Claims Examiner jobs in Orange, CA
Claims Examiner reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Additionally, Claims Examiner determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Claims Examiner typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)
Recently Added Claims Examiner jobs
Claims Examiner
- MS ACSC Management Services Inc
-
Costa Mesa, CA
FULL_TIME
- Claims Examiner The person in this role works directly with Claims management to communicate trends and patterns on high severity and complex claims. This individual provides guidance to management for the handling, strategy and resolution of claims, including providing authority for settlement. Duties/Responsibilities: Reviews and authorizes claim reserves and provides settlement recommendations. Provides direction to claims personnel and counsel on complex claims files. Reviews claim files to ensure completeness, timeliness and member service guidelines are being adhered to for compliance. Provides management with recommendations and guidance regarding coverage to ensure the Exchange is protected against risk. Ensures accurate diaries are established and maintained and provides guidance in litigation strategy to monitor expenses. Analyzes and reports patterns and trends to upper management and may be involved in extra contractual cases. Based on trends may provide training and insight to claims and legal personnel. Conducts annual audits as directed by senior management. Other duties and responsibilities as assigned or required. Education/Experience: BA/BS or equivalent combination of education and experience required. Continuing education through attainment of industry designations highly desirable. 5 years of an expert level of claims technical experience within a related specialized area 2-3 years Automobile Club experience is preferred Knowledge/Skills/Competencies: Moderate level of computer and line of business technical software skills required Advanced organization and planning skills necessary Advanced oral and written communication skills required Advanced interpersonal skills required Valid driver’s license with minimum level of financial coverage/responsibility required by the Automobile Club. An acceptable motor vehicle record is required for the position. The starting pay range for this position is: $88,300.00 - $117,700.00 Additionally, you will be eligible to participate in our incentive program based upon the achievement of organization, team and personal performance. . Remarkable benefits: • Health coverage for medical, dental, vision • 401(K) saving plan with company match AND Pension • Tuition assistance • PTO for community volunteer programs • Wellness program • Employee discounts The Automobile Club of Southern California is part of the largest federation of AAA clubs in the nation. We have 14,000 employees in 21 states helping 17 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity – we win. All of Us! With our national brand recognition, long-standing reputation since 1902, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team. “Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value.” AAA is an Equal Opportunity Employer The Automobile Club of Southern California will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. For more than a century, AAA has been synonymous with trust, dependability, quality, and innovation. It's our mission to provide our growing membership with the legendary service we are famous for, and we welcome committed professionals ready to challenge themselves in a dynamic industry. AAA would not exist without the millions of members who give us their loyalty, or our employees whose mission it is to give those members world-class service. What else do we offer? Stability. Growth. Commitment to an exciting future for both you and our members.
- 30 Days Ago
Claims Examiner
- UST
-
Aliso Viejo, CA
FULL_TIME
- Claims Examiner Associate II - BPM Who we are: UST HealthProof is a dynamic company with a mission to lower the cost of care and deliver the future of healthcare. Our consumer-centric approach gives o...
- 1 Month Ago
MSO Claims and Reporting Examiner
- Procare MSO, Inc.
-
Costa Mesa, CA
PART_TIME
- MSO Claims Examiner-Part or full time Position Summary: The MSO Claims Examiner processes routine and non-routine claims using established claim standards, and departmental policies and procedures. Ac...
- 5 Days Ago
Claims Examiner II
- UST
-
Aliso Viejo, CA
FULL_TIME
- Claims Examiner Associate II - BPM Who we are: UST HealthProof is a dynamic company with a mission to lower the cost of care and deliver the future of healthcare. Our consumer-centric approach gives o...
- 25 Days Ago
Claims Examiner Sr.
- Judge Group
-
Orange, CA
FULL_TIME
- Location: Orange, CASalary: $25.00 USD Hourly - $30.00 USD HourlyDescription: The Judge Group is currently seeking Claims Examiners for a fantastic healthcare company in Orange, CA!This job will have ...
- 1 Month Ago
Claims Examiner I
- Western Growers Family of Companies
-
Irvine, CA
FULL_TIME
- Part of the Western Growers Family of Companies, Western Growers Assurance Trust (WGAT) was founded in 1957 to provide a solution to a need in the agricultural community — a need for employer-sponsore...
- 1 Month Ago
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0 Claims Examiner jobs found in Orange, CA area
Claims Examiner –Remote
- Generis Tek Inc
-
Los Angeles, CA
- Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
- 4/23/2024 12:00:00 AM
Claims Examiner
- D3 Search
-
Los Angeles, CA
- D3 Search is actively seeking the following Claims Examiner II - Cyber candidate for a global insurer with a growing off...
- 4/22/2024 12:00:00 AM
Claims Examiner
- APR Consulting
-
Whittier, CA
- APR Consulting, Inc. has been engaged to identify a Claims Examiner Location: Whittier, CA 90601 Position: Claims Examin...
- 4/22/2024 12:00:00 AM
Claims Examiner III
- Imperial Health Plan Of California Inc.
-
Pasadena, CA
- JOB SUMMARY: Is responsible for adjudicating complex claims which include high dollar claims. Responsible for accurate m...
- 4/22/2024 12:00:00 AM
Claims Examiner
- Apr Consulting
-
Whittier, CA
- APR Consulting, Inc. has been engaged to identify a Claims Examiner Location: Whittier, CA 90601 Position: Claims Examin...
- 4/21/2024 12:00:00 AM
Claims Examiner II
- Imperial Health Plan of California, Inc.
-
Pasadena, CA
- ESSENTIAL JOB FUNCTIONS: Adjudicates complex professional and institutional claims. Responsible for meeting performance ...
- 4/20/2024 12:00:00 AM
Claims Examiner -Remote
- Generis Tek Inc
-
Irvine, CA
- Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
- 4/20/2024 12:00:00 AM
Claims Examiner -Remote
- Generis Tek Inc
-
Los Angeles, CA
- Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
- 4/20/2024 12:00:00 AM
About Orange, California
Orange is a city located in Orange County, California. It is approximately 3 miles (4.8 kilometers) north of the county seat, Santa Ana. Orange is unusual in this region because many of the homes in its Old Town District were built before 1920. While many other cities in the region demolished such houses in the 1960s, Orange decided to preserve them. The small city of Villa Park is surrounded by the city of Orange. The population was 139,812 as of 2014.
The city has a total area of 25.2 square miles (65 km2), 24.8 square miles (64 km2) of which is land and 0.4 square miles (1.0 km2) of which i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$52,937 to $70,197
Orange, California area prices
were up 3.0% from a year ago
were up 3.0% from a year ago