Claim adjuster • ontario ca
Claims Adjuster - Workers Compensation.PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involvi... Show more
Property Claims Field Adjuster.If you're passionate about helping people restore their lives when the unexpected happens to their homes and providing the best customer experience, then our Mercury ... Show more
We're looking for an organized and detail-oriented.In this role, you'll coordinate claim activity, gather documentation and evidence, maintain accurate claim files, and serve as a key point of comm... Show more
Bachelor's degree from an accredited college or university preferred.Professional certification as applicable to line of business preferred.Analyzes and processes complex or technically difficult w... Show more
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Billing and Claims Managers to support the evaluation of AI too... Show more
By joining Sedgwick, you'll be part of something truly meaningful.It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected.We invite you to grow your c... Show more
Auto Telephone Claims Adjuster Trainee.National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving ne... Show more
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced A/R Follow-Up Managers to evaluate AI tools designed to automat... Show more
Workers Compensation Claims Adjuster.Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brand... Show more
Vice President Of Health Plan Operations And Claims.Prime Healthcare is an award-winning health system headquartered in Ontario, California.Prime Healthcare operates 54 hospitals and has more than ... Show more
Immediate need for a BE/BC Family Medicine Provider to join a well established outpatient Community Health / Primary Care group.Most details on the table for discussion.Student Loan Repayment avail... Show more
Insurance & Risk Program Specialist.Industry: Logistics / Transportation / Last-mile Delivery.We are looking for an Insurance & Risk Program Specialist to support the development and management of ... Show more
Workers Compensation Risk Consultant.Fairly Group, a division of EPIC Insurance Brokers, specializing in risk management and insuring clients in the sports and entertainment industries.We are seeki... Show more
The WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards.This role works closely with case managers and attorneys, manages subrogati... Show more
By joining Sedgwick, you'll be part of something truly meaningful.It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected.We invite you to grow your c... Show more
The Senior Claims Adjuster is responsible for managing complex workers compensation claims and assisting the process of determining benefits due the injured worker, ensure ongoing adjudication of c... Show more
Claims Examiner - Workers Compensation.Our client, a Business Solutions company, is looking for a Claims Examiner - Workers Compensation for their Rancho Cucamonga, CA/ Remote within CA location.To... Show more
Insurance & Risk Program Specialist Location: Chino, CA Job Type: Full-time, On-site Industry: Logistics / Transportation / Last-mile Delivery About the Role We are looking for an Insurance &am... Show more
Hourly Position Type Full Time Job Shift Day Category Health Care.Azul Vision is the largest eye care practice in Orange County, Inland Empire, and the Los Angeles area, with Twenty-Five locations ... Show more
My team's mission is to help people manage the risks of everyday life, recover from the unexpected and realize their dreams.We are located in Chino Hills, CA and help customers with their insurance... Show more
The average salary range is between $ 47,274 and $ 83,800 year , with the average salary hovering around $ 58,511 year .
PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
ADDITIONAL FUNCTIONS AND RESPONSIBILITIES:
QUALIFICATION:
Education & Licensing: Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
Experience: Five (5) years of claims management experience or equivalent combination of education and experience required.
Skills: Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures 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 skills Good interpersonal skills Excellent negotiation skills Ability to work in a team environment Ability to meet or exceed Service Expectations
WORK ENVIRONMENT:
When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking
NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.
