Responsible for auditing and training claims staff on all Managed Care claims received from outside providers to ensure the Claims Examiners processed and adjudicated them accurately and consistently in accordance with outside Provider Contracts, State, Federal, CMS, DMHC and Health Plan contracts, internal departmental policies and procedures. Must maintain a productivit

Senior Claim Examiner Workers Compensation (CA) Requisition ID 2024 25271 Job Locations US CA Brea Position Type Regular Part Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority on mod

Under the direct supervision of the Claims Processing Supervisor and the general direction of the Manager, Claims Production, this position is responsible for the accurate review, entry and processing of all claims received for payment by AAH. Principal responsibilities include Research claims for completion and appropriateness. Review and handle rejected claims as necess

IMA's Private Equity and M&A Practice provides buyers and targets with a range of insurance, benefits and retirement products and services designed to assist them throughout the life cycle of the M&A transaction. For M&A activity, IMA's in house Transactional Liability Practice, Project Managers and Due Diligence Specialists bring depth and experience to address financial

Claims Manager TPA Job Locations US CA LOS ANGELES Job ID 2024 3803 Category Claims Type Regular Division Surplus & Specialty Crum & Forster Company Overview Crum & Forster (C&F) with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strengt

Formulate and execute global catastrophe pricing strategies Strategically allocate Cat reinsurance and capital costs, enabling underwriters to effectively differentiate profitable accounts Collaborate with actuarial, reinsurance and underwriting teams to integrate insights into pricing frameworks Proactively identify opportunities for improvement and contribute to the dev

Conduct on site inspections and assessments of property damages for both residential and commercial claims Collaborate with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status quo and shape the future for the greater good. You'll do all this in an en

Senior Claim Examiner Workers Compensation (CA) Requisition ID 2024 24366 Job Locations US CA Brea Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary We are seeking candidates with experience handling WC claims in CA! Bilingual is a plus. Must have a CA adjuster certification and be current on hours.

T his position is for a Property Field Inspection Claim Specialist, handling accidental and weather related homeowners, commercial, and large loss claims. You will be the first point of contact to meet with our insureds, explain coverage, estimate damages, and help them through the claims process while providing Remarkable service. Where you'll work This position is locat

Who we are Shape a brighter financial future with us. Together with our members, we're changing the way people think about and interact with personal finance. We're a next generation financial services company and national bank using innovative, mobile first technology to help our millions of members reach their goals. The industry is going through an unprecedented transf

Property General Adjuster Requisition ID 2024 25240 Job Locations US CA Bakersfield | US CA Fresno Position Type Regular Full Time Category Claims Business Unit CUS_Loss Adjusting US Excellence In Everything We Touch Position Summary Under limited supervision, resolves all types of the most serious losses, heavy commercial property losses or other assigned losses by inves

Drive implementation and consistent utilization of loss mitigation initiatives and practices. Review and investigate claims, assess losses and damages, and determine liability. Negotiate and process settlements and denials within assigned authority limits and in accordance with applicable policies, tariffs, contracts, bills of lading, and local regulations and conventions

Director of Workers' Compensation Claims Job Locations US CA Irvine Requisition ID 2024 16202 Category Claims Workers Compensation Position Type Regular Full Time Overview AmTrust Financial Services, a fast growing commercial insurance company, is currently seeking an experienced and driven Workers' Compensation Claims Director in our Irvine, CA office. In this role, the

T his position is for a Property Field Inspection Claim Specialist, handling accidental and weather related homeowners, commercial, and large loss claims. You will be the first point of contact to meet with our insureds, explain coverage, estimate damages, and help them through the claims process while providing Remarkable service. Where you'll work This position is locat