Top 13 Claims adjuster Jobs in Soledad, 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
Temporary Worker's Compensation Claims Adjuster III
AvonRisk —Salinas, CA
- Temporary
- Remote
- 5 years
- Mid-level
- Conflict management
- Health savings account
- Paid holidays
Quick Apply
12d
Xactimate-Certified Damage Assessor / Residential Field Inspector (Part-Time)
4LEAF, Inc. —San Benito, CA
- $50 - $75 an hour
- Part-time
- Residential
- Driver's License
- Travel
- Health insurance
- Dental insurance
8d
Commercial Auto Adjuster
TheBest Claims Solutions —United States
- $80,000 - $90,000 a year
- 5 years
- Bachelor's degree
- Senior level
14d
Senior General Liability Adjuster
TheBest Claims Solutions —United States
- $110,000 - $125,000 a year
- Remote
- 5 years
- Senior level
- Commercial
Senior General Liability Litigation Specialist
TheBest Claims Solutions —United States
- $85,000 - $110,000 a year
- Remote
- Senior level
- 2 years
- Commercial

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Customer Relations Representative - State Farm Agent Team Member
Enrique Ramirez - State Farm Agent —Soledad, CA
State Farm agents are independent contractors who hire their own employees. Enthusiastic about the role insurance and financial products play in helping people…
$22 - $30 an hour
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Customer Service Representative - State Farm Agent Team Member
Indy Mahindru - State Farm Agent —Seaside, CA
This position is office-based, with a preference for Spanish-speaking candidates due to significant foot traffic and incoming calls from current policyholders.
$17 - $23 an hour
Quick Apply

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Claim Specialist - Property Field Inspection
State Farm Mutual Automobile Insurance Company —Chillicothe, OH
A valid driver's license is required. Employees must successfully complete all required training, including applicable proficiency, licensing exam(s), Motor…
$59,059.65 - $90,000.00 a year
5d
Medical Claims Clearinghouse Specialist
Orthopedic One —Westerville, OH
Responsible for the accurate entry of physician and ancillary charges into Claims Clearinghouse module. Identifies solutions and responds professionally to…

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claims adjuster jobs near soledad, 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 soledad, ca

Workers' Compensation Claims Examiner

Temporary Worker's Compensation Claims Adjuster III

Xactimate-Certified Damage Assessor / Residential Field Inspector (Part-Time)

Commercial Auto Adjuster

Senior General Liability Adjuster

Senior General Liability Litigation Specialist

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