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Claims Jobs in Fresno, CA

Last updated: 14 hours ago
  • Promoted
Claims Trainee

Claims Trainee

ZenithFresno, CA, United States
Full-time
This role is eligible to participate in Zenith's hybrid work schedule which provides the flexibility to work from home on select days of the week according to the in-office schedule established by ...Show moreLast updated: 5 days ago
  • Promoted
Field Claims Adjuster

Field Claims Adjuster

EAC Claims Solutions LLCFresno, CA, 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: 2 days ago
  • New!
Claims Technician

Claims Technician

Anansys Staffing LLCCA, United States
Full-time
Quick Apply
Summary : This position involves handling property and casualty as well as workers' compensation claim-related issues.The following details a general list of duties...Show moreLast updated: 18 hours ago
Claims Auditor

Claims Auditor

Prospect MedicalCA, United States
Full-time
The Claims Auditor performs analysis and monitors trends identified through the audit process.This individual will take the lead to ensure accurate and timely adjudication of claims, as well as ide...Show moreLast updated: 30+ days ago
  • Promoted
ESIS CLAIMS REPRESENTATIVE, WC

ESIS CLAIMS REPRESENTATIVE, WC

ChubbCA, United States
$58,900.00–$100,100.00 yearly
Full-time
Are you ready to make a meaningful impact in the world of workers' compensation? Join ESIS, a leader in risk management and insurance services, where your skills and talents can help us create safe...Show moreLast updated: 15 days ago
  • Promoted
SENIOR CLAIMS AJUSTER

SENIOR CLAIMS AJUSTER

EMPLOYERSCA, 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: 2 days ago
  • Promoted
Lien Claims Adjuster

Lien Claims Adjuster

AmTrust FinancialFresno, CA, United States
$47.12 hourly
Full-time
Responsible for the analysis, management, and resolution of lien cases.Negotiate resolution of provider liens assisting claims for workers' compensation claims. This position will work closely with ...Show moreLast updated: 4 days ago
  • Promoted
  • New!
CLAIMS SENIOR AUTO ADJUSTER

CLAIMS SENIOR AUTO ADJUSTER

American Automobile AssociationCA, United States
$28.19–$37.55 hourly
Full-time
The Claims Senior Auto Adjuster 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 insu...Show moreLast updated: 14 hours ago
  • Promoted
RISK MANAGEMENT CLAIMS ANALYST

RISK MANAGEMENT CLAIMS ANALYST

City of Pomona, CACA, United States
$1,575.00 monthly
Full-time
First Review of Applications is Scheduled for March 11, 2025.Open continuous recruitment until sufficient applications are received. This recruitment may close at any time without further notice.Joi...Show moreLast updated: 9 days ago
  • Promoted
WORKERS' COMPENSATION CLAIMS ANALYST

WORKERS' COMPENSATION CLAIMS ANALYST

LanceSoftCA, United States
Full-time
The Contractor shall ensure that the temporary workers supplied to LAMCTA shall meet the qualifications in the job description in the scope of services. The contractor shall ensure that the temporar...Show moreLast updated: 10 days ago
Claims Investigator -Experienced

Claims Investigator -Experienced

Command InvestigationsOrange County, CA
AOE / COE, Auto, or Homeowners Investigations.Writing accurate, detailed reports.Strong initiative, integrity, and work ethic. Securing written / recorded statements.Possession of a valid driver’s licen...Show moreLast updated: 30+ days ago
Claims Examiner I

Claims Examiner I

Western GrowersFresno, California
Remote
SUMMARYThe Claims Examiner I reports to the Supervisor of Claims.Claims Examiner I is responsible for reviewing and processing medical, dental, vision, and electronic claims per state, federal, and...Show moreLast updated: 30+ days ago
Claims Examiner

Claims Examiner

Lucent HealthCA, US
$20.00–$25.00 hourly
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
  • Promoted
SENIOR CLAIMS COMPLIANCE SPECIALIST

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: 3 days ago
Dental Claims Processor

Dental Claims Processor

TEKsystemsFresno,CA,93650,USA
We are currently hiring a Dental Claims Processor for one of the top insurance companies in Fresno!.Maintain claims for assigned groups. Process CMS-1500 claims under $5k.Interpret individual group ...Show moreLast updated: 30+ days ago
Claims Administrative Assistant

Claims Administrative Assistant

Aladdin Bail BondsFresno, CA, US
$17.00–$21.00 hourly
Full-time
General office support for the Claims Department.Minimum bail knowledge (will train).Researching court files and documents for relevant issues. Some court knowledge (not required, will train).Two to...Show moreLast updated: 30+ days ago
Claims Examiner

Claims Examiner

Hire Up Staffing & HealthcareFresno, CA
$19.00–$22.00 hourly
Medical Claims Examiner for well established client in Fresno, CA.This position is temp to hire with the hours being Mon-Fri 7 : 00am-4 : 00pm, with the pay ranging from $19-$22 an hour.High School Dip...Show moreLast updated: 30+ days ago
  • Promoted
CLAIMS ADVOCATE TEAM LEAD

