Claim examiner Jobs in Anaheim, CA
Last updated: 8 hours ago
GREAT WORK FROM HOME CAREER OPPORTUNITY!.Seeking candidates with experience managing California Workers Compensation claims!.
Investigate and settle advanced, large loss, complex claims promptly and...Show moreLast updated: 30+ days ago
Planning & Community Development.The Pasadena Planning & Community Development department is seeking a skilled, knowledgeable, and experienced Senior Plans Examiner - PE in the Building & Safety Di...Show moreLast updated: 8 hours ago
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague.A career at Sedgwick means experiencing our culture of caring.It means having fle...Show moreLast updated: 11 days ago
Negotiates settlement of claims within designated authority.Calculates and assigns timely and appropriate reserves to claims.
manages reserve adequacy throughout the life of the claim.Calculates an...Show moreLast updated: 3 days ago
Taking care of our customers, our communities and each other.By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 16...Show moreLast updated: 8 hours ago
Responsible for consistently and accurately adjudicating claims in accordance with policies, procedures and guidelines as outlined by the company policy.
Process claims according to all CMS and DMHC...Show moreLast updated: 30+ days ago
Claims Examiner - Workers Compensation.BCforward is currently seeking a highly motivated Claims Examiner - Workers Compensation for an opportunity in Brea, CA 92821!.
Claims Examiner - Workers Compe...Show moreLast updated: 2 days ago
Bring your heart to CVS Health.Every one of us at CVS Health shares a single, clear purpose : Bringing our heart to every moment of your health.
This purpose guides our commitment to deliver enhanced...Show moreLast updated: 30+ days ago
MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throug...Show moreLast updated: 30+ days ago
Being good neighbors – helping people, investing in our communities, and making the world a better place – is who we are at State Farm.
It is at the core of how we operate and the reason for our suc...Show moreLast updated: 17 hours ago
About the job Certified Latent Print Examiner (COH).Under direction of the Police Criminal Investigations Bureau Lieutenant, performs the identification, development, and comparison of latent print...Show moreLast updated: 8 hours ago
Rancho Cordova, CA(Hybrid / Remote).The Claims Examiner I is in daily contact with team members, clients and providers.This position reports to the Claims Supervisor.
A cheerful, competent and compass...Show moreLast updated: 30+ days ago
To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation.Ensure ongoing adjudica...Show moreLast updated: 5 days ago
Our Building Plan Review Department is currently hiring a.In this role you will review commercial, residential, and industrial project plans, and have a thorough knowledge of construction in sectio...Show moreLast updated: 29 days ago
Salary Increase for Senior Plans Examiner-June 2025$105,766.City of Anaheim Planning Department.Senior Plans Examiner and Plans Examiner II.
The Plans Examiner II and Senior Plans Examiner will perf...Show moreLast updated: 30+ days ago
The City of Santa Ana is looking for individuals who are results-oriented, possess great attitude, demonstrate creativity and innovation, work efficiently, show a record of success and have a passi...Show moreLast updated: 8 hours ago
Senior Claim Examiner - Workers Compensation (CA)
Crawford & CompanyBrea, CARemote
- Promoted
- New!
SENIOR PLANS EXAMINER (PE)
City of Pasadena, CACA, United States$127,271.00–$159,088.00 yearly
Full-time
- Promoted
Claims Examiner - Workers Compensation
SedgwickOrange, CA, US$75,000.00–$100,000.00 yearly
Full-time
- Promoted
Claims Examiner - Workers Compensation
Cynet SystemsBrea, CA, US$45.00–$50.00 hourly
Full-time
- Promoted
- New!
SR. CLAIM REPRESENTATIVE CONSTRUCTION LIABILITY
The Travelers Indemnity CompanyCA, United States$83,300.00–$137,400.00 yearly
Full-time
FINANCIAL INSTITUTIONS EXAMINER
Department of Financial Protection and InnovationSacramento County, US The Department of Financial Protection and Innovation is recruiting for two permanent, full-time Financial Institutions Examiner positions in Division of Financial Institutions, Banking unit.Positi...Show moreLast updated: 30+ days ago
Claims Examiner III
Prospect MedicalOrange, CA, United StatesFull-time
- Promoted
Claims Examiner - Workers Compensation
BCforwardBrea, CA, US$50.00 hourly
Full-time
Claim Benefit Specialist
CVS HealthCalifornia, Work At Home, US$17.00–$29.88 hourly
Remote
Full-time
Claims Examiner II
MemorialCare Medical FoundationFountain Valley, California, US$22.41 hourly
INSURANCE EXAMINER
Department of InsuranceLos Angeles County, US Teleworking employees may be required to report to their headquarters office location on designated telework days.Travel expenses are not reimbursed, however other authorized transit subsidies do e...Show moreLast updated: 30+ days ago
- Promoted
- New!
Claim Specialist - Property Field Inspection
State FarmOrange, CA, US$64,966.00–$100,451.00 yearly
Full-time
- Promoted
- New!
CERTIFIED LATENT PRINT EXAMINER (COH)
Vets HiredCA, United StatesFull-time
Claims Examiner
Lucent HealthCA, US$20.00–$25.00 hourly
- Promoted
Claims Examiner - Workers Compensation
Synectics IncBrea, CA, USFull-time
- Promoted
Senior Plans Examiner (FT - Hybrid)
CSG Consultants Inc.Orange, CA, US$45.00–$62.00 hourly
Full-time
Plans Examiner II / Senior
City Of Anaheim, CACity of Anaheim, CA$158,648.00 yearly
Full-time
- Promoted
- New!
FINGERPRINT EXAMINER (PART-TIME)
City of Santa Ana, CACA, United States$29.88–$36.32 hourly
Part-time
Claims Examiner - Workers Compensation
Nesco ResourceBrea, CA, US Show moreLast updated: 30+ days ago
Senior Claim Examiner - Workers Compensation (CA)
Crawford & CompanyBrea, CA30+ days ago
Job type
- Remote
Job descriptionInterprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted. Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel. Analyzes claims activity and prepares reports for clients / carriers and management. Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements. Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits. Develops subrogation and third party recovery potential and follows reclaim procedures. Analyzes claims activities and prepares reports for clients, carriers and / or management. Participates in claim reviews. IIA, AIC, AEI, and / or CPCU Designations. Our total compensation plans provide each of our employees with far more than just a great salary Pay and incentive plans that recognize performance excellence Benefit programs that empower financial, physical, and mental wellness Training programs that promote continuous learning and career progression while enhancing job performance that give back to the communities in which we live and work A culture of respect, collaboration, entrepreneurial spirit and inclusion
Position Summary
- GREAT WORK FROM HOME CAREER OPPORTUNITY!
- Seeking candidates with experience managing California Workers Compensation claims!
- SIP is a requirement!
- Bonus Opportunities!
- Multiple Employee Discounts!
Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority on moderate-to-difficult claims. Reviews coverages, determines liability and compensability, secures information, arranges property damage appraisals and settles claims utilizing claims best practices. Evaluates and sets reserves using independent judgment. Assists supervisor and defense attorneys in preparing cases for litigations. Conducts training and mentors new hires.
Responsibilities
Requirements
Bachelor’s degree or equivalent experience required.
Workers Compensation (WC) Adjuster License required according to jurisdictional requirements
Technical claims investigations / settling experience with 4-8 years experience in Claims or similar organization.
Ability to work independently while assimilating various technical subjects.
Strong written and oral communication, negotiation and presentation skills.
Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.
Effective advanced interpersonal skills to effectively interact with all levels of internal and external clients.
Preferred :
When you accept a job with Crawford, you become a part of the One Crawford family.