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
New!
CASUALTY FIELD ADJUSTER
Raphael and AssociatesCA, United States
Full-time
Raphael & Associates is a third-party claims administrator and independent claims adjusting company internationally recognized for exceptional service.
We understand the importance of adapting to th...Show moreLast updated: 12 hours 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
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!
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: 12 hours 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: 12 hours 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
CLAIMS ADJUSTER
Hankey Group ExternalCA, United States
$55,000.00–$65,000.00 yearly
Full-time
Los Angeles | Hybrid (In-Office Preferred, Remote Optional) | Claims.Onward Insurance is a growing and dynamic auto insurance company dedicated to providing exceptional service and comprehensive co...Show moreLast updated: 9 days ago
Field Claims Adjuster
EAC Claims Solutions LLCMurrieta, California, United States
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency.Join us in delivering exceptional service while upholding the highest standards of professionalism and co...Show moreLast updated: 30+ 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: 12 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
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
Promoted
New!
INDUSTRIAL MACHINE ADJUSTER
InfoSend IncCA, United States
$20.00–$28.00 hourly
Full-time
InfoSend has been a trusted provider of cutting-edge eBilling, ePayment, Data Processing, BillPrint & Mail services since 1996.
Our services are designed to help organizations simplify their process...Show moreLast updated: 12 hours ago
Promoted
SENIOR CLAIMS COMPLIANCE SPECIALIST
AltaMed Health Services CorporationCA, United States
$90,649.23–$113,311.54 yearly
Full-time
If you are as passionate about helping those in need as you are about growing your career, consider AltaMed.At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrat...Show moreLast updated: 1 day ago
Promoted
Senior Claims Ajuster
EmployersSouth Whittier, California, United States
$60,000.00–$85,000.00 yearly
Full-time
Senior Claims Adjuster I - California.With minimal oversight, the Senior Claims Adjuster I is responsible for the timely and accurate management of workers' compensation claims.This includes handli...Show moreLast updated: 4 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: 12 hours 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
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