Claims Adjuster jobs in Anaheim, CA

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Workers Compensation Claims Adjuster (San Bernadino)
  • Elite
  • Chino, CA FULL_TIME
  • POSITION SUMMARY:  Candidate must have a SIP for CA. Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines. 

    DUTIES AND RESPONSIBILITIES:
     
    • Effectively manages a caseload of 150 to 180 workers’ compensation files, including very complex claims.
    • Initiates and conducts investigation in a timely manner.
    • Determines compensability of claims and administer benefits, based upon state law and in accordance with established Company guidelines.
    • Manages medical treatment and medical billing, authorizing as appropriate.
    • Refers cases to outside defense counsel.  Directs and manages as appropriate. 
    • Communicates with claimants, providers and vendors regarding claims issues.
    • Computes and set reserves within Company guidelines.  Limits are larger than those allowed for Claims Adjuster I and Claims Adjuster II.
    • Settles and/or finalize all claims and obtains authority as designated.
    • Maintains diary system for case review and documents file to reflect the status and work being performed on the file.
    • Communicates appropriate information promptly to the client to resolve claims efficiently, including any injury trends or other safety related concerns.
    • Adheres to all Company policies and procedures.
    • Conducts file reviews independently.
    • Other duties as assigned.

    QUALIFICATIONS REQUIRED:
    Education/Experience:  Bachelor’s degree in related field (preferred); five (5) or more years CA Workers compensation claims experience; or equivalent combination of education and experience.

    Knowledge, Skills and Abilities:
    • Technical knowledge of statutory regulations and medical terminology.
    • Analytical skills.
    • Excellent written and verbal communication skills, including ability to convey technical details to claimants, clients and staff.
    • Ability to interact with persons at all levels in the business environment.
    • Ability to independently and effectively manage very complex claims.
    • Proficient in Word and Excel (preferred).

    Other Qualifications
    • Certifications and/or licenses as required by State regulation. Candidate must have a SIP for CA

    Here are some of the benefits you can enjoy in this role:
    • Medical, Dental, Vision, Disability & Life insurance
    • 401(k) plan
    • Paid time off.
    • Paid holidays.
  • Just Posted

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Independent Insurance Claims Adjuster in San Dimas, California
  • MileHigh Adjusters Houston Inc
  • San Dimas, CA FULL_TIME
  • ADJUSTERS NEEDED NOW!ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND fo...
  • 18 Days Ago

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Independent Insurance Claims Adjuster in Stanton, California
  • MileHigh Adjusters Houston Inc
  • Stanton, CA FULL_TIME
  • ADJUSTERS NEEDED NOW!ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND fo...
  • 19 Days Ago

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Independent Insurance Claims Adjuster in La Verne, California
  • MileHigh Adjusters Houston Inc
  • La Verne, CA FULL_TIME
  • ADJUSTERS NEEDED NOW!ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND fo...
  • 19 Days Ago

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Independent Insurance Claims Adjuster in Brea, California
  • MileHigh Adjusters Houston Inc
  • Brea, CA FULL_TIME
  • ADJUSTERS NEEDED NOW!ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND fo...
  • 19 Days Ago

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Independent Insurance Claims Adjuster in La Mirada, California
  • MileHigh Adjusters Houston Inc
  • La Mirada, CA FULL_TIME
  • ADJUSTERS NEEDED NOW!ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND fo...
  • 2 Months Ago

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0 Claims Adjuster jobs found in Anaheim, CA area

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CLAIMS ADJUSTER
  • Comptech Associates
  • Los Angeles, CA
  • Job title: Claims Adjuster - Workers Compensation Location: Los Angeles, CA. Job Schedule-Hybrid-3 days in office Tuesda...
  • 4/14/2024 12:00:00 AM

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Claims Adjuster Senior Liability
  • Gallagherbassett
  • Rancho Cucamonga, CA
  • ** Claims Adjuster Senior Liability** **** New Gallagher Bassett is the premier provider of global claims services, dedi...
  • 4/14/2024 12:00:00 AM

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Field Property Claims Adjuster
  • Liberty Mutual Group
  • Anaheim, CA
  • You are here: / US,Anaheim-CA,Field Property Claims Adjuster **Field Property Claims Adjuster** Description & Responsibi...
  • 4/14/2024 12:00:00 AM

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Claims Adjuster
  • Sunrise Systems, Inc.
  • Los Angeles, CA
  • Job Title: Claims Adjuster - Workers Compensation Location: Los Angeles, CA 90071 Duration: 6+ months contract to begin ...
  • 4/13/2024 12:00:00 AM

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Experienced Claims Adjuster
  • Progressive Corp.
  • Torrance, CA
  • Experienced Claims Adjuster **Job Number** : 189760 Join one of FORTUNEs 100 Best Companies to Work For! Develop your cl...
  • 4/12/2024 12:00:00 AM

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Claims Adjuster
  • MedPOINT Management
  • Los Angeles, CA
  • Job Description Job Description Summary The claims adjuster is responsible for the adjusting of claims, in accordance wi...
  • 4/11/2024 12:00:00 AM

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Field Property Claims Adjuster
  • Liberty Mutual Group
  • Ontario, CA
  • You are here: / US,Ontario-CA,Field Property Claims Adjuster **Field Property Claims Adjuster** **Field Property Claims ...
  • 4/11/2024 12:00:00 AM

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Claims Adjuster Workers Compensation
  • Sedgwick
  • Long Beach, CA
  • **Claims Adjuster Workers Compensation** **Claims Adjuster Workers Compensation** **The 'Apply with SEEK' option will be...
  • 4/11/2024 12:00:00 AM

Anaheim (/ˈænəhaɪm/) is a city in Orange County, California, part of the Los Angeles metropolitan area. As of the 2010 United States Census, the city had a population of 336,265, making it the most populous city in Orange County and the 10th-most populous city in California. Anaheim is the second-largest city in Orange County in terms of land area, and is known for being the home of the Disneyland Resort, the Anaheim Convention Center, and two major sports teams: the Anaheim Ducks ice hockey club and the Los Angeles Angels baseball team. Anaheim was founded by fifty German families in 1857 and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Adjuster jobs
$72,167 to $92,368
Anaheim, California area prices
were up 3.2% from a year ago

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Claims Adjuster in Fort Wayne, IN
Utilize all contract paperwork, contract agreements, repair firm assessments, hauler/agent/helper/account//customer communication in the assessment of liability and the investigation of the claim 40% Negotiation.
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Negotiate any disagreements in the initial offer and establish final settlement.
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Claims Adjuster in Hilliard, OH
Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
December 03, 2022