CLAIMS ADVOCATE TEAM LEAD

Alliant Insurance ServicesCA, United States
$175,000.00 yearly
Full-time
Alliant Insurance Services is one of the nation's largest and fastest-growing insurance brokerage and consulting firms.We operate through a network of specialized national platforms and local offic...Show moreLast updated: 5 days ago
Senior Claims Investigator

Senior Claims Investigator

Pacific Gas And Electric CompanyFresno, CA, US
$136,000.00 yearly
Full-time
Job Level : Individual Contributor.Business Unit : Gen Counsel, Ethics, Risk & Compliance.The Claims department investigates and resolves third party claims submitted to PG&E for property dam...Show moreLast updated: 1 day ago
Claims Trainee

Claims Trainee

ZenithFresno, CA, United States
5 days ago
Job type
  • Full-time
Job description

This role is eligible to participate in Zenith's hybrid work schedule which provides the flexibility to work from home on select days of the week according to the in-office schedule established by regional executive leadership. Selected candidate must be able to report into the Fresno, California office on a weekly basis.

A Brief Overview

This is an entry level Claims trainee position performing all tasks under direct supervision and guidance. The intent of this position is to progress incumbents through a formal Claims foundation training program that includes basic workers' compensation information as well as Zenith's best practices and procedures related to Claims handling. Upon completion of the trainee program the employee should be able to demonstrate basic functional knowledge and skills reflective of the study.

What you will do

  • Under close supervision and guidance responsible for claims management of assigned case load of low complexity and / or low exposure within guidelines of published performance standards.
  • Opens new claims, completes three-point contact, and performs needed investigations to determine compensability as well as possible subrogation or apportionment, according to state and / or Zenith timeframes and guidelines.
  • Sets appropriate reserves according to Zenith timeframes and guidelines.
  • Follows appropriate procedures for system documentation to preserve data integrity.
  • Monitors and maintains accuracy of reserves over the life of the claim; when new information is received re-evaluates and recommends reserves according to Zenith standards.
  • Creates and executes action plans needed to bring case to closure.
  • Completes detailed settlement evaluations and recommends appropriate settlement value, within authority; negotiates claim settlements with injured workers and / or injured workers' attorneys.
  • Maintains regular contact with injured workers, employers and agents to develop positive relationships and establish credibility.
  • Apply principles of logical thinking to define problems, collect data, establish facts, and draw valid conclusions. Works productively and harmoniously with others on a consistence basis.
  • Respond positively to direction and feedback on performance.
  • Consistently maintain professional and appropriate demeanor.
  • Perform other duties as assigned.
  • Work productively and harmoniously with others on a consistent basis.

Education Qualifications

  • High School Diploma or equivalent combination of education and experience required
  • Bachelor's Degree or equivalent combination of education and experience required
  • Skills and Abilities

  • Typing skills of 35 words per minute (minimum).
  • Computer system experience required.
  • Excellent communication skills (verbal, written, and listening).
  • Strong comprehension and organization skills.
  • Ability to travel on an as needed basis.
  • Motivated and resourceful.
  • Adaptable to change and ability to work in a team environment.
  • Bilingual (Spanish) preferred.
  • The expected salary range for this position is $57,693.72 to $64,104.13. Actual pay will be adjusted based on experience, geographic location, and other job-related factors as permitted by law. Qualifications may warrant placement in a different job level.

    Benefits

  • Medical, Dental and Vision Insurance
  • Flexible Spending Accounts
  • Paid Parental Leave
  • Life, AD&D and Disability Insurance
  • 401(k), Employee Share Purchase Plan (ESPP)
  • Education and Training Reimbursement
  • Paid Leave : 3 weeks / year Vacation, 2 weeks / year Sick Leave
  • 10 paid Company Holidays, 2 Personal Days, 2 Floating Holidays
  • Employee Assistance Program (EAP)
  • For more information, review details on the Benefits page of our Career Site :
  • Zenith typically posts jobs for a minimum of 8 to 14 calendar days. If you are interested in any of our open positions, we encourage you to submit your application promptly.

    Zenith Insurance Company is an equal opportunity employer and considers all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristic. In compliance with California law, we are committed to fair hiring practices. Pursuant to the California Fair Chance Act (AB 1008), we will consider qualified applicants with criminal histories in a manner consistent with the law. Additionally, in accordance with the Los Angeles Fair Chance Initiative for Hiring Ordinance, we will not inquire about an applicant's criminal history until after a conditional offer of employment has been made.

    If you are a qualified individual with a disability or a disabled veteran and need assistance accessing our career center or applying for a position due to your disability, you are entitled to request an accommodation. To make a request, please contact a Human resources representative at Zenith Insurance Company.

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    LI-Hybrid