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Claims adjuster Jobs in Oakland, CA

Last updated: 8 hours ago
  • Promoted
CLAIMS ADJUSTER - WORKERS COMPENSATION

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 - WORKERS COMPENSATION

CLAIMS ADJUSTER - WORKERS COMPENSATION

Cynet SystemsCA, United States
$45.00–$50.00 hourly
Full-time
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
Large Loss Field Claims Adjuster (CA)

Large Loss Field Claims Adjuster (CA)

American Family Mutual Insurance CompanySan Francisco, 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: 6 days ago
  • Promoted
CLAIMS ADJUSTER

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

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

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

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
  • Promoted
Large Loss Field Claims Adjuster (CA)

Large Loss Field Claims Adjuster (CA)

American Family Insurance Agency StaffSan Francisco, 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: 5 days ago
  • Promoted
CLAIMS FIELD SENIOR PROPERTY ADJUSTER

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

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

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
  • Promoted
  • New!
SENIOR WORKERS' COMPENSATION CLAIMS ADJUSTER

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
  • Promoted
Large Loss Field Claims Adjuster (CA)

Large Loss Field Claims Adjuster (CA)

American Family InsuranceSan Francisco, 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
Crop Claims Seasonal Adjuster

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
Field Claims Adjuster

Field Claims Adjuster

EAC Claims Solutions LLCSan Francisco, California, United States
Full-time
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
Claims Adjuster

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
  • Promoted
  • New!
WORKERS COMPENSATION CLAIMS ADJUSTER II

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
Auto Claims Adjuster - Remote

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
CLAIMS ADJUSTER - WORKERS COMPENSATION

CLAIMS ADJUSTER - WORKERS COMPENSATION

eTeam, Inc.CA, United States
9 days ago
Job type
  • Full-time
Job description

Job Title : Claims Adjuster - Workers Compensation

Location : 100% Remote

Duration : 3 Months (Possibly Extension)

Requirements :

  • Min 3 Years of CA claims handling experience required.
  • Remote in CA preferred.
  • If candidate is from other state, 3 years of CA Claims handling experience is must.
  • SIP is preferred not mandatory.

Description : PRIMARY PURPOSE :

  • 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 identify subrogation of claims and negotiate settlements.
  • ESSENTIAL FUNCTIONS and RESPONSIBILITIES :

  • 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.
  • Approves 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 & 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.
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