Top 59 Claims adjuster Jobs in La Jolla, 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
Claims Service Specialist
GEICO —Poway, CA
- $22.90 - $35.10 an hour
- Weekends as needed
- Office
- High school diploma or GED
- Entry level
- Paid holidays
- Health insurance
Residential & Commercial Property Adjuster
CUSTARD INSURANCE ADJUSTERS —Carlsbad, CA
- $90,000 - $120,000 a year
- Full-time
- Clean driving record
- Mid-level
- Residential
- Health savings account
- Health insurance
Quick Apply
7d
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
Residential & Commercial Property Adjuster
CUSTARD INSURANCE ADJUSTERS —San Diego County, CA
- $90,000 - $120,000 a year
- Full-time
- Clean driving record
- Mid-level
- Residential
- Health savings account
- Health insurance
Quick Apply
7d
Field Claims Adjuster - Auto Damage
Progressive —San Diego, CA
- $35.29 - $43.17 an hour
- Inventory management
- Mid-level
- Driver's License
- Health savings account
- Disability insurance
7d
Associate Claims Adjuster, Workers Compensation
Liberty Mutual —San Diego, CA
- $50,000 - $94,000 a year
- Full-time
- Mid-level
- Office
- Analysis skills
13d
Claims Examiner Trainee
Berkshire Hathaway Homestate Companies —San Diego, CA
- Hybrid work
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Health insurance
Quick Apply
Claims Representative (IAP) - Workers Compensation Training Program | San Diego, CA
Sedgwick —San Diego, CA
- Full-time
- Customer service
- Office
- High school diploma or GED
- Health savings account
- Disability insurance
Claims Adjuster
Anchor General Insurance Agency, Inc. —San Diego, CA
- $25 - $35 an hour
- Full-time
- Hybrid work
- Research
- Mid-level
- Office
- Health savings account
- Paid holidays
Quick Apply
2d
Subrogation Adjuster
Tesla —San Diego, CA
- $76,000 - $114,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Writing skills
- Commuter assistance
- Health savings account
Claims & Risk - Claims Advocate
C3 Risk & Insurance Services —San Diego, CA
- $105,000 - $125,000 a year
- Full-time
- Hybrid work
- Mid-level
- Math
- Travel
- 401(k) matching
Quick Apply
2d
Property Adjuster Specialist - Field Claims
USAA —San Diego, CA
- $80,720 - $145,300 a year
- Overtime
- Hybrid work
- Background check
- Military
- Research
- Paid holidays
- Health insurance
2d
CLAIMS EXAMINER
Anchor General Insurance —San Diego, CA
- $25 - $35 an hour
- Hybrid work
- Computer literacy
- Research
- Analysis skills
Quick Apply
Claims Representative
Optum —San Diego, CA
- $18 - $32 an hour
- 8 hour shift
- 18 years or older
- Computer literacy
- Pass drug screening
- On-the-job training
7d
Claims Adjuster
Sterling Claims Management —San Diego, CA
- Mid-level
Triage Claims Associate
ICW Group —San Diego, CA
- $22.54 - $35.54 an hour
- Full-time
- Hybrid work
- Customer service
- Mid-level
- Office
- Paid holidays
- Health insurance
1d
Workers' Compensation Claims Adjuster - West Region
Liberty Mutual —San Diego, CA
- $57,000 - $101,000 a year
- Full-time
- Customer service
- Mid-level
- Bachelor's degree
15h
Damage Analyst
Sterling Claims Management —San Diego, CA
- Data entry
- Entry level
Sr. Claims Adjuster, Large Loss
Tesla —San Diego, CA
- $87,400 - $131,100 a year
- Full-time
- Mid-level
- 3 years
- Organizational skills
- Commuter assistance
- Health savings account

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claims adjuster jobs near la jolla, 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 adjuster jobs in la jolla, ca

Workers' Compensation Claims Examiner

Claims Service Specialist

Residential & Commercial Property Adjuster

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

Residential & Commercial Property Adjuster

Field Claims Adjuster - Auto Damage

Associate Claims Adjuster, Workers Compensation

Claims Examiner Trainee

Claims Representative (IAP) - Workers Compensation Training Program | San Diego, CA

Claims Adjuster

Subrogation Adjuster

Claims & Risk - Claims Advocate

Property Adjuster Specialist - Field Claims

CLAIMS EXAMINER

Claims Representative

Claims Adjuster

Triage Claims Associate

Workers' Compensation Claims Adjuster - West Region

Damage Analyst

Sr. Claims Adjuster, Large Loss

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