Top 112 Claims adjuster Jobs in Orange County Ca

Workers' Compensation Claims Examiner
JT2 Integrated Resources —California
- From $90,000 a year
- Full-time
- Mid-level
- 3 years
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Workers Compensation Claims Examiner | Bonus Eligible | Roseville or Long Beach, CA
Sedgwick —California
- Full-time
- Hybrid work
- Background check
- Customer service
- 5 years
- Health savings account
- Disability insurance
Quick Apply
Workers' Compensation Claim Supervisor
CCMSI —Irvine, CA
- $90,000 - $105,000 a year
- Full-time
- Spanish
- Bachelor's degree
- Mentoring
- Paid holidays
- Disability insurance
13d
Workers Compensation Adjuster
TheBest Claims Solutions —Orange, CA
- $45 - $53 an hour
- Remote
- Bachelor's degree
- Senior level
- Commercial
California Workers' Compensation Insurance Adjuster
CCMSI —Irvine, CA
- $80,000 - $98,000 a year
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Disability insurance
Claims Adjuster Trainee
Progressive —Irvine, CA
- $28.61 - $30.53 an hour
- Monday to Friday
- Hybrid work
- Office
- US work authorization
- Associate's degree
- Health savings account
- Disability insurance
Associate Claims Adjuster, Workers Compensation
Liberty Mutual —Orange, CA
- $50,000 - $94,000 a year
- Full-time
- Mid-level
- Office
- Analysis skills
Claims Clerk (Part-Time)
Astiva Health —Orange, CA
- $22 - $23 an hour
- Part-time
- Microsoft Outlook
- Administrative experience
- High school diploma or GED
Quick Apply
FLEX Claims Adjuster I
Marriott International, Inc —Costa Mesa, CA
- $26.44 - $34.61 an hour
- Full-time
- High school diploma or GED
- Trade school
- Fair chance
- Commuter assistance
- Paid parental leave
Claims Resolution Specialist (Customer Service)
CalOptima —Orange, CA
- Weekends as needed
- Background check
- Microsoft Outlook
- Writing skills
- Tuition reimbursement
- Paid time off
Workers' Compensation Claim Supervisor
CCMSI —Irvine, CA
- $98,000 - $108,000 a year
- Hybrid work
- Spanish
- Mid-level
- Office
- Paid holidays
- Disability insurance
Supervising Veterans Claims Representative
County of Orange —Orange County, CA
- $70,220.80 - $94,660.80 a year
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Health insurance
13d
WC Claim Associate I LevelUP
CCMSI —Irvine, CA
- $55,000 - $70,000 a year
- Full-time
- Remote
- Spanish
- Administrative experience
- High school diploma or GED
- Paid training
- Paid holidays
Claims Representative (IAP) - Workers Compensation Training Program (On-Site Orange, CA)
Sedgwick —Orange, CA
- Full-time
- Customer service
- Office
- High school diploma or GED
- Health savings account
- Disability insurance
5d
Claims Examiner I
Clever Care Health Plan —Huntington Beach, CA
- $27 - $32 an hour
- Full-time
- Hybrid work
- Background check
- Writing skills
- Office
9d
3rd Party Claims Adjuster/Examiner - HYBRID
DB Insurance Co., Ltd. —Anaheim, CA
- $65,000 - $100,000 a year
- Full-time
- Hybrid work
- Google Workspace
- Mid-level
- Office
- Paid holidays
- Health insurance
Property Claims Specialist Field I
Mercury Insurance Services, LLC —Brea, CA
- $63,410 - $117,348 a year
- Overtime
- Bilingual
- Military
- Writing skills
- Paid holidays
- Health insurance
Workers' Compensation Claims Adjuster - West Region
Liberty Mutual —Orange, CA
- $57,000 - $101,000 a year
- Full-time
- Customer service
- Mid-level
- Bachelor's degree
10d
Claims Support Specialist II
Mercury Insurance Services, LLC —Brea, CA
- $24,864 - $44,131 a year
- Remote
- Writing skills
- High school diploma or GED
- Typing
- Paid holidays
- Health insurance
9d
Insurance Claims Specialist
AutoNation —Irvine, CA
- $28 - $30 an hour
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Research
- Dental insurance
- Vision insurance
Quick Apply

