Top 99 Insurance claims adjuster 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
Workers' Compensation Claim Supervisor
CCMSI —Irvine, CA
- $98,000 - $108,000 a year
- Hybrid work
- Spanish
- Mid-level
- Office
- Paid holidays
- Disability insurance
Workers' Compensation Claim Representative II
CCMSI —Irvine, CA
- $60,000 - $80,000 a year
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Disability insurance
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
Workers Compensation Adjuster
TheBest Claims Solutions —Brea, CA
- $45 - $50 an hour
- Remote
- 5 years
- Bachelor's degree
- Senior level
1d
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 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
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
Workers Compensation Claim Representative Associate
The Travelers Companies, Inc. —Diamond Bar, CA
- $52,600 - $86,800 a year
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- High school diploma or GED
- Wellness program
- Paid holidays
Insurance Claims Specialist
AutoNation —Irvine, CA
- $28 - $30 an hour
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Research
- Dental insurance
- Vision insurance
Quick Apply
9d
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 Clerk (Part-Time)
Astiva Health —Orange, CA
- $22 - $23 an hour
- Part-time
- Microsoft Outlook
- Administrative experience
- High school diploma or GED
Quick Apply
10d
Claims Supervisor
Go Rentals —Newport Beach, CA
- $28 an hour
- Full-time
- Background check
- Word processing
- Computer literacy
Quick Apply
11d
Claims Examiner (Project Hire)
Disneyland Resort —Anaheim, CA
- Full-time
- Spanish
- English
- Mid-level
7d
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
7d
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
Senior Claim Examiner I
AmTrust Financial Services, Inc. —Irvine, CA
- $49 - $54 an hour
- Full-time
- Mid-level
- 3 years
- Bachelor's degree
- Health insurance
- Dental insurance
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
Senior Claims Specialist
Crum & Forster —Orange, CA
- $55,800 - $104,900 a year
- Remote
- Mid-level
- 3 years
- Organizational skills
- Employee stock purchase plan
- Health insurance
Senior Claims Manager EPL - Remote
Providence —Orange, CA
- $42.02 - $85.88 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Master's degree
- Paid parental leave
- Paid holidays

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insurance claims adjuster 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

insurance claims adjuster jobs in irvine, ca

Workers' Compensation Claims Examiner

Workers' Compensation Claim Supervisor

Workers' Compensation Claim Representative II

California Workers' Compensation Insurance Adjuster

Workers Compensation Adjuster

Claims Adjuster Trainee

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

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

Workers Compensation Claim Representative Associate

Insurance Claims Specialist

FLEX Claims Adjuster I

Claims Clerk (Part-Time)

Claims Supervisor

Claims Examiner (Project Hire)

WC Claim Associate I LevelUP

Property Claims Specialist Field I

Senior Claim Examiner I

Property Claims Specialist Field II

Senior Claims Specialist

Senior Claims Manager EPL - Remote

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