Top 1635 Claims Jobs in Irvine, 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
Case Manager - Class Action Settlement Administrator
ILYM Group, Inc. —Tustin, CA
- From $80,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
- Health insurance
- 401(k)
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
Commercial Property & Liability Claims Adjuster
UCA General Insurance Services, Inc. —Cypress, CA
- $50,000 - $70,000 a year
- Full-time
- Hybrid work
- Background check
- 5 years
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
Benefits Advisor - Irvine, CA
Aflac —Irvine, CA
- No weekends
- Background check
- 18 years or older
- US work authorization
- Flexible schedule
Claims Specialist
Liberty Mutual —Orange, CA
- $57,000 - $101,000 a year
- Full-time
- Customer service
- Mid-level
- Bachelor's degree
Claims Representative (IAP) - Workers Compensation Training Program (On-Site Orange, CA)
Sedgwick —Orange, CA
- Customer service
- Office
- High school diploma or GED
- Health savings account
- Disability insurance
Dental Claims Concierge
MetLife —Irvine, CA
- $74,500 - $90,000 a year
- Email
- Microsoft Excel
- Mid-level
- High school diploma or GED
- 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
Claims Assistant - (Entry Level IN-OFFICE Orange, CA)
Sedgwick —Orange, CA
- Full-time
- Computer literacy
- Writing skills
- Office
- Health savings account
- Disability insurance
9d
Temporary Medical Collections Representative
University of California, Irvine —Anaheim, CA
- $26.58 - $37.75 an hour
- Temporary
- Background check
- English
- Research
- Paid holidays
- Health insurance
Health Benefits Coordinator
Aflac —Irvine, CA
- $55,000 - $85,000 a year
- Part-time
- Sales
- Employment & labor law
- High school diploma or GED
- Disability insurance
- Health insurance
Quick Apply
Workers Compensation Claims Specialist, Complex & Settlement Focus
CNA Insurance —Brea, CA
- $54,000 - $103,000 a year
- Full-time
- Hybrid work
- Mid-level
- Organizational skills
- Experience equivalent to degree accepted
Claims Representative (IAP) - Workers Compensation Training Program, Long Beach, CA
Sedgwick —Long Beach, CA
- Full-time
- Customer service
- Office
- High school diploma or GED
- Health savings account
- Disability 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
8d
Warranty Claims Data Analyst
Kawasaki Motors Corp., U.S.A. —Foothill Ranch, CA
- $75,000 - $80,000 a year
- Microsoft Excel
- Bachelor of Science
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Claims Recovery Bookkeeper
Crowell & Moring —Irvine, CA
- $66,000 - $87,000 a year
- Overtime
- Writing skills
- English
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Property Claims Specialist Field II
Mercury Insurance Services, LLC —Brea, CA
- $76,829 - $142,213 a year
- Overtime
- Bilingual
- Military
- Writing skills
- Paid holidays
- Health insurance
8d
Government Specialist II
KPC GLOBAL MEDICAL CENTERS INC. —Santa Ana, CA
- $28.84 - $35.19 an hour
- Full-time
- Microsoft Outlook
- Basic math
- Mid-level
- AD&D insurance
- Health insurance
Quick Apply
AUDITOR I
Department of Health Care Services —Orange County, CA
- $4,256 - $5,600 a month
- Multiple hires
- Hybrid work
- Microsoft Word
- Microsoft Excel
- Writing skills
- Paid holidays
- Dental insurance
8d

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claims jobs near irvine, ca

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 jobs in irvine, ca

Workers' Compensation Claims Examiner

Case Manager - Class Action Settlement Administrator

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

Commercial Property & Liability Claims Adjuster

Benefits Advisor - Irvine, CA

Claims Specialist

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

Dental Claims Concierge

Claims Adjuster Trainee

Claims Assistant - (Entry Level IN-OFFICE Orange, CA)

Temporary Medical Collections Representative

Health Benefits Coordinator

Workers Compensation Claims Specialist, Complex & Settlement Focus

Claims Representative (IAP) - Workers Compensation Training Program, Long Beach, CA

Property Claims Specialist Field I

Warranty Claims Data Analyst

Claims Recovery Bookkeeper

Property Claims Specialist Field II

Government Specialist II

AUDITOR I

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