JobotNewAssociate-Sr Attorney Hybrid or 100% remote JobotAssociate-Sr Attorney Hybrid or 100% remoteSacramento, CARemote$140,000–$220,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Our firm delivers legal services in the workers’ compensation arena, supporting a broad range of organizations including risk managers, insurers, and claims administrators.
Gables Search GroupHuman Resources Generalist - Bilingual Gables Search GroupHuman Resources Generalist - BilingualElk Grove, CAThe Human Resources Generalist supports daily HR operations within a manufacturing plant, partnering with plant leadership to foster a positive and compliant work environment. The HR Generalist serves as a key liaison between employees and management, ensuring consistent application of HR policies and alignment with business objectives.
Aequor Technologies LLCNewSenior Contracts & Claims Manager Aequor Technologies LLCSenior Contracts & Claims ManagerVacaville, CABusiness and financial acumen; " Contracting strategy & execution, strategic sourcing expertise, procurement/sourcing knowledge/experience for large CAPEX projects; " A strong understanding of construction technology, sequencing and practices; " Exceptional problem solving and analytical skills; " Demonstrated project management skills; " Demonstrated experience developing and implementing sourcing strategies that have yielded measurable business results. " Identifying opportunities for outgoing claims, development of claim strategies, supporting/preparing notifications/correspondence as well as negotiation and settlement; " Analysis of incoming claims, development of defense strategies, supporting/preparing response/correspondence, claim negotiation and settlement; " Collection and registration of all claim related documentation in company's claim repository.
Zenith Insurance CompanyCasualty Claims Manager, Ag Zenith Insurance CompanyCasualty Claims Manager, AgRoseville, CA$103,741–$149,552.68 / yearFrom dairies to berries, from almonds to wine, from vegetables to cattle ranches, we recognize the importance of agriculture and the effort it takes to compete in the global agriculture industry. Strengthens team performance by developing new initiatives, efficient processes and procedures to deliver exception claims service according to customer needs and industry trends.
WCF InsuranceCommercial Claims Strategy Manager WCF InsuranceCommercial Claims Strategy ManagerRoseville, CA$101,000–$125,000 / yearThis role leads training, strategy, and compliance efforts for WCF's commercial claims operation, helping ensure consistent claim handling, strong service, and continuous process improvement. WCF Insurance, an "A" rated carrier growing throughout the western states, has an immediate opening for a Commercial Claims Strategy Manager to join our Claims Strategy team.
CorVel Enterprise Claims, Inc.Claims Supervisor CorVel Enterprise Claims, Inc.Claims SupervisorFolsom, CARemote$73,345–$113,247 / yearPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.
CommonSpirit HealthSystem Manager Claims CommonSpirit HealthSystem Manager ClaimsRancho Cordova, CAAs one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. You will demonstrate exceptional expertise in negotiation, risk mitigation, and providing specialized guidance, acting as a pivotal resource for both internal teams and external parties to protect the organization's interests and uphold its reputation.
Liberty Mutual Holding Company IncClaims Team Manager, Workers Compensation Liberty Mutual Holding Company IncClaims Team Manager, Workers CompensationRocklin, CALiberty Mutual has an immediate opening for a Claims Team Manager who will lead a team of Claims Specialists who manage a portfolio of Workers Compensation claims, for a dedicated account, to achieve the best possible outcomes and deliver an exceptional customer experience. Provides management oversight of claims files (non-litigated or litigated) within the unit, to include Manager Reviews on open inventory and reviews files to measure quality assurance discusses individual training and development needs.
Sunrise Systems IncNewSenior Contracts & Claims Manager Sunrise Systems IncSenior Contracts & Claims ManagerVacaville, CA$80–$83 / hourCLAIM MANAGEMENT Identifying opportunities for outgoing claims, development of claim strategies, supporting/preparing notifications/correspondence as well as negotiation and settlement; Analysis of incoming claims, development of defense strategies, supporting/preparing response/correspondence, claim negotiation and settlement; Collection and registration of all claim related documentation in company's claim repository. SUPPLIER RELATIONSHIP MANAGEMENT Manage escalation of issues and claims management with supplier; Develop the supplier relationship according to the expectations per supplier segment; Support supplier relationship management and to ensure reliable high quality supply; Support the supplier performance, compliance and accountability through supplier scorecards and performance metrics; Involved in periodic commercial audits of main contractors.
ICW GroupClaims System Technical Project Manager III ICW GroupClaims System Technical Project Manager IIISacramento, CA$121,624.81–$217,710.99 / yearHeadquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. Insurance certification in one or more domain-specific areas (AINS, AIC, ARM, etc.), Project Management Professional (PMP), IT Service Management (ITIL), or Process Optimization (BPM, Six Sigma, Lean) certifications preferred.
CorVel CorpClaims Supervisor CorVel CorpClaims SupervisorFolsom, CARemote$73,345–$113,247 / yearPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.
CorVel CorpClaims Unit Vice President CorVel CorpClaims Unit Vice PresidentFolsom, CARemote$99,250–$166,777 / yearEDUCATION & EXPERIENCE: Bachelor's Degree with course concentration in Business Administration, or related field; or 10+ years of equivalent combination of education and experience in a complex healthcare, insurance, or third party claim organization with significant project management expertise. The VP of Claims will also identify, facilitate and participate in essential strategic projects for operational improvement as well as support and directly participate in sales presentations/RFP responses and the development of opportunities to promote the company's overall growth.
GallagherClaims Supervisor Workers Compensation GallagherClaims Supervisor Workers CompensationSacramento, CaliforniaRemoteThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. How you'll make an impact: Supervise: Lead and encourage a Workers Compensation claims team handling a variety of caseload sizes and complexities to deliver high-quality and efficient service.
Mid-Columbia Medical CenterHealth Plan Claims Examiner Mid-Columbia Medical CenterHealth Plan Claims Examinerroseville, CAJob Summary: Reviews, evaluates and authorizes payment of medical, dental, vision, and prescription drug claims within the benefit descriptions and plan provisions of a variety of group plans. Job Requirements: Education and Work Experience: Associate's/Technical Degree or equivalent combination of education/related experience: Required.
Gainwell Technologies LLCSupervisor, Claims- Roseville, CA- Hybrid Gainwell Technologies LLCSupervisor, Claims- Roseville, CA- HybridRoseville, CA$54,200–$85,000 / yearGainwell Technologies defines wages and wage rates to include all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. Intercedes with third parties in unusual situations involving payment or adjustment of charges on accounts; consults with departments concerning services which affect collection of charges.
Ryder System IncClaims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTESacramento, CARemoteCompensation Information : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees : If you are a current employee at Ryder, please click here (http://wd5.myworkday.com/ryder/d/task/1422$3.htmld) to log in to Workday to apply using the internal application process.
Adventist Health SystemHealth Plan Claims Examiner Adventist Health SystemHealth Plan Claims ExaminerRoseville, CAOur compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God''s love by inspiring health, wholeness and hope. Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities.
Ryder System IncClaims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTESacramento, CARemoteCompensation Information : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees : If you are a current employee at Ryder, please click here (http://wd5.myworkday.com/ryder/d/task/1422$3.htmld) to log in to Workday to apply using the internal application process.
CorVel Enterprise Claims, Inc.Claims Training Specialist CorVel Enterprise Claims, Inc.Claims Training SpecialistFolsom, CARemote$77,960–$120,368 / yearPart timeOther duties to be carried out by Claims Training Specialist will include conducting classroom, virtual, and field training to internal employees/colleagues, developing training materials to meet specific needs, and monitoring new hires, and other tasks as required by management. In order to efficiently execute daily responsibilities, the Claims Training Specialist must first obtain a deep understanding of the business to articulate what our claims model does and to clearly demonstrate all aspects of the Operations roles in order to be able to successfully conduct and oversee the department training.
Sedgwick Claims Management Services, Inc.NewClaims Team Lead - Workers Compensation | Rancho Cordova, CA Sedgwick Claims Management Services, Inc.Claims Team Lead - Workers Compensation | Rancho Cordova, CARancho Cordova, CA$100,000–$115,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Sedgwick Claims Management Services, Inc.Claims Team Lead - Workers Compensation | Roseville, CA or San Diego, CA Sedgwick Claims Management Services, Inc.Claims Team Lead - Workers Compensation | Roseville, CA or San Diego, CARoseville, CA$105,000–$115,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Sedgwick Claims Management Services, Inc.Workers Compensation Claims Team Lead | Roseville, CA Sedgwick Claims Management Services, Inc.Workers Compensation Claims Team Lead | Roseville, CARoseville, CA$105,000–$110,000 / yearSedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. • Provides technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for high-cost or complex claims.
Canon Recruiting GroupSenior Workers' Compensation Claims Examiner Canon Recruiting GroupSenior Workers' Compensation Claims ExaminerSacramento, CA$80,000–$100,000 / yearYou'll lead claim investigations, coordinate medical care, manage litigation, and drive timely, cost-effective resolutions—all while supporting injured workers and employers. We’re looking for an experienced Workers' Compensation Claims Examiner to manage complex indemnity claims in compliance with California regulations.
Mid-Columbia Medical CenterClaims Examiner (Onsite, Roseville) Mid-Columbia Medical CenterClaims Examiner (Onsite, Roseville)roseville, CAMaintains up-to-date and accurate claims files, including summaries, action plans, and claims status in the claims data management software, coordinating with market leadership, risk managers, defense counsel, and others. Job Requirements: Education and Work Experience: Bachelor's Degree in risk management, legal studies, nursing, or closely related field or equivalent combination of education/related experience: Required.
Liberty Mutual Holding Company IncSenior Claims Specialist - WA and OR Jurisdiction Experience Liberty Mutual Holding Company IncSenior Claims Specialist - WA and OR Jurisdiction ExperienceRocklin, CAResponsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property/casualty claims involving bodily injury or property loss.
CorVel Enterprise Claims, Inc.NewCA Senior WC Claims Specialist CorVel Enterprise Claims, Inc.CA Senior WC Claims SpecialistFolsom, CARemote$29.35–$47.28 / hourPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.
CorVel Enterprise Claims, Inc.CA Senior Claims Specialist CorVel Enterprise Claims, Inc.CA Senior Claims SpecialistFolsom, CARemote$29.35–$47.28 / hourPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.
GallagherSenior Claims Adjuster Workers Compensation GallagherSenior Claims Adjuster Workers CompensationSacramento, CaliforniaRemoteThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives.
Sedgwick Claims Management Services, Inc.Liability Claims Team Lead - GL & Auto Exp. Required | Must Reside in CA Sedgwick Claims Management Services, Inc.Liability Claims Team Lead - GL & Auto Exp. Required | Must Reside in CARoseville, CA$95,000–$115,000 / yearPRIMARY PURPOSE: To supervise a team of liability claims examiners and adjusters; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Sedgwick Claims Management Services, Inc.Claims Team Lead Assistant - Workers Compensation | Roseville, CA Sedgwick Claims Management Services, Inc.Claims Team Lead Assistant - Workers Compensation | Roseville, CARoseville, CA$95,000–$105,000 / yearPRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure workers' compensation claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; to identify subrogation of claims and negotiate settlements; and to provide backup for team lead when out of the office. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
GallagherWorkers Compensation Claims Adjuster GallagherWorkers Compensation Claims AdjusterSacramento, CaliforniaRemoteThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. How you'll make an impact: Apply claims management experience to execute decision-making to analyze claims exposure and litigation, plan the proper course of action, and appropriately resolve claims.
GallagherWorkers Compensation Claims Adjuster - California GallagherWorkers Compensation Claims Adjuster - CaliforniaSacramento, CaliforniaRemoteThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives.
GallagherSenior Claims Adjuster Workers Compensation - California GallagherSenior Claims Adjuster Workers Compensation - CaliforniaSacramento, CaliforniaRemoteThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. As a key member of our experienced Claims Adjuster team, you will: Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution.
GallagherSenior Lost Time Workers Compensation Claims Adjuster - CA & HI GallagherSenior Lost Time Workers Compensation Claims Adjuster - CA & HISacramento, CaliforniaRemoteThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives.
GallagherSenior Workers Compensation Claims Adjuster - California GallagherSenior Workers Compensation Claims Adjuster - CaliforniaSacramento, CaliforniaRemoteThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives.
CorVel CorpClaims Training Specialist CorVel CorpClaims Training SpecialistFolsom, CARemote$77,960–$120,368 / yearCollaborate with Management to identify training needs and schedule appropriate training sessions • Review of audit results coordinating with designated auditor to determine the need for targeted retraining initiatives for specific individuals, unit or office location • Develop programs and curriculum for each department for orientation and on the job training • Develop training programs on new initiatives, jurisdictional changes or identified deficiencies in managing claims within specific jurisdictions represented by the northeast claims team • Collaborate with each department to creating training support materials and documentation • Create and maintain a "train the trainer" program for all departments • Conduct surveys to judge how programs are received and if changes are needed • Prepare onboarding training for new employees • Critically examine the trainees' understanding and progress and making necessary adjustments to the program • Maintain an up-to-date and accurate record of training progress and achievements • Build a eLearning library for common training modules • Collaborate with Privacy to ensure all PHI, PII and HIPAA training is up-to-date and timely • Incorporate training materials in operations software for quick and easy access to knowledge base • Provide weekly and monthly progress reports of all new hire productivity to department managers, operations directors and SVP for first 90 days of employment. • Preferred 4-year degree, education or training or equivalent experience • Preferred prior experience as a trainer in both classroom led and remote online environments • Experience with managing and administration of a Learning Management System • Experience in creating training support materials and documentation • Excellent interpersonal and communication skills • Ability to identify gaps in skills • Knowledge of various teaching methods and approaches.
Liberty Mutual Holding Company IncSenior Claims Specialist I, Workers Compensation - West Region Liberty Mutual Holding Company IncSenior Claims Specialist I, Workers Compensation - West RegionRocklin, CARemoteResponsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages. Demonstrates an advanced knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the states tort laws as normally acquired through a bachelors degree (or equivalent training) plus 3 to 5 years directly related work experience.
