Claims examiner • santa ana ca
Claims Examiner - 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
Our client is seeking a Claims Specialist to manage medical malpractice claims for their Orange County office.This role involves handling technical and administrative responsibilities for highly co... Show more
Workers' Compensation Claims Examiner III - Glendale OR Orange, CA (Contract - Hybrid).Position is hybrid 3 days in office in either Glendale, CA or Orange, CA.As a Workers’ Compensation Claim... Show more
FR Health is seeking a detail-oriented and experienced Claims Specialist to manage insurance claims from submission through resolution.This role is responsible for ensuring claims are processed acc... Show more
Resolution Examiner For Workers' Compensation Claims.AmTrust is actively seeking a skilled Resolution Examiner specializing in Workers' Compensation Claims.The primary focus will be on negotiating ... Show more
Job Title 3rd Party Property Claims Adjuster/Examiner Location 222 S Harbor Blvd, #720, Anaheim, CA 92805 Salary $65,000 - $100,000/year Position Type Full-time Non-exempt (Hourly) or Exempt (Salar... Show more
Workers' Compensation Claims Examiner II - Glendale OR Orange, CA (Contract - Hybrid).Workers' Compensation Claims Examiner II - Glendale OR Orange, CA (Contract - Hybrid) Pay Rate: $51.Position is... Show more
At Top Finish Collision Center, Inc.That is why we focus on more than just the metal and paintwe focus on the person behind the wheel.Located in the heart of Santa Ana, our shop is a place where qu... Show more
Join Us in this Amazing Opportunity.We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person.If you ... Show more
Senior Manager, Dealer Credit Examiner.Through our service brands Hyundai Motor Finance, Genesis Finance, and Kia Finance, Hyundai Capital America offers a wide range of financial products tailored... Show more
Claims Specialist, Construction.Sompo has a unique opportunity for a Claims Specialist, Construction in our Casualty Claims team.Sompo is committed to providing outstanding claims service that deli... Show more
Claims Adjuster, Public Entity.The Claims Adjuster, Public Entity is responsible for the end-to-end management of property and casualty claims on behalf of public entity clients, including municipa... Show more
Graduation from college or the equivalent and a minimum of five years' recent experience with a demonstrated increasing responsibility in the administration of California workers' compensation clai... Show more
Orange, California, United States.Essential Duties and Responsibilities:.Manage medical malpractice claims, including the assignment, direction, and control of defense counsel, under supervision an... Show more
Seeking a Senior Claims Specialist to manage a complex caseload of medical malpractice claims, supervise junior claims specialists, and contribute to ongoing training efforts.Manage medical malprac... Show more
This entry-level position supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property damage, and/or liability lines of insurance ... Show more
Claims Examiner - Workers Compensation.Our client, a Business Solutions company, is looking for a Claims Examiner - Workers Compensation for their Orange, CA /Remote location.Analyzes and processes... Show more
Party Property Claims Adjuster/Examiner.S Harbor Blvd, #720, Anaheim, CA 92805.Non-exempt (Hourly) or Exempt (Salaried).Hybrid after 90 days 3 days in office/2 days remote.DB Insurance is seeking ... Show more
Join a team that puts its People First! Since 1889, First American (NYSE: FAF) has held an unwavering belief in its people.They are passionate about what they do, and we are equally passionate abou... Show more
The average salary range is between $ 40,010 and $ 91,090 year , with the average salary hovering around $ 55,009 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
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