Claims Manager jobs in Orange, CA

Claims Manager manages the operations of an insurance claims department to meet operational, financial, and service requirements. Oversees the intake and processing of insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Being a Claims Manager manages appraisal and examination staff and processes. Assures timely and proper disposition of claims based on policy provisions. Additionally, Claims Manager recommends and implements best practices to ensure complete and thorough claim settlements, legal reviews, and investigations following company policies and insurance industry regulations. Determines the value of settlements for escalated claims. Manages negotiations of settlements and administration of claims in litigation. Typically requires a bachelor's degree. Typically reports to a director. The Claims Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Claims Manager typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Manager, Claims
  • AmTrust Financial
  • Irvine, CA FULL_TIME
  • Manager, Claims
    Job Locations US-CA-Irvine
    Requisition ID 2024-16419 Category Claims - Workers Compensation Position Type Regular Full-Time
    Overview

    AmTrust Financial Services, a fast growing commercial insurance company, has an immediate need for a Workers' Compensation Claims Manager in Irvine, CA. The Workers Compensation Claims Manager is responsible to supervise activities within the worker compensation lost time claims department. This may encompass supervision of administrative tasks and staff or oversight of the investigation of insurance claims involving workers compensation, property or casualty claims based on coverage, appraisal and verifiable injury or damage. This position involves the direct handling of tasks and/or claims in addition to supervision of staff. The WC Claims Manager reports to the WC Sr. Manager.

    Responsibilities
      May oversee the handling of all aspects of the claims assigned to the unit including reserving, communication, documentation, evaluation, negotiation and settlement
    • Ensures all claims eligible or ineligible for payment conform to quality, production standards, and specifications
    • Ensures claim processing is consistent with applicable policies, procedures and department guidelines
    • Analyzes and approves workers compensation claims
    • Completes regular quality audits of staffs work, records results and counsels staff to bring work to or above standards
    • Prepares regular periodic reports and monitors system reports to ensure adherence to corporate and regulatory standards
    • Establishes and executes controls to assure that the quality of the work meets or exceeds standards
    • Reviews and analyzes processes, procedures, and workflows to identify opportunities for process improvement and efficiency
    Qualifications
    • 10 years' experience in workers compensation insurance industry
    • Valid adjusters license in appropriate jurisdictions or ability to obtain such
    • Experience successfully managing claim professionals
    • Strong leadership skills
    • Ability to develop partnerships
    • Sound technical knowledge of workers' compensation policies, coverages, and exposures
    • Experience proactively managing catastrophic injuries
    • Ability to analyze data, and communicate trends
    • Ability to make essential decisions to positively impact change
    • Complete knowledge of claim procedures, technology, state and federal laws and insurance regulations
    • Superior written and verbal communication skills
    • Ability to mentor and encourage behaviors that impact claim performance
    • Professional demeanor and effective people skills
    • Ability to prioritize, and multi-task in team environment
    • Ability to travel

    The salary range for this role is $97,000 - $110,000/year. This range is only applicable for jobs to be performed in California. Base pay offered may vary depending on, but not limited to education, experience, skills, geographic location, travel requirements, sales or revenue-based metrics. This range may be modified in the future.

    #LI-NS1

    #LI-HYBRID

    What We Offer

    AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.

    AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.

    AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.

    Connect With Us!
    Not ready to apply? Connect with us for general consideration.

     

  • 1 Month Ago

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CA - Orange County - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Irvine, CA FULL_TIME
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
  • 1 Month Ago

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Manager -Construction Claims
  • The Vertex Companies, LLC
  • Irvine, CA FULL_TIME
  • Company Description The Vertex Companies, LLC (VERTEX) is a leading multidisciplinary engineering and consulting firm that provides forensic consulting, engineering design, construction management, cl...
  • 26 Days Ago

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Claims Operations Manager
  • UST
  • Aliso Viejo, CA FULL_TIME
  • Claim Operations Manager Manager I - 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 g...
  • 26 Days Ago

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Workers' Compensation Claims Manager
  • Zenith
  • Orange, CA FULL_TIME
  • A Brief Overview Responsible for the management of a branch claims office. Establishes goals, adheres to and supports corporate objectives, projects staff requirements, prepares budget, evaluates and ...
  • 1 Month Ago

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Auditor (Claims)
  • CalOptima
  • Orange, CA FULL_TIME
  • Job DetailsAuditor (Claims) Job Description Department(s): Delegation OversightReports to: Manager Audit & Oversight (Delegation)FLSA status: Non-ExemptSalary Grade: I - $61,000 - $99,110 Applications...
  • 22 Days Ago

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0 Claims Manager jobs found in Orange, CA area

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Manager, Claims Data Operations
  • L.A. Care Health Plan
  • Los Angeles, CA
  • Salary Range: $117,509.00 (Min.) - $152,762.00 (Mid.) - $188,015.00 (Max.) Established in 1997, L.A. Care Health Plan is...
  • 4/26/2024 12:00:00 AM

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Defense Counsel
  • Bonetati Kincaid & Soble Inc.
  • Santa Ana, CA
  • Responsibilities This is a defense attorney position, handling the defense of insured's on policies issued by mainly ove...
  • 4/26/2024 12:00:00 AM

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Administrative Services Coordinator | Long Beach, CA (Onsite)
  • Sedgwick Claims Management Services, Inc.
  • Long Beach, CA
  • Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A c...
  • 4/24/2024 12:00:00 AM

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Client Service Associate, Entertainment
  • HUB International Limited
  • Encino, CA
  • Our service professionals play a vital role in supporting our clients with day-to-day account management, claims managem...
  • 4/24/2024 12:00:00 AM

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Senior Construction Project Manager-Claim Specialist
  • Turner & Townsend
  • Los Angeles, CA
  • Company Description Founded in 1952 and formerly known as Heery International Inc., the firm operates throughout the Uni...
  • 4/24/2024 12:00:00 AM

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Workers Compensation Supervisor - Glendale
  • Intercare Holdings Insurance Services
  • Glendale, CA
  • Worker's Compensation Claims SupervisorJob Details Job Type Full-time GLENDALE, CA Description Summary: Reports directly...
  • 4/23/2024 12:00:00 AM

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Workers Comp (Claims Manager)
  • Brown & Brown Insurance
  • Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best...
  • 4/22/2024 12:00:00 AM

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Senior Construction Project Manager-Claim Specialist
  • Turner & Townsend International
  • Los Angeles, CA
  • Turner & Townsend Heery is seeking a Senior Construction Project Manager for public sector projects in Los Angeles. The ...
  • 4/22/2024 12:00:00 AM

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 Manager jobs
$133,696 to $179,150
Orange, California area prices
were up 3.0% from a year ago

Claims Manager in Richmond, VA
All matters relating to the Services and these Terms of Use and any dispute or claim arising therefrom or related thereto (in each case, including non-contractual disputes or claims), shall be governed by and construed in accordance with the internal laws of the State of California without giving effect to any choice or conflict of law provision or rule (whether of the State of California or any other jurisdiction).
February 07, 2020
Claims Manager in Raleigh, NC
The Start Date and End Date refer to the Procedure Date of qualifying charges needing claims created.
January 26, 2020
Claims Manager in Rochester, NY
In this sense, claims managers and administrators assume the role of insurance investigators for the vast majority of incidents reported at some of the largest companies in the country.
January 18, 2020