Top 21 Senior claims representative Jobs in Tustin Ca

Senior Workers' Comp Claims Specialist - CA Claims
Zenith Insurance Company —Orange, CA
- $85,736.31 - $127,972.38 a year
- Full-time
- Hybrid work
- 5 years
- High school diploma or GED
- Math
- Paid training
- Paid parental leave
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
Senior Claims Examiner - 4850
Athens Administrators —Orange, CA
- $50.29 - $55.87 an hour
- Urgently hiring
- Management
- Bachelor of Science
- Basic math
- Health savings account
- AD&D insurance
Quick Apply
Part-Time - Customer Service Representative Sr (OneCare) (Bilingual Required)
CalOptima —Orange, CA
- Weekends as needed
- Background check
- Microsoft Outlook
- Writing skills
- Tuition reimbursement
- Paid time off
10d
Senior Claims Examiner
WESTERN GROWERS ASSURANCE TRUST —Irvine, CA
- $53,667.86 - $69,768.32 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Flexible spending account
Quick Apply
Senior Workers Compensation Claims Advocate
Alliant Insurance Services —Irvine, CA
- $150,000 - $160,000 a year
- Email
- Analysis skills
- Bachelor's degree
- Experience equivalent to degree accepted
Quick Apply
Sr Safety & Health Consultant
Zenith Insurance Company —Orange, CA
- $109,728.11 - $137,160.14 a year
- Full-time
- 3 years
- Master's degree
- High school diploma or GED
- Paid training
- Paid parental leave
Senior Litigation Construction Liability Claims Representative
The Travelers Companies, Inc. —Diamond Bar, CA
- $94,400 - $155,800 a year
- Hybrid work
- Customer service
- Research
- Residential
- Wellness program
- Paid holidays
Senior Claims Advocate- P&C
EPIC Brokers —Newport Beach, CA
- $110,000 - $125,000 a year
- Hybrid work
- 7 years
- Basic math
- Office
- Paid parental leave
- Paid holidays
Quick Apply
Remote Sr. Director, Healthcare Analytics
Alignment Healthcare USA, LLC —Orange, CA
- $172,364 - $258,547 a year
- Online Application
- Remote
- SQL
- Analysis skills
- Math
Quick Apply
3d
Senior Customer Care Specialist, PCGS
Collectors —Santa Ana, CA
- $26 an hour
- Email
- Research
- US work authorization
- Ability to sit for extended periods
- Commuter assistance
- Paid holidays
General Liability Senior Technical Specialist
The Travelers Companies, Inc. —Diamond Bar, CA
- $94,400 - $155,800 a year
- Hybrid work
- Residential
- High school diploma or GED
- Analysis skills
- Wellness program
- Continuing education credits
Senior Public Adjuster
Allied Public Adjusters —Newport Beach, CA
- $85,000 - $220,000 a year
- Clean driving record
- Ability to walk for extended periods
- Office
- Paid holidays
- Health insurance
Quick Apply
1d
Senior Account Executive
Gallagher —Corona, CA
- $74,500 - $145,500 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Disability insurance
- Vision insurance
3d
Senior Estimator
Allied Public Adjusters —Newport Beach, CA
- $110,000 - $135,000 a year
- Clean driving record
- Ability to walk for extended periods
- Office
- Paid holidays
- Health insurance
Quick Apply
13h
Medical Management Assistant (SCAN Temp)
SCAN Health Plan —Long Beach, CA
- $20.14 - $27.77 an hour
- Full-time
- Remote
- Background check
- Microsoft Office
- High school diploma or GED
- Wellness program
- Paid holidays
Quick Apply
Manager, Pharmacy Operations
SCAN Health Plan —Long Beach, CA
- $80,300 - $116,197 a year
- Full-time
- Remote
- Background check
- Microsoft Outlook
- Research
- Wellness program
- Paid holidays
Quick Apply

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Astiva Health —Orange, CA
Data enters all incoming claims to EZ-cap. Separate HCFA, UB92 claims, appeals and medical records. Misdirected claims are filed on SFTP folders according to…
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Claims Representative (IAP) - Workers Compensation Training Program (On-Site Orange, CA)
Sedgwick —Orange, CA
Administering claim benefits i.e., indemnity and medical benefits, through maintenance of calendared claim-related action items, ensuring state compliance.
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Senior Workers' Comp Claims Specialist - CA Claims

Zenith Insurance Company -
Orange, CA

Apply Now

Job Details

Full-time
$85,736.31 - $127,972.38 a year

Benefits

Paid training
Paid parental leave
AD&D insurance
Employee stock purchase plan
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Parental leave
Employee assistance program
Vision insurance

Qualifications

Phone communication
Workers' compensation insurance knowledge
High school diploma or GED
Math
Client interaction via phone calls