I want to receive the latest job alert for claims adjuster in orange county ca

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Workers' Compensation Claims Examiner

JT2 Integrated Resources -
California

Quick Apply

Job Details

Full-time
From $90,000 a year

Benefits

Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Vision insurance

Qualifications

Customer communication
Caseload management

Full Job Description

Claims Examiner - Workers Compensation, JT2 Integrated Resources

JT2 has over two decades of experience in claims administration and has delivered consistent cost savings to clients while providing quality care to claimants. We partner with our clients to provide fully customized and innovative solutions that integrate claims administration with risk control solutions.

We are searching for a highly motivated Claims Examiner to join our team! Under supervision of the Claims Supervisor, the Claims Examiner will manage claims from inception to conclusion. The position requires an individual that adheres to best practices and State of California statutes to work directly with clients, injured workers, agents, vendors, and attorneys to resolve workers compensation claims.

Minimum Requirements

Three (3) years of claims management experience
Bachelor's degree from an accredited college or university preferred.
Possession of a current Self-Insurance Plan (SIP) Certificate and insurance-related course work: CPCU, WCCA, WCCP, ARM.
Must be able to administer any type of indemnity claim within the assigned caseload including those involving lost time, those likely to involve permanent disability residuals, and future medical claims.

Duties and Responsibilities

Ensure proper handling of claims from inception to conclusion per client service agreements and JT2 service standards.
Prepare accurate and timely issuance of benefits notices and required reports within statutory limits.
Reserve files in compliance with injury type, identify potential costs of medical care investigation and indemnity benefits.
Ensure timely payment of benefits, bills and appropriate caseload and performance goals.
Negotiate and prepare claims for settlement, provide manager/supervisor with complete and accurate settlement data.
Monitor, report, and assign claims for fraud potential and subrogation possibilities.
Monitor claims for pre-established criteria for case-management and vocational rehabilitation in accordance with State laws.
Prepare and present claims summaries to clients during file reviews.
Train and direct Claims Assistants to meet goals and deadlines.
Review and approve priority payments and other documents from Claims Assistants.
Performs other duties as assigned.

Knowledge, Skills, and Abilities

Strong knowledge of workers" compensation policy, concepts and terminology and benefit provisions.
Strong knowledge of adjusting workers" compensation claims for municipalities and administering LC 4850 benefits.
Strong skills with use of general office administration technology, including Microsoft Office Suite and related software.
Excellent verbal and written communication skills.
Excellent interpersonal and conflict resolution skills.
Excellent organizational skills and attention to detail.
Excellent interpersonal, negotiation, and conflict resolution skills.
Strong analytical and problem-solving skills.
Ability to act with integrity, professionalism, and confidentiality, at all times.
Remote work is acceptable.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

JT2 Integrated Resources provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Job Type: Full-time

Pay: From $90,000.00 per year

Benefits:

401(k)
Dental insurance
Flexible spending account
Health insurance
Paid time off
Vision insurance

Work Location: Remote

Quick Apply

Refine Your Search

claims adjuster jobs in orange county ca

Workers' Compensation Claims Examiner

Workers Compensation Claims Examiner | Bonus Eligible | Roseville or Long Beach, CA

Workers' Compensation Claim Supervisor

Workers Compensation Adjuster

California Workers' Compensation Insurance Adjuster

Claims Adjuster Trainee

Associate Claims Adjuster, Workers Compensation

Claims Clerk (Part-Time)

FLEX Claims Adjuster I

Claims Resolution Specialist (Customer Service)

Workers' Compensation Claim Supervisor

Supervising Veterans Claims Representative

WC Claim Associate I LevelUP

Claims Representative (IAP) - Workers Compensation Training Program (On-Site Orange, CA)

Claims Examiner I

3rd Party Claims Adjuster/Examiner - HYBRID

Property Claims Specialist Field I

Workers' Compensation Claims Adjuster - West Region

Claims Support Specialist II

Insurance Claims Specialist

I want to receive the latest job alert for claims adjuster in orange county ca

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected