Top Claims Executive jobs in Sacramento, CA

Top Claims Executive plans and directs all aspects of an organization's insurance claims function. Responsible for managing and implementing claims programs for all lines of insurance. Being a Top Claims Executive directs the review and settlement of complex or high dollar claims. Develops procedures and policies to enhance and improve the processing, investigation, and settlement of claims. Additionally, Top Claims Executive ensures legal examinations are made when appropriate. Requires a bachelor's degree. Typically reports to top management. The Top Claims Executive manages a departmental function within a broader corporate function. Develops major goals to support broad functional objectives. Approves policies developed within various sub-functions and departments. Comprehensive knowledge of the overall departmental function. To be a Top Claims Executive typically requires 8+ years of managerial experience. (Copyright 2024 Salary.com)

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NorCal AOE/COE Claims Investigator
  • Atlas Claims Investigation
  • Sacramento, CA PART_TIME
  • Atlas Claims Investigation is looking for an experienced Workers' Compensation Investigator to conduct AOE/COE investigations in the Northern California region on a part time basis.

    Part Time W2 or 1099 Subcontractors are welcome!

    ```Duties```
    As a Claims Investigator, you will be responsible for conducting thorough investigations into insurance claims to determine their validity. Your role will involve gathering evidence, interviewing witnesses, and analyzing data to make informed decisions. Your attention to detail and strong analytical skills will be essential in uncovering potential fraud and ensuring accurate claim settlements.

    - Conduct investigations into insurance claims to determine their legitimacy
    - Collect and analyze data related to the claim, including policy information, medical records, and financial documents
    - Interview claimants, witnesses, and other relevant individuals to gather information and statements
    - Utilize surveillance techniques and tools to monitor claimants' activities when necessary
    - Write detailed reports outlining investigation findings and recommendations
    - Collaborate with law enforcement agencies and legal professionals as needed
    - Stay up-to-date with industry regulations and best practices in fraud prevention and detection

    ```Experience```
    To be successful in this role, you should have the following qualifications:

    - Previous experience in claims investigation or a related field is preferred
    - Strong report writing skills with the ability to clearly document investigation findings
    - Proficiency in data collection and analysis techniques
    - Knowledge of insurance policies, procedures, and regulations
    - Familiarity with fraud prevention and detection methods
    - Background in law enforcement or criminal justice is a plus
    - Excellent communication and interpersonal skills

    If you are detail-oriented, possess strong investigative skills, and have a passion for uncovering the truth, we encourage you to apply for this position. Join our team of dedicated professionals committed to maintaining the integrity of our insurance claims process.

    Note: This job description is intended to provide a general overview of the position. It is not an exhaustive list of responsibilities, qualifications, or benefits associated with the role.

    Job Type: Part-time

    Pay: $30.00 - $45.00 per hour

    Expected hours: 1 – 15 per week

    Benefits:

    • Mileage reimbursement

    Schedule:

    • Monday to Friday

    Travel requirement:

    • Travel

    Work Location: In person

  • 1 Month Ago

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CA - Nor Cal - 1099 Claims Adjuster
  • Copper Claims Services, Inc.
  • Sacramento, 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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Deputy County Executive Officer
  • County Executive Office
  • Meadow Vista, CA FULL_TIME
  • Introduction Living in Placer County from Placer County Video Portal Placer County is comprised of over 1,400 square miles of beautiful and diverse geography, ranging from the residential and commerci...
  • 22 Days Ago

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Finance and Accounting Manager (Agile/Hybrid)
  • Sedgwick Claims Management Services Inc.
  • Sacramento, CA FULL_TIME
  • Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flex...
  • 6 Days Ago

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Nurse Practitioner/Physician Assistant
  • Top Docs, Inc
  • Sacramento, CA FULL_TIME
  • TGB3 is seeking to contract a Nurse Practitioner (NP) or Physician Assistant (PA-C) to perform Compensation Pension Exams (CP) for our military Veterans at various sites through the USA. Length: 6-12 ...
  • 22 Days Ago

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Litigation Associate (Mid to Senior Level)
  • Top Tier Reps LLC
  • Sacramento, CA FULL_TIME
  • Qualifications for this position are:Extensive experience analyzing, researching and drafting briefs addressing sophisticated legal issues on complex litigation, ranging from state and federal court m...
  • 12 Days Ago

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0 Top Claims Executive jobs found in Sacramento, CA area

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Claims Adjuster - Liability
  • Sedgwick
  • Roseville, CA
  • **The 'Apply with SEEK' option will be utilized for International applicants, mainly Australia. If this does not apply t...
  • 4/26/2024 12:00:00 AM

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Senior Workers' Compensation Claims Adjuster
  • Zurich International
  • Rancho Cordova, CA
  • ** Senior Workers' Compensation Claims Adjuster** 76251 Zurich North America is seeking a Claims professional to join th...
  • 4/26/2024 12:00:00 AM

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Claims Specialist, Property
  • Zurich NA
  • Sacramento, CA
  • Claims Specialist, Property 112190 At Zurich North America Claims we acknowledge that work life-balance and flexibility ...
  • 4/24/2024 12:00:00 AM

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Lead Actuary - Medicaid Trend Quantification
  • Humana
  • Sacramento, CA
  • Become a part of our caring community and help us put health first The Lead Actuary, Analytics/Forecasting analyzes and ...
  • 4/24/2024 12:00:00 AM

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Claims Adjuster Workers Compensation
  • Gallagherbassett
  • Folsom, CA
  • ** Claims Adjuster Workers Compensation** **** New Gallagher Bassett is the premier provider of global claims services, ...
  • 4/24/2024 12:00:00 AM

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Senior Workers' Compensation Claims Adjuster
  • Zurich Insurance Group
  • Rancho Cordova, CA
  • ** Senior Workers' Compensation Claims Adjuster** 78376 Zurich North America is seeking a Claims professional to join th...
  • 4/24/2024 12:00:00 AM

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Senior Workers Compensation Adjuster - California
  • Hanover Insurance Group, Inc.
  • Sacramento, CA
  • For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters th...
  • 4/23/2024 12:00:00 AM

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Auto Litigation Adjuster | Remote | West Coast
  • Sedgwick
  • Roseville, 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...
  • 4/23/2024 12:00:00 AM

Sacramento (/ˌsækrəˈmɛntoʊ/ SAK-rə-MEN-toh; Spanish: [sakɾaˈmento]) is the capital city of the U.S. state of California and the seat of Sacramento County. Located at the confluence of the Sacramento River and the American River in Northern California's Sacramento Valley, Sacramento's estimated 2018 population of 501,334 makes it the sixth-largest city in California and the ninth largest capital in the United States. Sacramento is the seat of the California Assembly, the Governor of California, and Supreme Court of California, making it the state's political center and a hub for lobbying and th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Top Claims Executive jobs
$259,160 to $411,745
Sacramento, California area prices
were up 2.5% from a year ago

Top Claims Executive in Clearwater, FL
Cook, a global supply chain executive with 15 years of experience in retail and consumer brands management, was hired at MedMen in October following tenures at Sam's Club, Target and Apple.
January 09, 2020
Top Claims Executive in Lincoln, NE
Based on our compensation data, the estimated salary potential for Top Claims Executive will increase 16 % over 5 years.
January 25, 2020