Top 66 Claims adjuster Jobs in Pleasanton, 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
AP Claim Specialist
SPEEDX LOGISTICS INC. —Hayward, CA
- From $24 an hour
- Full-time
- Mid-level
- Office
- Finance
- Health insurance
- Dental insurance
Quick Apply
2d
Property Field Adjuster - San Jose, CA
DMA / David Morse & Associates —San Jose, CA
- Up to $80,000 a year
- Part-time
- Remote
- Customer service
- Military
- Writing skills
- Work from home
Quick Apply
Sr. Field Adjuster, Homeowner Claims - Fresno, CA (Local)
CSAA Insurance Group —Walnut Creek, CA
- $38.88 - $51.88 an hour
- Full-time
- Remote
- High school diploma or GED
- Driver's License
- Bachelor's degree
- 401(k) matching
Claims Adjuster Trainee
Progressive —Concord, CA
- $31.01 - $33.17 an hour
- Monday to Friday
- Hybrid work
- Office
- US work authorization
- Associate's degree
- Health savings account
- Disability insurance
Claims Examiner Trainee
Berkshire Hathaway Homestate Companies —Walnut Creek, CA
- Hybrid work
- Spanish
- Writing skills
- Basic math
- Paid holidays
- Health insurance
Quick Apply
Liability Claims Clerk, Professional Liability
BETA HEALTHCARE GROUP RISK MANAGEMENT —Alamo, CA
- $34.36 - $38.46 an hour
- Full-time
- Hybrid work
- Office
- High school diploma or GED
- Data entry
- Work from home
Quick Apply
WORKERS' COMPENSATION CONSULTANT
Department of Industrial Relations —Alameda County, CA
- $6,646 - $8,324 a month
- Online Application
- Hybrid work
- Computer literacy
- Writing skills
- Research
- Paid holidays
- Health insurance
7d
Property Claims Specialist Field I - Tracy, Livermore, San Jose, Pleasanton
Mercury Insurance Services, LLC —Concord, CA
- $63,410 - $117,348 a year
- Overtime
- Bilingual
- Military
- Writing skills
- Paid holidays
- Health insurance
Claims Appraiser - Auto Estimatics
State Farm —Hayward, CA
- $73,824.56 - $102,500.00 a year
- Overtime
- Mid-level
- Driver's License
- Clean MVR report
- Paid holidays
- Health insurance
13d
Claims Representative (IAP): Workers Compensation Training Program | Concord, CA
Sedgwick —Concord, CA
- Full-time
- Customer service
- No experience needed
- Office
- Health savings account
- Disability insurance
Property & Casualty Claims Advocate
HUB International —San Ramon, CA
- $68,000 - $100,000 a year
- Online Application
- Microsoft Outlook
- Writing skills
- Mid-level
- Health savings account
- Disability insurance
Claim Specialist - Property Field Inspection
State Farm —Union City, CA
- $73,824.56 - $118,245.00 a year
- Overtime
- Mid-level
- Residential
- Analysis skills
- Paid holidays
- Health insurance
Claims Specialist - Workers' Compensation (California)
ICW Group —Pleasanton, CA
- $78,678.61 - $132,686.15 a year
- Full-time
- Hybrid work
- Office
- 8 years
- Bachelor's degree
- Paid holidays
- Health insurance
Claims Adjuster – Attorney Represented Injury
Progressive —Concord, CA
- $30.29 - $43.17 an hour
- Hybrid work
- Mid-level
- Office
- Driver's License
- Health savings account
- Disability insurance
Field Property Adjuster
CUSTARD INSURANCE ADJUSTERS —San Jose, CA
- $25 - $35 an hour
- Part-time
- Mid-level
- Analysis skills
- Driver's License
- Health insurance
- Dental insurance
Quick Apply
Property Adjuster
CUSTARD INSURANCE ADJUSTERS —Walnut Creek, CA
- $24 - $33 an hour
- Full-time
- Clean driving record
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Property Adjuster
CUSTARD INSURANCE ADJUSTERS —Concord, CA
- $24 - $33 an hour
- Full-time
- Clean driving record
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Claims Examiner
Gallagher —Oakland, CA
- $79,500 - $113,500 a year
- Remote
- 5 years
- Writing skills
- Mid-level
15h
Claims Resolution Specialist
Integrated Pain Management Medical Group, Inc. —Walnut Creek, CA
- $28 - $35 an hour
- Full-time
- HIPAA
- Research
- Mid-level
- Paid holidays
- Health insurance
Quick Apply

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claims adjuster jobs near pleasanton, 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 pleasanton, ca

Workers' Compensation Claims Examiner

AP Claim Specialist

Property Field Adjuster - San Jose, CA

Sr. Field Adjuster, Homeowner Claims - Fresno, CA (Local)

Claims Adjuster Trainee

Claims Examiner Trainee

Liability Claims Clerk, Professional Liability

WORKERS' COMPENSATION CONSULTANT

Property Claims Specialist Field I - Tracy, Livermore, San Jose, Pleasanton

Claims Appraiser - Auto Estimatics

Claims Representative (IAP): Workers Compensation Training Program | Concord, CA

Property & Casualty Claims Advocate

Claim Specialist - Property Field Inspection

Claims Specialist - Workers' Compensation (California)

Claims Adjuster – Attorney Represented Injury

Field Property Adjuster

Property Adjuster

Property Adjuster

Claims Examiner

Claims Resolution Specialist

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