Claims Processing Clerk, Sr. jobs in Stockton, CA

Claims Processing Clerk, Sr. receives and inputs new healthcare claims, processes payments, conducts billing research, and responds to telephone inquires. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk, Sr. produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk, Sr. typically reports to a supervisor. The Claims Processing Clerk, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Claims Processing Clerk, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)

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Claims Consultant
  • Golden Bear Insurance Company
  • Stockton, CA FULL_TIME
  • The Claims Consultant will handle and analyze primary General Liability, Excess GL and Excess Commercial Auto claims and/or Attorney Professional Liability Claims from inception to conclusion, reviewing claims to determine nature of loss, coverage provided, and scope of claim, make recommendations regarding settlement/disposition of claims and negotiate to conclusion. This position involves litigated and non-litigated matters. The position also ensures ongoing adjudication of claims within the Company standards, industry best practices and specific client service requirements.


    Key Duties & Responsibilities:

    • Analyze and process General Liability, Excess GL and Excess Commercial Auto bodily injury and property damage claims and/or Professional Liability Claims by investigating and gathering information to determine the exposure on the claim; ensure proactive claims handling aimed at the prompt and cost-effective resolution of claims through well-developed action plans.
    • Identify and evaluate coverage issues; prepare comprehensive coverage letters with supervisory review and analysis; retain and provide direction to coverage counsel when necessary.
    • Assess liability and resolve claim within established evaluation. Maintain diaries and complete tasks within required timeframes as set forth by department and governmental guidelines; ensure claim files are timely and properly documented with clear and concise analysis on coverage, damages, reserves, and liability including an action plan for resolution. Process and pay invoices in a timely manner.
    • Coordinate vendor referrals for additional investigation and/or litigation management. Calculate and assign timely and appropriate reserves; monitor reserve accuracy throughout the life of the claim.
    • Refer case as appropriate to supervisor and management.
    • Attend arbitrations, mediations, settlement conference and trials.
    • Successfully complete required State licensing examinations and continuing education requirements.


    Education/Training & Experience:

    • Bachelors Degree or JD preferred or 5 years of claims handling experience required.
    • Strong decision-making ability and negotiation skills.
    • Claim designations such as AIC, CPCU or AINS preferred but not necessary. Company sponsored Institutes’ training available to all employees.
    • Claim adjuster licenses required (Company will assist in obtaining and compensate costs for required licensing).
    • Proficiency in Microsoft Office suite applications (Outlook, Word, Excel, and Share Point).
    • Proficient writing skills.
    • Good interpersonal communication skills.
    • Good negotiation and analytical skills.
    • Team player.

    The location of this position is flexible.

  • 10 Days Ago

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Clerk
  • Raley's Supermarkets
  • Brentwood, CA OTHER
  • Overview We are now hiring Great People Who Care! We are looking for a fearless and accountable Clerk who is positive and passionate! Our Clerks will be responsible for executing a wide variety of tas...
  • 23 Days Ago

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Clerk
  • Raley's Supermarkets
  • Manteca, CA OTHER
  • Overview We are now hiring Great People Who Care! We are looking for a fearless and accountable Clerk who is positive and passionate! Our Clerks will be responsible for executing a wide variety of tas...
  • 3 Days Ago

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Clerk
  • Pacific Gas and Electric Company
  • Tracy, CA FULL_TIME
  • Requisition ID# 156335 Job Category : Administrative / Clerical Job Level : Individual Contributor Work Type : Onsite Job Location : Tracy Department Overview The Electric Operations ensure the delive...
  • 5 Days Ago

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Clerk
  • Raley's Supermarkets
  • Oakley, CA OTHER
  • Overview We are now hiring Great People Who Care! We are looking for a fearless and accountable Clerk who is positive and passionate! Our Clerks will be responsible for executing a wide variety of tas...
  • 10 Days Ago

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Clerk
  • Raley's Supermarkets
  • Tracy, CA OTHER
  • Overview We are now hiring Great People Who Care! We are looking for a fearless and accountable Clerk who is positive and passionate! Our Clerks will be responsible for executing a wide variety of tas...
  • 15 Days Ago

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0 Claims Processing Clerk, Sr. jobs found in Stockton, CA area

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Terminal Clerk II
  • Estes Express Lines
  • Sacramento, CA
  • Job Description Job Summary: Answer telephones with a heavy call volume and direct calls with accuracy Maintain count li...
  • 3/28/2024 12:00:00 AM

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Independent Insurance Claims Adjuster in Stockton, California
  • MileHigh Adjusters Houston Inc
  • Stockton, CA
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to ...
  • 3/28/2024 12:00:00 AM

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Remote Job - Sales/Data Entry Agent Work From Home
  • Jobconversion, LLC
  • Stockton, CA
  • Job Conversion, LLC is looking for both experienced and entry level sales reps who are also good at data entry. Work you...
  • 3/28/2024 12:00:00 AM

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Life Insurance Sales Agent
  • United 1 Protection
  • Stockton, CA
  • We are seeking a Life Insurance Agent to join our team! You will be responsible for expanding the company's book of busi...
  • 3/27/2024 12:00:00 AM

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Claims clerk
  • West Valley Staffing Group
  • Hayward, CA
  • Job Description Job Description About the role: 2-3 months contract – Monday to Friday (8-5) We are looking for a detail...
  • 3/26/2024 12:00:00 AM

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Insurance Professional with Leadership Trajectory
  • Bankers Life
  • Stockton, CA
  • Bankers Life®, one of the most respected brands in the Financial Services industry, is seeking ambitious individuals to ...
  • 3/25/2024 12:00:00 AM

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Entry Level Insurance Sales Agent
  • Bankers Life
  • Stockton, CA
  • Bankers Life® seeks professionals for a dynamic hybrid remote work environment. Start your insurance agent career and ea...
  • 3/25/2024 12:00:00 AM

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Insurance Professional with Leadership Trajectory
  • Bankers Life
  • Stockton, CA
  • Bankers Life®, one of the most respected brands in the Financial Services industry, is seeking ambitious individuals to ...
  • 3/25/2024 12:00:00 AM

Stockton is the county seat of San Joaquin County in the Central Valley of the U.S. state of California. Stockton was founded by Captain Charles Maria Weber in 1849 after he acquired Rancho Campo de los Franceses. The city is named after Robert F. Stockton, and it was the first community in California to have a name not of Spanish or Native American origin. The city is located on the San Joaquin River in the northern San Joaquin Valley and had an estimated population of 320,554 by the California Department of Finance for 2017. Stockton is the 13th largest city in California and the 63rd larges...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Clerk, Sr. jobs
$51,205 to $63,160
Stockton, California area prices
were up 2.5% from a year ago

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Claims Processing Clerk, Sr. in Chattanooga, TN
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Claims Processing Clerk, Sr. in Asheville, NC
When you’re in the beginning stages of writing your insurance claims processing clerk job description, you’ll need to review common qualifications for this job.
January 12, 2020