Full Job Description

Introduction: Zenith is a team of Workers' Compensation Specialists committed to helping businesses succeed by protecting against the financial and human consequences of workplace injuries, providing for the needs of injured employees and making the workplace safer. To distinguish ourselves as the desired provider of Workers' Compensation Insurance, values such as collaboration, work-life balance, and integrity are placed at the center of all our operations. In addition, Zenith supports career advancement through a dedication to ongoing learning and development. An individual coming to Zenith will not only receive competitive compensation and a comprehensive benefits package, but continuous opportunities to grow as a professional. Overview: Investigate, analyze, and determine the extent of company's liability concerning Claims and attempt to effect settlement with claimants. Correspond with or interview medical specialists, agents, witnesses, or claimants to compile information. Calculate benefit payments and approve payment of Claims within a certain monetary limit. All tasks are to be performed with the goal of demonstrating Zenith's superior Claims handling expertise. Responsibilities:

Under limited direction, works within broad limits and authority on highly complex assignments.
Responsible for Claims management of assigned case load within guidelines of published performance standards.
Opens new Claims, completes three-point contact, and performs needed investigations to determine compensability as well as possible subrogation or apportionment, according to state and/or Zenith’s timeframes and guidelines.
Sets appropriate reserves according to Zenith’s timeframes and guidelines.
Follows appropriate procedures for system documentation to preserve data integrity.
Monitors and maintains accuracy of reserves over the life of the claim; when new information is received re-evaluates and recommends reserves according to Zenith’s standards.
Creates and executes action plans needed to bring case to closure.
Completes detailed settlement evaluations and recommends appropriate settlement value, within authority; negotiates claim settlements with injured workers and/or injured workers’ attorneys.
Maintains regular contact with injured workers, employers and agents to develop positive relationships and establish credibility.
Apply principles of logical thinking to define problems, collect data, establish facts, and draw valid conclusions.
Works productively and harmoniously with others on a consistence basis.
Respond positively to direction and criticism of performance.
Consistently maintain professional and appropriate demeanor.
Perform other duties as assigned.

Qualifications:

Must have California Workers' Compensation Claims Adjuster Certification/ designation.

Education:

High School Diploma Or equivalent required
Bachelor’s Degree or equivalent required

Work Experience:

5+ years Workers’ Compensation Claims handling experience required
CA workers Comp claims experience is a must

Knowledge, Skills, and Abilities:

Advanced technical workers’ compensation claims knowledge.
Strong verbal and written communication skills with emphasis on telephone communication required.
Strong math and reading skills required.
Meets all state regulatory standards regarding licensing, continuing education, and other requirements.

Pay, Benefits, and Other Information:

The expected salary range for this position is $94,502.68 - $127,972.38 . Actual pay will be adjusted based on experience, geographic location, and other job-related factors as permitted by law. Qualifications may warrant placement in a different job level.

Benefits

Medical, Dental and Vision Insurance
Flexible Spending Accounts
Paid Parental Leave
Life, AD&D and Disability Insurance
401(k), Employee Share Purchase Plan (ESPP)
Education and Training Reimbursement
Paid Leave: 3 weeks/year Vacation, 2 weeks/year Sick Leave
10 paid Company Holidays, 2 Personal Days, 2 Floating Holidays
Employee Assistance Program (EAP)
For more information, review details on the Benefits page of our Career Site: https://www.thezenith.com/careers/benefits/

Zenith typically posts jobs for a minimum of 8 to 14 calendar days. If you are interested in any of our open positions, we encourage you to submit your application promptly.

Zenith Insurance Company is an equal opportunity employer and considers all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristic. In compliance with California law, we are committed to fair hiring practices. Pursuant to the California Fair Chance Act (AB 1008), we will consider qualified applicants with criminal histories in a manner consistent with the law. Additionally, in accordance with the Los Angeles Fair Chance Initiative for Hiring Ordinance, we will not inquire about an applicant’s criminal history until after a conditional offer of employment has been made.

If you are a qualified individual with a disability or a disabled veteran and need assistance accessing our career center or applying for a position due to your disability, you are entitled to request an accommodation. To make a request, please contact a Human resources representative at Zenith Insurance Company.

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Refine Your Search

senior claims representative jobs in tustin ca

Senior Workers' Comp Claims Specialist - CA Claims

Senior Claim Examiner I

Senior Claims Examiner - 4850

Part-Time - Customer Service Representative Sr (OneCare) (Bilingual Required)

Senior Claims Examiner

Senior Workers Compensation Claims Advocate

Sr Safety & Health Consultant

Senior Litigation Construction Liability Claims Representative

Senior Claims Advocate- P&C

Remote Sr. Director, Healthcare Analytics

Senior Customer Care Specialist, PCGS

General Liability Senior Technical Specialist

Senior Public Adjuster

Senior Account Executive

Senior Estimator

Medical Management Assistant (SCAN Temp)

Manager, Pharmacy Operations

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