Claims Clerk jobs in Ventura, CA

Claims Clerk reviews insurance claim forms and supporting documents for completeness and accuracy and obtains missing information as necessary. Inputs claim information into system for processing. Being a Claims Clerk verifies coverage eligibility. Calculates settlement amounts according to guidelines. Additionally, Claims Clerk processes routine claim payments. Requires a high school diploma or equivalent. Typically reports to a supervisor. The Claims Clerk works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)

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Claims Analyst
  • ALKEME
  • Thousand Oaks, CA FULL_TIME
  • Description

    Position Summary:

    Looking for a detail-oriented, proactive individual with a passion for assisting clients and ensuring their peace of mind during challenging times. In this role, you will play a pivotal part in facilitating the claims process, providing exemplary service to our clients, and acting as a liaison between our agency, our clients, and our insurance carriers.


    As a Claims Analyst, your responsibilities will include:

    Promptly reporting loss information to the appropriate insurance company upon receipt.

    Delivering courteous, same-day service to clients, advising them on loss settlement processes.

    Vigilantly following up with insurance companies to ensure timely and accurate loss settlements.

    Responding to customer inquiries within 24 hours, addressing their questions about loss statuses.

    Adhering to established systems, procedures, and insurance company regulations.

    Generating regular claim reports for management as needed.

    Monitoring reserves and closing amounts with carriers on a regular basis.

    Notifying relevant parties of severe losses or reserves exceeding $25,000.

    Managing the maintenance of loss history, including recording payments and claim closures.

    Coordinating activities between clients and claims adjusters as necessary.

    Cultivating relationships with claims managers and supervisors from represented carriers.

    Ensuring timely forwarding of legal notices to appropriate company personnel.

    Extending courtesy and assistance to third parties reporting claims.

    Documenting all significant conversations related to exposures and coverages.

    Performing additional duties as assigned by management.


    Requirements

    To succeed in this role, you should possess:

    Self-starter mentality with excellent verbal and written communication skills.

    A comprehensive understanding of insurance coverages and claims procedures.

    Proficiency in using personal computers, including Microsoft Word and Excel.

    College education or equivalent insurance experience recommended. 

    California Claims knowledge or experience (preferred) 

    Workers' compensation knowledge is a plus.


    Physical Demands and Work Environment:

    Fast-paced, multi-tasking environment.

    Extended periods of sitting at a desk and working on a computer.

  • 1 Month Ago

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Field Claims Investigator (1099)
  • Konkordia Phoenix PLC, Inc.
  • Thousand Oaks, CA CONTRACTOR
  • Position: Field Claims Investigator Job Type: 1099 / Contracted Work Location 50% working from home. 50% working in the field Compensation: $20/hr and $.67/mile COMPANY OVERVIEW Phoenix Loss Control (...
  • Just Posted

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Medical Claims Processing
  • Community Memorial Healthcare
  • Ventura, CA OTHER
  • Compensation Salary Range: $18.36 - $27.67 / hour The pay range above represents the lowest possible rate for the position and the highest possible rate. Factors that may be used to determine where ne...
  • 11 Days Ago

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Property Claims Specialist Field II
  • Mercury Insurance Services, LLC
  • Oxnard, CA FULL_TIME
  • We are open to candidates that reside in Simi Valley, Northridge, Van Nuys, Glendale, Studio City CA area Position Summary: If you’re passionate about helping people restore their lives when the unexp...
  • 1 Month Ago

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Independent Insurance Claims Adjuster in Ojai, California
  • MileHigh Adjusters Houston Inc
  • Ojai, CA FULL_TIME
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjus...
  • 21 Days Ago

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Independent Insurance Claims Adjuster in Moorpark, California
  • MileHigh Adjusters Houston Inc
  • Moorpark, CA FULL_TIME
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjus...
  • Just Posted

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0 Claims Clerk jobs found in Ventura, CA area

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Remote Licensed Marriage and Family Therapist (LMFT)
  • Rula Health
  • Oxnard, CA
  • About Rula Rula is a national behavioral health network that makes it easy for individuals, couples, and families to fin...
  • 4/26/2024 12:00:00 AM

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Engineering Manager I/II/III
  • Ventura County, CA
  • Ventura, CA
  • Salary : $103,241.38 - $175,012.69 Annually Location : Ventura and Moorpark and may require travel throughout Ventura Co...
  • 4/26/2024 12:00:00 AM

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Director, Customer Service
  • Western Growers
  • Oxnard, CA
  • **Description** Join our team of dedicated professionals who are committed to ensuring our clients can provide affordabl...
  • 4/25/2024 12:00:00 AM

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Medical Claims Processor
  • Aya Healthcare
  • Santa Barbara, CA
  • Aya Healthcare has an exciting 13-week contract opportunity in Santa Barbara, CA! Job Details: JOB TITLE: Claims Process...
  • 4/23/2024 12:00:00 AM

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Accountant-PT
  • City of Port Hueneme, CA
  • Port Hueneme, CA
  • Salary: $35.54 - $46.21 Hourly Location : Port Hueneme, CA Job Type: Part Time Job Number: 2022NJ10182022 Department: Ho...
  • 4/23/2024 12:00:00 AM

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Construction Manager
  • Department of Defense
  • Port Hueneme, CA
  • Summary You will serve as a CONSTRUCTION MANAGER in the OTH Remote Construction Division of NAVAL FACILITIES ENG COMMAND...
  • 4/23/2024 12:00:00 AM

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Receiving Clerk
  • Superior Grocers
  • Oxnard, CA
  • Receiving clerk must maximize sales potential through effective and proper procedures for receiving all products enterin...
  • 4/22/2024 12:00:00 AM

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Bakery Clerk
  • Superior Grocers
  • Oxnard, CA
  • Bakery Clerk will expected to perform sanitation and cleaniliness, maintain the presentation of the department: Pastry C...
  • 4/22/2024 12:00:00 AM

Ventura is located northwest of Los Angeles on the California coast. The western portion of the city stretches north along the Ventura River and is characterized by a narrow valley with steeply sloped areas along both sides. The steep slopes of the Ventura foothills abut the northern portion of the community. Much of the eastern portion is on a relatively flat alluvial coastal plain lying along the western edge of the Oxnard Plain. The Santa Clara River forms the city's southerly boundary with the city limits reaching up to the beginning of the Santa Clara River Valley at the historic communit...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Clerk jobs
$39,261 to $49,674
Ventura, California area prices
were up 2.5% from a year ago