Sedgwick Claims Management Services, Inc.Claims Representative (IAP) - Workers Compensation Training Program | Roseville, CA Sedgwick Claims Management Services, Inc.Claims Representative (IAP) - Workers Compensation Training Program | Roseville, CARoseville, CAMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Adjusting various levels of workers' compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.
Sedgwick Claims Management Services, Inc.Claims Representative (IAP) - Workers Compensation Training Program | Roseville, CA or San Diego, CA Sedgwick Claims Management Services, Inc.Claims Representative (IAP) - Workers Compensation Training Program | Roseville, CA or San Diego, CARoseville, CAMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Adjusting various levels of workers' compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.
Sedgwick Claims Management Services, Inc.Claims Representative (IAP) - Workers Compensation Training Program Sedgwick Claims Management Services, Inc.Claims Representative (IAP) - Workers Compensation Training ProgramRancho Cordova, CAMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Adjusting various levels of workers' compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.
Sedgwick Claims Management Services, Inc.Claims Representative (IAP) - Workers Compensation Training Program | Rancho Cordova, CA Sedgwick Claims Management Services, Inc.Claims Representative (IAP) - Workers Compensation Training Program | Rancho Cordova, CARancho Cordova, CAMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Adjusting various levels of workers' compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.
Sedgwick Claims Management Services, Inc.Claims Team Lead - General Liability | Public Entity Exp. Required Sedgwick Claims Management Services, Inc.Claims Team Lead - General Liability | Public Entity Exp. RequiredRoseville, CA$95,000–$110,000 / yearPRIMARY PURPOSE: To supervise the operation of a team of examiners for liability claims for clients; to monitor colleagues workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - General Liability | Public Entity Exp.
NorthBay Medical CenterNewClaims Analyst II (On-Site) NorthBay Medical CenterClaims Analyst II (On-Site)Fairfield, CAThe position is co-responsible for the operational functions for the organization's capitated hospital and medical group business, processing all claims, oversees customer service issues, researching/resolving payment issues and addressing corrections in the system with the Claims Specialist. Requires a high comfort level with taking initiative and responsibility, high energy and productivity, plus an orientation and ability to manage details in an organized work style.
Liberty Mutual Holding Company IncClaims Specialist II, Workers Compensation - West Region Liberty Mutual Holding Company IncClaims Specialist II, Workers Compensation - West RegionRocklin, CARemoteResponsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements, and managing an inventory of commercial property/casualty claims involving bodily injury or property loss.
Philadelphia Insurance CompaniesClaims Supervisor II - Commercial Auto - BI Philadelphia Insurance CompaniesClaims Supervisor II - Commercial Auto - BIRoseville, CA$114,408–$148,058 / yearSummary: Supervises claims adjusters and technical support staff to manage the day-to-day handling and settlement of claims, the processing and tracking of documents, making payments, tracking trends and communicating with underwriting. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
Philadelphia Insurance CompaniesClaims Supervisor II - Property Philadelphia Insurance CompaniesClaims Supervisor II - PropertyRoseville, CA$114,408–$127,868 / yearSummary: Supervises claims adjusters and technical support staff to manage the day-to-day handling and settlement of claims, the processing and tracking of documents, making payments, tracking trends and communicating with underwriting. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
GallagherWorkers Compensation Claims Trainee - California GallagherWorkers Compensation Claims Trainee - CaliforniaSacramento, CaliforniaRemote
CorVel CorpCA Senior WC Claims Specialist CorVel CorpCA Senior WC Claims SpecialistFolsom, CARemote$29.35–$47.28 / hourESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Receives claim, confirms policy coverage and acknowledgement of the claim • Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies • Establishes reserves and authorizes payments within reserving authority limits • Develops and manages well-documented action plans with the case manager and outcomes manager to reduce overall cost of the claim • Coordinates early return-to-work efforts with the appropriate parties • Manages subrogation and litigation of claim as it applies • Manages potential claim recoveries of all types • Reports claims to the excess carrier when applicable • Communicates claim status with the customer and claimant • Adheres to client and carrier guidelines and participates in claims review as needed • Develops and maintains professional customer relationships • Complies with rules and regulations of applicable state • Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program ("IIPP") • Additional duties as assigned. KNOWLEDGE & SKILLS: • Excellent written and verbal communication skills • Ability to assist team members to develop knowledge and understanding of claims practice • Ability to identify, analyze and solve problems • Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets • Strong interpersonal, time management and organizational skills • Ability to work both independently and within a team environment • Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers' Compensation.
CorVel CorpCA Senior Claims Specialist CorVel CorpCA Senior Claims SpecialistFolsom, CARemote$29.35–$47.28 / hourPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.
GallagherSenior Claims Examiner GallagherSenior Claims ExaminerRancho Cordova, CaliforniaRemoteThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Behaviors: Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.