- Conduct triage upon receipt of claim to determine best method to scope and adjudicate the loss.
- Through interviewing or other methods, obtains necessary information from the claimant and from experts such as health care practitioners, accountants, and others to fully and accurately assess the extent of the loss.
- Work cooperatively with expert witnesses, attorneys, public adjusters, and carrier's examiners as needed to conduct investigations, confirm findings, and support evaluations.
- Apply understanding of insurance policies and policy interpretation, establishing appropriate loss estimates based on all relevant information and findings.
- Establish and recommends the reasonable and proper amount the insurance company should pay on a claim.
- Ensure the accuracy of information collected and reported and guards against fraudulent claims, based on critical issues identified and accurate conclusions drawn.
- Prepare accurate, clear, thorough, and concise reports and letters to insurance carriers on conclusions and recommendations. Follows established policies, procedures, and processes in preparing information, and submits reports and documents in a timely manner and in accordance with insurer's standards and expectations. Effectively uses software systems as necessary to produce accurate estimates.
- Maintain accurate, thorough notes, journal entries, and time and expense records as required. Submits reimbursement reports in keeping with organization and client policies, procedures and practices, and accepted industry standards. Applies knowledge of both time-and-expense and fee-for-service procedures, according to the stipulations of the agreement with the insurer.
- Obtain manager guidance as necessary, and in accordance with Eberl policy and practice, in formulating recommendations and completing evaluations and reports.
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Claims Adjuster
4 days ago
Sedgwick California, United States Full timeTaking 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 flexibility and time for all the things that are important to you. It's an opportuni ...
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Claims Adjuster
3 weeks ago
Comptech Associates California, United StatesJob Title: Claims Adjuster - Workers Compensation · Duration: 3+ Months (CTH) · Location: Los Angeles, CA · No. of Positions: 2 · Job schedule-40 hours on site · Job hours-8:00-4:30 · Interview process-WEBEX prescreen/Then in-person interview · Summary: The main function of a Wor ...
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Bodily Injury Claims Adjuster
1 week ago
National General California, United States Full timeJob Summary: · Responsible for investigating and confirming the facts of loss for advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. · Key Responsibilities: · Handles investigation regard ...
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Claims Adjuster-Workers Compensation
3 weeks ago
TSR Consulting Services, Inc. California, United StatesOur client, an established insurance company is in search of a Claims Adjuster to join their team on a W2 contract in Los Angeles, CA. · Summary: · The main function of a Workers' Compensation Claims Adjuster is to investigate, analyze, and determine the extent of insurance compa ...
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Bodily Injury Claims Adjuster
2 weeks ago
National General California, United States Full timeJob Summary: · Responsible for investigating and confirming the facts of loss for basic to advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. · Key Responsibilities: · Handles investigati ...
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Bodily Injury Claims Adjuster
4 weeks ago
National General Insurance Company California, United States Paid WorkJob Summary: · Responsible for investigating and confirming the facts of loss for advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. · Key Responsibilities: · Handles investigation regardin ...
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Bodily Injury Claims Adjuster
4 days ago
National General Insurance Company California, United States Paid WorkJob Summary: · Responsible for investigating and confirming the facts of loss for basic to advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. · Key Responsibilities: · Handles investigation ...
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Personal/Task assistant
1 week ago
2b claims services California, United States2B Claims Services is a claims management company offering a range of services nationwide. We provides a comprehensive approach to claims handling, combining technology-driven processes with experienced professionals to efficiently manage and resolve claims. · Our team consists o ...
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Claims Examiner
3 days ago
eTeam California, United StatesJob Title: Claims Examiner - Workers Compensation · Location: 100% Remote · Duration: 3+ Months · Requirements: · Candidate should reside within CA. · At least 3 yrs. CA WC claims experience. · Description: · PRIMARY PURPOSE: · To analyze complex or technically difficult workers' ...
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Sr Workers Compensation Adjusters
4 days ago
VITUS Search Group California, United States Direct Hire· Sr Workers Compensation Adjusters Needed · Remote Work - Work from Home · We are seeking an experienced workers' compensation adjusters to provide front-line customer-focused handling of lost time complex claims for an assigned market. · This adjuster will be responsible for ...
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Senior Claims Specialist
3 weeks ago
CorVel Corporation California, United States OTHERWe are seeking a Sr. WC Claims Specialist for our Southern California Team. The Sr. Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits ...
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Senior Liability Claims Specialist
3 weeks ago
CorVel Corporation California, United States OTHERCorVel in is seeking a Senior Liability Claims Specialist. The Senior Liability Claims Specialist manages within company best practices complex and non-complex Auto and General Liability claims. Additionally, the Specialist will work within delegated authority to best possible ou ...
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Claims Specialist
3 weeks ago
CorVel Corporation California, United States OTHERThe Auto/PD Liability Claims Specialist manages within company best practices complex and non-complex Auto and General Liability claims. Additionally, the Specialist will work within delegated authority to best possible outcomes for CorVel and our clients. · This is a remote posi ...
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Claims Auditor
1 week ago
Russell Tobin California, United StatesTitle: Claims Compliance Auditor · Start: ASAP · W2 Contract Duration: 6 months · Location: Remote · Hours per Week: Flexible for Part-Time or Full-Time; 20-40 hours/week · Pay Range: $75-95/hr · Skills required: · Significant healthcare claims experience and health claims reven ...
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Claims Supervisor
2 weeks ago
CorVel Corporation California, United States OTHERCorVel in is seeking a Liability Claims Supervisor. The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The Claims Supervisor pos ...
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Senior Claims Examiner
2 weeks ago
ATHENS ADMINISTRATORS California, United StatesATHENS POSITION DETAILS Position Title: Senior Claims Examiner Department: Workers' Compensation California Reports To: Claims Supervisor FLSA Status: Non-Exempt Job Grade: 12 Career Ladder: Next step in progression could include Lead Senior Claims Examiner or Claims Supervisor A ...
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Claims Supervisor
3 weeks ago
Athens Administrators California, United StatesPOSITION SUMMARY · Athens Administrators has an immediate need for a Claims Supervisor to support our Workers Compensation department in Orange and can be located remotely from Southern California if technical requirements are met. The Claims Supervisor will supervise and monitor ...
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CA Medical Only Claims Specialist
3 weeks ago
CorVel Corporation California, United States OTHERThe Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers' compensation claims under close supervision, supporting the goals of claims department and of CorVel. · This is a remote job opportunity. · ESSENTIAL FUNCT ...
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CA Claims Specialist
3 weeks ago
CorVel Corporation California, United States OTHERThe Claims Specialist manages within company best practices lower-level, non-complex and non-problematic indemnity claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims depa ...
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Property Damage Specialist
3 weeks ago
Omega Law Group Injury & Accident Attorneys California, United States**Please note that we kindly request no calls to our office regarding questions about job openings. For any inquiries, please email us at .** · Omega Law Group is a prestigious personal injury law firm located in the heart of Beverly Hills. We are committed to championing the rig ...
Independent Claims Adjuster - California, United States - Eberl Claims Service
3 weeks ago
Description
We are looking for experienced adjusters to handle daily claims for our carriers in California. A Daily Claims Adjuster determines and communicates the extent of loss or damage associated with commercial/residential claims, assisting the insurer in fulfilling its obligation to policyholders and helping to safeguard the insurer's reputation and efficacy.
PRIMARY JOB RESPONSIBILITIES:
