Top 71 Claims examiner remote Jobs in California

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
Medical Claims Examiner
Insperity —Chatsworth, CA
- $24 - $30 an hour
- Hybrid work
- Mid-level
- Analysis skills
- Fair chance
- Disability insurance
- Health insurance
Commercial Claims Adjuster - Remote
WAHVE —Bakersfield, CA
- $35 - $60 an hour
- Part-time
- Remote
- Senior level
- Commercial
- Health insurance
- 401(k)
3d
Workers Compensation Adjuster
TheBest Claims Solutions —Brea, CA
- $45 - $50 an hour
- Remote
- 5 years
- Bachelor's degree
- Senior level
11d
Worker's Compensation Adjuster
TheBest Claims Solutions —Los Angeles, CA
- $42 - $48 an hour
- Remote
- 5 years
- Bachelor's degree
- Senior level
Workers Compensation Claims Examiner | REMOTE | Must Live in CA
Sedgwick —Brea, CA
- Full-time
- Hybrid work
- Customer service
- Mid-level
- High school diploma or GED
- Health savings account
- Disability insurance
Claims Examiner
Gallagher —Oakland, CA
- $79,500 - $113,500 a year
- Remote
- 5 years
- Writing skills
- Mid-level
Xcelys Medical Claims Examiner (Remote)
NTT DATA —Ontario, CA
- $20 an hour
- Contract
- Remote
- Mid-level
- High school diploma or GED
- Analysis skills
- Health savings account
- AD&D insurance
Quick Apply
11d
Claims Examiner
CalOptima —Orange, CA
- Weekends as needed
- Background check
- Microsoft Outlook
- Customer service
- Tuition reimbursement
- Paid time off
5d
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
Claims Examiner- Workers Compensation | Brea, CA
Sedgwick —Brea, CA
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Office
- Health savings account
- Disability insurance
Workers Compensation Claims Examiner | Orange, CA
Sedgwick —Orange, CA
- Full-time
- Hybrid work
- Customer service
- Mid-level
- Office
- Health savings account
- Disability insurance
3d
Workers Compensation Claims Examiner | Dedicated Account | 3 Days Remote
Sedgwick —Roseville, CA
- Hybrid work
- 5 years
- Office
- Bachelor's degree
- Health savings account
- Disability insurance
Workers Compensation Claims Examiner | Long Beach or Roseville, CA
Sedgwick —Long Beach, CA
- Full-time
- Hybrid work
- Background check
- Customer service
- 5 years
- Health savings account
- Disability insurance
Quick Apply
Claims Examiner - Workers Compensation (On-Site Ontario, California)
Sedgwick —Ontario, CA
- Full-time
- Hybrid work
- Mid-level
- 3 years
- High school diploma or GED
- Health savings account
- Disability insurance
Workers Compensation Claims Examiner | Ontario, California
Sedgwick —Ontario, CA
- Full-time
- Hybrid work
- Customer service
- 5 years
- Office
- Health savings account
- Disability insurance
Workers Compensation Claims Examiner | HYBRID | Orange, CA
Sedgwick —Orange, CA
- Hybrid work
- Background check
- Customer service
- 5 years
- Health savings account
- Disability insurance
Quick Apply
Workers Compensation - Claims Examiner | HYBRID | Riverside, CA
Sedgwick —Riverside, CA
- Full-time
- Hybrid work
- Background check
- Customer service
- 5 years
- Health savings account
- Disability insurance
Quick Apply
Lead SIU Investigator
Centene —California
- $70,100 - $126,200 a year
- Full-time
- Remote
- Master's degree
- High school diploma or GED
- Mentoring
- Paid holidays
- Health insurance
Workers Compensation Claims Examiner | Long Beach or Roseville, CA (Hybrid)
Sedgwick —Roseville, CA
- Full-time
- Hybrid work
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Health savings account
- Disability insurance

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claims examiner remote jobs near california

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

Sedgwick -
California

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Job Details

Full-time

Benefits

Health savings account
Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Flexible schedule
Life insurance
Referral program

Qualifications

Customer communication
Workers' compensation insurance knowledge
High school diploma or GED

Full Job Description

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

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

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?

Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.
Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
Enjoy flexibility and autonomy in your daily work, your location, and your career path.
Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

OFFICE LOCATIONS
Long Beach or Roseville, California (2 days in-office, 3 days remote)

PRIMARY PURPOSE OF THE ROLE: To analyze 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 requirements.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
Negotiating settlement of claims within designated authority.
Communicating claim activity and processing with the claimant and the client.
Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

QUALIFICATIONS

Education & Licensing: 5 years of claims management experience or equivalent combination of education and experience required.

High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
Professional certification as applicable to line of business preferred.

Licensing / Jurisdiction Knowledge: California workers' compensation claims experience required | SIP Preferred

TAKING CARE OF YOU

Flexible work schedule.
Referral incentive program.
Career development and promotional growth opportunities.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical: Computer keyboarding, travel as required

Auditory/Visual: Hearing, vision and talking

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $80,000-$100,000/yr. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

#claimsexaminer #claims #hybrid

Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Work Location: Remote

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Refine Your Search

claims examiner remote jobs in california

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

Medical Claims Examiner

Commercial Claims Adjuster - Remote

Workers Compensation Adjuster

Worker's Compensation Adjuster

Workers Compensation Claims Examiner | REMOTE | Must Live in CA

Claims Examiner

Xcelys Medical Claims Examiner (Remote)

Claims Examiner

3rd Party Claims Adjuster/Examiner - HYBRID

Claims Examiner- Workers Compensation | Brea, CA

Workers Compensation Claims Examiner | Orange, CA

Workers Compensation Claims Examiner | Dedicated Account | 3 Days Remote

Workers Compensation Claims Examiner | Long Beach or Roseville, CA

Claims Examiner - Workers Compensation (On-Site Ontario, California)

Workers Compensation Claims Examiner | Ontario, California

Workers Compensation Claims Examiner | HYBRID | Orange, CA

Workers Compensation - Claims Examiner | HYBRID | Riverside, CA

Lead SIU Investigator

Workers Compensation Claims Examiner | Long Beach or Roseville, CA (Hybrid)

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