Claims Specialist
$70k - $90kUltimate Staffing
Salary: USD70000 - USD90000 per year + + Target Bonus Opportunity Claims Specialist - Workers' Compensation & Property Casualty Location: Pasadena, CA Employment Type: Full-Time Compensation: Competitive Salary + Performance Bonus Opportunities Position Summary A growing risk management and insurance consulting organization is seeking an experienced Claims Specialist to oversee workers' compensation and property & casualty insurance claims while serving as a trusted resource to clients. This role is responsible for managing open claims, collaborating with insurance adjusters, reducing claim reserves, analyzing claim trends, and presenting recommendations to clients. The ideal candidate will have a strong understanding of claims management processes, workers' compensation regulations, and insurance industry best practices, along with excellent communication and relationship-building skills. Key Responsibilities Claims Management Manage workers' compensation and property & casualty insurance claims through resolution. Develop and monitor claim action plans with adjusters and carriers. Follow up with insurance adjusters to ensure timely claim progress and resolution. Identify opportunities to reduce claim costs and reserves. Coordinate and participate in claim review meetings with insurance carriers and stakeholders. Analysis & Reporting Analyze open claims and identify opportunities for closure and cost savings. Create client-facing reports highlighting claims performance and outcomes. Project experience modifications and prepare statistical reports. Review experience modification calculations and identify discrepancies. Work with regulatory agencies, bureaus, or insurance organizations to correct reporting issues when necessary. Client Relations & Consulting Present claim reviews and findings to clients. Explain claims activity, trends, reserve changes, and recommendations. Educate clients on claims management strategies and workers' compensation processes. Build and maintain strong relationships with clients, adjusters, and insurance partners. Compliance & Industry Knowledge Stay current on workers' compensation regulations and insurance industry developments. Apply regulatory knowledge to support effective claims management. Assist clients in understanding relevant laws and claims-related requirements. Qualifications Required Several years of workers' compensation, claims management, claims consulting, or insurance claims experience. Strong understanding of workers' compensation claims processes. Knowledge of workers' compensation laws and regulations. Experience working directly with adjusters, carriers, and clients. Excellent verbal and written communication skills. Strong analytical and problem-solving abilities. Ability to effectively present information and recommendations to clients. Ideal Background Performance Bonus Opportunities Medical Insurance Vision Insurance Life Insurance Long-Term Disability Coverage 401(k) with Employer Match Generous PTO Paid Education & Training Professional Team Environment #J-18808-Ljbffr Ultimate Staffing
- Ultimate Staffing in Pasadena, CA is seeking a seasoned Claims Specialist to oversee workers' compensation and property & casualty insurance claims for clients. You will manage open claims, collaborate with adjusters and carriers, and present recommendations to clients...Suggested
$60k
Progressive is seeking a claims specialist in Pasadena, CA to investigate large-loss injury claims valued over $60k. You will work with police, medical professionals and claimants to gather facts and assess coverage, liability and total claim value. The role is hybrid,...SuggestedWork at office$60k
Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. As a claims specialist on our team, you’ll play a critical role in our ability to successfully and efficiently resolve large-loss injury claims...SuggestedTemporary workWork experience placementH1bWork at officeFlexible hours- AAA Auto Club Enterprises is seeking an experienced Auto Physical Damage Claims Estimator in Los Angeles, CA. The role focuses on analyzing vehicle damage, writing repair estimates, and reviewing costs in compliance with applicable laws and company guidelines. Responsibilities...Suggested
- ...Job Summary: Evaluates standard and nonstandard data to understand premium, claim, exposure, and population. Works with team to identify actionable data insights/irregularities and research solutions. With general direction, uses and documents models, tools, and assumptions...SuggestedTemporary workWork at office
Kaiser Permanente
Pasadena, CA1 day ago - ...Adjuster for Pasadena/CA (or Glendale/East Los Angeles) to assess vehicle damage, prepare estimates, and guide customers through the claims process. This field role requires independence and strong time management to deliver fair, timely outcomes. Training may occur in...Hourly pay
- ...Glendale/East Los Angeles territory. This field-based role assesses vehicle damage, prepares estimates, and guides customers through the claims process in a dynamic environment. The ideal candidate has strong auto estimating experience and enjoys independent field work,...
- ...consistently outpaces the industry in year-over-year growth? Liberty Mutual offers an exciting opening for a Workers Compensation Claims Specialist within the West Region! As a Workers Compensation Claims Specialist, you will work within a Claims Team, using the latest...Work experience placementLocal areaRemote work
- Intercare Holdings Insurance Services is seeking a General Liability Claims Adjuster based in California. The role involves coaching team members and ensuring claims are handled per company guidelines. We're committed to providing a collaborative work environment and offer...
