Claims Examiner jobs in California

Claims Examiner reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Additionally, Claims Examiner determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Claims Examiner typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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Workers Compensation Claims Examiner
  • TheBest Claims Solutions
  • Riverside, CA FULL_TIME
  • We are currently sourcing candidates for a Claims Examiner position. This position is direct-hire and remote. For this position we are looking for candidates with 3 years of experience handling California Workers Compensation Indemnity Claims, specific to 4850 Labor Code. This position offers a great benefits package and 9/80 work schedule.
    #INDH

    Required Qualifications

    • 3 years of Workers Compensation Indemnity claims handling experience in California
    • MUST have prior 4850 Labor Code experience
    • MUST have SIP Certification
    • Exceptional organizational and time management skills

    Preferred Qualifications

    • WCCA, WCCP, or any Industry Certifications
    • Bachelor's Degree

    About TheBest Claims Solutions

    TheBest Claims Solutions is the leading provider of insurance jobs for Claims Adjusters concentrating in Workers’ Compensation, Property, Auto, Commercial Lines, Personal Lines and Catastrophe. TheBest Claims Solutions has been placing insurance professionals in direct hire, temporary and temp-to-hire opportunities with insurance carriers, self-insurance companies and third party administrators for nearly 2 decades and are adding new clients every day.

    Equal Opportunity Employer

    TheBest Claims Solutions is committed to creating a diverse environment and is proud to be an equal opportunity employer. Qualified applicants will be considered for employment without regard to race, color, creed, religion, national origin, ancestry, citizenship status, age, disability, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws.
  • 13 Days Ago

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Workers Compensation Claims Examiner | Must Reside in California
  • Sedgwick Claims Management Services Inc.
  • San Diego, CA FULL_TIME
  • Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flex...
  • 21 Days Ago

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Claims Examiner
  • SF Health Plan
  • San Francisco, CA FULL_TIME
  • You can make a difference in the San Francisco community. San Francisco Health Plan is seeking a full-time Claims Examiner. The Claims Examiner is responsible for claims processing, adjudication, and ...
  • 18 Days Ago

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Claims Examiner
  • Innovative Management Systems Incorporated
  • City of Industry, CA FULL_TIME
  • DescriptionThe Position.We are looking for a detail-oriented individual that can accurately review, research, and analyze professional claims to determine and calculate the type and level of benefits ...
  • 4 Days Ago

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Claims Examiner
  • CalOptima Health Careers
  • Brentwood, CA FULL_TIME
  • CalOptima Health is seeking a highly motivated an experienced Claims Examiner to join our team. The Claims Examiner will be responsible for analyzing and validating claim data elements and claims proc...
  • 5 Days Ago

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Claims Examiner
  • cesna
  • Anaheim, CA FULL_TIME
  • [Position]Claims Examiner[About Our Client]One of the largest non-life insurance companies based in South Korea. We currently writes all lines of property and casualty insurance in CA, NY, OH, IN, PA,...
  • 7 Days Ago

California is a state in the Pacific Region of the United States. With 39.6 million residents, California is the most populous U.S. state and the third-largest by area. The state capital is Sacramento. The Greater Los Angeles Area and the San Francisco Bay Area are the nation's second and fifth most populous urban regions, with 18.7 million and 9.7 million residents respectively. Los Angeles is California's most populous city, and the country's second most populous, after New York City. California also has the nation's most populous county, Los Angeles County, and its largest county by area, S...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$52,793 to $70,006