Top 17 Claims examiner ii Jobs in Ca

Catastrophe Property Claims Examiner II (Remote)
California FAIR Plan Association —Los Angeles, CA
- $80,000 - $90,000 a year
- Full-time
- Remote
- Microsoft Word
- Management
- Mid-level
Quick Apply
Claims Examiner II
Partnership HealthPlan of California —Fairfield, CA
- $31.45 - $37.74 an hour
- Research
- Mid-level
- Office
Workers Compensation Claims Examiner III
TRISTAR RISK MANAGEMENT —Signal Hill, CA
- $90,000 - $100,000 a year
- Full-time
- Remote
- Microsoft Word
- Writing skills
- Basic math
- Paid holidays
- Disability insurance
Quick Apply
Workers Compensation Claims Examiner III _ Temp
TRISTAR RISK MANAGEMENT —Signal Hill, CA
- $93,600 - $104,000 a year
- Temporary
- Remote
- Microsoft Word
- Writing skills
- Basic math
- Paid holidays
- Disability insurance
Quick Apply
CLAIMS EXAMINER II
NORTH EAST MEDICAL SERVICES —Burlingame, CA
- $36.92 - $41.85 an hour
- Full-time
- HIPAA
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Senior Claims Specialist I, Workers Compensation - West Region
Liberty Mutual —Sacramento, CA
- $67,000 - $126,000 a year
- Full-time
- Office
- 3 years
- Bachelor's degree
2h
SUPERVISING MENTAL HEALTH PSYCHIATRIST
Los Angeles County Department of Human Resources —Los Angeles County, CA
- $299,028 - $400,944 a year
- Online Application
- Medicine
- Management
- Psychiatry
Behavioral Health Clinician I/II - Adults, Children's and Quality Improvement
Humboldt County —Eureka, CA
- $29.05 - $43.29 an hour
- Weekends as needed
- Background check
- LMFT
- Psychiatry
- Commuter assistance
- Paid holidays

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Based on your search for claims examiner ii

Catastrophe Property Claims Examiner II (Remote)
California FAIR Plan Association —Los Angeles, CA
Examine claims inspected by independent adjusters, including further investigation of questionable claims, verification of coverage, and timely issuance of…
$80,000 - $90,000 a year
Quick Apply
Deputy Medical Examiner II
County of San Diego —San Diego, CA
A valid license to practice medicine in the State of California is required at the time of appointment (State of California Business and Professions Code 2135);…
$300,560.00 - $335,150.40 a year

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claims examiner ii jobs near ca

Catastrophe Property Claims Examiner II (Remote)

California FAIR Plan Association
Los Angeles, CA

Quick Apply

Job Details

Full-time
$80,000 - $90,000 a year

Qualifications

Microsoft Word
Customer communication
Property insurance experience

Full Job Description

POSITION SUMMARY
The Catastrophe Claims Examiner II processes insurance claims for property losses based on coverage, appraisal, and verifiable damage. They interact with independent adjusters and policy holders, review claim forms and other records to determine insurance coverage. Make payment recommendations and settlements in accordance with company practices, procedures, and Fair Claims Settlement Practices regulations.

PRINCIPAL DUTIES & RESPONSIBILITIES

Investigate, evaluate, and resolve claims, applying technical knowledge and human relations skills to promote fair and prompt settlement of claims.
Adjust reserves and provide reserve recommendations to ensure reserving activities are consistent with company policies.
Enter claim transactions, in a clear and concise manner.
Examine claims inspected by independent adjusters, including further investigation of questionable claims, verification of coverage, and timely issuance of payments to policyholders.
Conduct daily diary reviews on claim files to ensure status letters are sent to policyholders in accordance with Department of Insurance regulations.
Pay and process claims within designated authority level.
Supervise independent adjusters to ensure adherence to CFP IA Guidelines.
Maintain compliance with the Department of Insurance and Company policy and procedures.
Create correspondence to policyholders that is accurate and complete. Communicate with insureds and/or others involved to secure missing information.
Promptly negotiate settlements, making sure that the settlement reflects the actual insured losses while ensuring that the insurer is protected from invalid claims.
Confer with Claims Management and legal counsel on claims involving litigation.
Requires up to 25% travel, limited to periods of catastrophic events.

ADDITIONAL DUTIES & RESPONSIBILITIES
Catastrophe Claims Examiner II: This role may include handling the entire claim (except inspection), or may be responsible for a specific coverage, such as Personal Property or Fair Rental Value. This role will focus on claims ranging from $100,000 to $300,000 in damages, but the Claims Examiner II may receive larger or smaller claims when necessary.

EDUCATION & EXPERIENCE

Minimum bachelor’s degree or equivalent preferred.
Excellent oral and written communication skills.
Working experience with MS-Office (especially Word and Excel) is required.
2 + years property claims experience and excellent customer service.
Certified in CEA and Fair Claims Settlement Practices.

Quick Apply

Refine Your Search

claims examiner ii jobs in ca

Catastrophe Property Claims Examiner II (Remote)

Claims Examiner II

Workers Compensation Claims Examiner III

Workers Compensation Claims Examiner III _ Temp

CLAIMS EXAMINER II

Senior Claims Specialist I, Workers Compensation - West Region

SUPERVISING MENTAL HEALTH PSYCHIATRIST

Behavioral Health Clinician I/II - Adults, Children's and Quality Improvement

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