- Tokio Marine HCC - Surety Group in Los Angeles, CA seeks an Associate Claims Examiner to join our in-office team. You will objectively investigate and analyze surety bond claims, write determinations, and communicate results clearly to internal stakeholders and clients...Work at office
- Claims Review Specialist / Medical Coding ** Largely Remote ** Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of the largest health delivery systems in California, seeks an accomplished Claims Review Specialist / Medical...Remote jobContract workTemporary work
$75.2k - $90.6k
...office, can apply for this opportunity and stay in their current location. Summary We are looking for a highly capable Senior Claims Specialist to join our team and work from our Omaha office. Alternatively, we can fill this position in our Albany, Chicago, Los Angeles,...Local areaFlexible hours- HarborCHC is seeking a determined Medical Biller II in San Pedro, CA to handle billing, claims submission, payment posting, and AR follow-up across multiple services. The role supports accurate reimbursement and works with providers to resolve complex issues. You will...
- Premium Wellness and Active Lifestyle Brand is seeking an Accounts Receivable and Claims Specialist to join its Accounting team in Marina Del Rey, CA. You will own the full accounts receivable cycle for an assigned portfolio of customers, including deductions management...
- Farm Family is seeking a Senior Claims Specialist to join our team and work from our Omaha office. Alternatively, we can fill this position in our Albany, Chicago, Los Angeles, New York City, or Richmond (VA) offices. This is a 100% in-office role requiring on-site work...Work at office
- Career Advocates in Los Angeles seeks a Claims Examiner to research and resolve pending claims and review denials requiring manual review, ensuring timely processing in line with policies and regulatory guidelines. The role involves determining claim payments, maintaining...
- Liberty Mutual Insurance in Los Angeles area seeks an Associate Claims Specialist who will develop the knowledge to conduct investigations, determine liability and compensability, evaluate losses, negotiate settlements, and manage a portfolio of commercial property, casualty...
- Sedgwick is seeking a Sr. Disability Representative in Los Angeles to manage disability claims from intake through payment and closure. The role requires analyzing medical documentation, applying plan interpretations, and coordinating with clinicians and vendors to resolve...
- Job Description Job Description LAUSD's Project Execution group delivers the District's school construction and modernization projects. As Senior Regional Construction Scheduler, you report to the Senior Construction Manager of Scheduling and Estimating, help supervise...Full timeContract workFor contractorsWork at office
MAAS Companies
Monterey Park, CA22 days ago $80k - $95k
...established organization within the Property & Casualty insurance industry, is seeking an experienced Senior Auto Bodily Injury Claims Specialist to join their growing claims team. The ideal candidate will have a strong background in handling attorney represented...Remote jobWork at officeFlexible hoursKING'S INSURANCE STAFFING LLC
Glendale, CA4 days ago- ...Description: OVERVIEW: Performs technical and administrative duties to manage assigned claim files. Participates in the continued training and supervision of Claim Specialist I’s. ESSENTIAL DUTIES AND RESPONSIBILITIES: · Manage medical malpractice claims, including...
Cooperative of American Physicians, Inc.
Los Angeles, CA18 days ago - CNA Insurance is seeking a Complex Claim Specialist to manage Private and Not-For-Profit D&O and EPL claims across multiple states. You will investigate, analyze coverage, coordinate discovery, and work with defense counsel on litigation strategy. Experience in insurance...
- Liberty Mutual Insurance is seeking a Workers Compensation Claims Specialist to join the West Region Claims Team. The role involves reviewing and processing moderately complex to complex claims, determining liability and compensability, and negotiating settlements within...Remote work
- Liberty Mutual Insurance is seeking a Claims Specialist to manage a caseload of routine to moderately complex claims from investigation through resolution. You will decide on liability and compensability, evaluate losses, and negotiate settlements while interacting with...
$64.6k - $99.85k
IMDiversity Inc. in Los Angeles, CA seeks a Workers' Compensation Claims Assistant to support the city department with claims processing and file management. This full-time role requires attention to detail and the ability to handle medical appointment scheduling and document...Full time- CNA Insurance is seeking an individual contributor to manage commercial claims with moderate to high complexity in California. The role involves investigating and resolving claims per company protocols, with emphasis on proactive settlements and effective communication...
$54k - $103k
...individual contributor position works under moderate direction, and within defined authority limits, to manage and handle commercial claims with moderate to high complexity and exposure for the Worker’s Compensation line of business. Responsibilities include...Work experience placementWork at officeLocal area- A leading recruitment firm is seeking a Recruitment Specialist in Downtown Los Angeles. This mid-senior level position requires strong knowledge... ...Workers' Compensation laws and experience managing litigated claims. Responsibilities include handling claims from setup to closure...Hourly payContract workWork at office
- AvonRisk LLC is seeking a seasoned claims professional to manage assigned inventories of complex claims, ensuring timely investigation, documentation, and resolution. You will collaborate with medical case managers and leverage strong analytical skills to optimize outcomes...
- LanceSoft is seeking a Senior Analyst in the Workers' Compensation Claims unit in Los Angeles, CA. You will conduct senior analyst-level investigations upon receipt of new claims and support adjusters through meticulous case handling, diary management, and timely benefit...
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