Claims Specialist: Average Salary in Carmel-by-the-Sea, CA in 2025
Find out what the average Claims Specialist salary is in Carmel-by-the-Sea, CA
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Medical Claims Research Specialist
The Accounts Research Specialist are responsible for accounts research of physician services by researching denials for resolution and providing customer service to patients, insurance companies, third parties, providers and their offices. The employee will appeal denials appropriately, identify and...
CA Field Claims Specialist II, Property (LA County) $2500 Sign-on Bonus
As a Field Claims Specialist, you'll investigate and resolve moderate to severe property damage claims by phone and in face-to-face claims handling. Claims inspections will include onsite and virtual inspection. Solid experience writing own estimates and handling claims start to finish. No two prope...
Workers Comp Claims Specialist CA -Remote
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...
Claims Administrator - $75k - $90k DOE
Job Title: Claims Administrator – Restoration Division. The Claims Administrator plays a vital role in supporting our restoration production teams. ...
Claims Administrator - $75k - $90k DOE
Job Title: Claims Administrator - Restoration Division. The Claims Administrator plays a vital role in supporting our restoration production teams. Disaster Kleenup Specialists, Inc. Disaster Kleenup Specialists - Floor Store USA's Flooring America - Cypress Design & Build - FRSTeam Fabric & Content...
Workers Comp Claims Specialist -CA Remote
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...
REMOTE - Medical Claims Examiner
Medical Claims Examiner - Remote - Fresno, CA. A well-respected insurance company in California with over 25 years in the business is looking to add a Medical Claims Examiner! This company is dedicated to helping clients, providing excellent customer service, and truly investing in their employees. ...
Claims Examiner I
Communicate issues with the Manager and Claims Auditor; make recommendations on claims issues. Insurance, claims processing, claims adjudication, medical billing, Medi‑Cal, Medicare, Microsoft Office. Research rejected claims as necessary and re-adjudicated them when resolved. Correspond as required...
Construction Estimator
The Construction Estimator plays a key role in the planning and execution of welding and fabrication projects. ...
Sr. Medical Malpractice Claims Manager - Professional Liability *Remote*
Have direct responsibility to foster teamwork, operational excellence, and effective communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists. Inform Senior Manager Operations of large or complex claims and claims with potential for media exposure. Me...
Epic Applications Analyst - AP Claims
Providence is seeking an Epic Applications Analyst – AP Claims, who will:. ...
Independent Insurance Claims Adjuster in Salinas, California
Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt?. INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!. Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster?. As a Licensed Claims Adjuster, you'll play a cr...
Claims Adjuster - Casualty
To analyze complex or technically difficult general liability 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 require...
Claims Representative II, Bodily Injury , Commercial (Non Auto)
As a Bodily Injury Claims Representative II, you will be responsible for the investigation, negotiation and resolution of claims files in litigation. Department: Bodily Injury Claims. Our Claims team aspires to create peace of mind for our clients and our communities. Investigating, interpreting cov...
Expert en responsabilité civile commerciale / Claims Adjuster - Liability/Commercial
Expert en responsabilité civile commerciale / Claims Adjuster - Liability/Commercial. PRIMARY PURPOSE: Effective adjudication of specialized multi line general liability claims of various complexities within company standards and industry best practices. Manage all aspects of general liability claim...
Claims Service Representative II - Casualty
Claims Service Representative II - CasualtyThe Auto Club of Southern CA is looking for a Claims Service Representative responsible for investigation, evaluation and negotiation of low to moderate complexity claims in compliance with established company technical and customer service. Explain benefit...
Claims Adjuster - Auto/Expert(e) en sinistres – Automobile
Reporting to the Team Leader, the Claims Adjuster, Auto is responsible for providing a consistently high level of service by investigating insurance claims for insurers or third parties and negotiating settlement of the claims to the satisfaction of all parties. Claims Adjuster - Auto/Expert(e) en s...
Workers Compensation Claims Examiner | Long Beach, CA
Workers Compensation Claims Examiner | Long Beach, CA. To analyze high-level Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirem...
Project Manager Construction Estimator 80K-92K
The Project Managers position is responsible for providing the established sales volume as assigned by the company in a manner that meets or exceeds divisional objectives.This position is responsible for estimating projects received from intakes and or personal solicitation.It is the Project Manager...
Cost Analyst and Estimator
Cost Analyst/Estimator is knowledgeable about various metal fabrication processes and methodologies and process methodologies. With the assistance from Manufacturing Engineering, Cost Analyst/Estimator will scrub the BOM and ensure accuracy prior to sending Request for Quotes (RFQs). Responsible for...
Sr. Commercial Roof Estimator / Project Manager
Over here at GPAC we are partnered with a well-established Commercial Roofing company who looking for a Commercial Roofing Estimator. The Commercial Roofing Estimator reports into the Division Director. Experience as an Estimator in commercial roofing. ...
Claims Service Representative I - Early Response
Claims Service Representative I - Early Response. When you join the Auto Club as a Claims Representative, you’re bringing your expertise to a best-in-class organization that is focused on delivering quality service to our members. As a representative within our Claims department you will:. Assess cl...
Claims Adjuster - Workers Compensation
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 permanent impairment. Workers Compensation handling California Claims. ...
Call Center and Claims Representative
Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.Among our benefits, Humana provides medical, dental and...
Senior Billing Specialist
Senior Billing Specialist-(24000167). Prepare monthly and transactional bills and reports for billing attorney review, incorporate edits and revisions, prepare final invoices, obtain approving signature, post bills and maintain billing files. Work with E-Billing Specialists to ensure successful tran...