSIGNMENT
Intercare InsuranceCA, United StatesRCIS Crop Claims Field Adjuster I
Zurich Insurance CompanyVirtual, CA, US- Promoted
Commercial Auto Claims Adjuster
VirtualVocationsOakland, California, United States- Promoted
SENIOR WORKERS' COMPENSATION CLAIMS ADJUSTER
Southern California Edison (SCE)CA, United StatesClaims Adjuster - Workers Compensation
TEKsystemsLos Angeles,CA,90001,USACrop Claims Seasonal Adjuster
GAIC Great American Insurance CompanyCalifornia, USA- New!
Workers Compensation Claims Adjuster CA
Canon Recruiting GroupCA, United StatesField Claims Adjuster
EAC Claims Solutions LLCSan Francisco, California, United StatesProperty Claims Large Loss Field Adjuster
Liberty Mutual InsuranceSan Francisco, California, United StatesClaims Adjuster
George HillsOakland, CACommercial Auto / General Liability Adjuster
The Jonus GroupSan Francisco, CA, United StatesCommercial Claims Adjuster - Carrier or TPA - REMOTE
Work At Home Vintage ExpertsOakland, CA, USAuto Claims Adjuster - Remote
501 CSAA Insurance Services, Inc.California, United StatesSR. WORKERS' COMPENSATION CLAIMS ADJUSTER
EliteCA, United States- Full-time
This position will be a remote position.
Must have a California SIP (Workers Compensation - Sr. Work Comp Claims Adjuster)
Must be Bilingual (English / Spanish)
POSITION SUMMARY : Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines.
DUTIES AND RESPONSIBILITIES :
- Effectively manages a caseload of 130 to 140 workers' compensation files, including very complex claims.
- Initiates and conducts investigation in a timely manner.
- Determines compensability of claims and administer benefits, based upon state law and in accordance with established Company guidelines.
- Manages medical treatment and medical billing, authorizing as appropriate.
- Refers cases to outside defense counsel. Directs and manages as appropriate.
- Communicates with claimants, providers and vendors regarding claims issues.
- Computes and set reserves within Company guidelines. Limits are larger than those allowed for Claims Examiner I and Claims Examiner II.
- Settles and / or finalize all claims and obtains authority as designated.
- Maintains diary system for case review and documents file to reflect the status and work being performed on the file.
- Communicates appropriate information promptly to the client to resolve claims efficiently, including any injury trends or other safety related concerns.
- Adheres to all Company policies and procedures.
- Conducts file reviews independently.
- Other duties as assigned.
- Essential job function.
EQUIPMENT OPERATED / USED : Computer, fax machine, copier, printer, and other office equipment.
QUALIFICATIONS REQUIRED :
Education / Experience : Bachelor's degree in related field (preferred); five (5) or more years related experience; or equivalent combination of education and experience.
Knowledge, Skills and Abilities :
Other Qualifications :
Here are some of the benefits you can enjoy in this role :