Claims Investigative Specialist
$50k - $65.3kNational General Management Corp
Job Overview Investigative Specialist – responsible for investigating auto claims, verifying coverage, determining liability, and negotiating settlements within authority limits. Supports the West Coast claims team in the Pacific Time Zone. Key Responsibilities Handles investigation regarding all aspects of auto claims (coverage, damages, subrogation) with the exercise of discretion and independence within increased level of authority. Applies intermediate understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department. Determines subrogation or fraud potential and how to handle. Identifies customer needs and works to meet those needs using appropriate customer service skills. Recognizes and identifies body parts of a vehicle and understanding of other potential property damage. For claims involving fraud or subrogation, partners with assigned reps from those areas to achieve best outcome. Skills Comfort working through claim details and determining next steps Ability to analyze information and exercise sound judgment Strong communication with customers and internal partners Organization and follow-through when managing multiple claims Interest in learning and applying insurance policies Willingness to obtain and maintain adjuster licenses, as needed Qualifications Location: Must be able to work Pacific Time Zone hours. Candidates outside may be considered if they can work PT hours. Must possess authorization to work in the United States. Active insurance license required; any existing appointments must be terminated and no outside appointments held during employment. Resident producer license holders must surrender license upon request. Compensation Base compensation offered for this role includes the following ranges, based on experience and qualifications: Adjuster Analyst III: $50,000.00 - $65,300.00 Adjuster Cons I: $50,000.00 - $74,120.00 Adjuster Cons II: $56,000.00 - $82,500.00 Adjuster Sr Cons I: $68,500.00 - $104,100.00 In addition to base compensation, total compensation may include incentive pay (e.g., commission, bonus, etc.) if applicable. Benefits Eligibility to work from home includes monthly connectivity reimbursement to offset internet costs. Allstate provides a comprehensive technology setup, including a laptop, monitors, headset, keyboard, and mouse. Employees eligible to work from home must maintain a dedicated, private workspace free from distractions and appropriate desk/seating. Reliable internet is required, with minimum speeds of 50MB download and 5MB upload. Equal Opportunity & Legal Effective July1,2014, under Indiana House Enrolled Act (HEA)1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component. For jobs in SanFrancisco, please click “here” for information regarding the SanFrancisco Fair Chance Ordinance. For jobs in LosAngeles, please click “here” for information regarding the LosAngeles Fair Chance Initiative for Hiring Ordinance. To view the “EEOKnow Your Rights” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs. To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint. It is the Company’s policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee’s ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment. #J-18808-Ljbffr National General Management Corp
$50k - $65.3k
Job Description The Investigative Specialist will work through unique claims files to verify claim validity, investigate and confirm facts of loss for basic to advanced automobile accidents, determine coverage, liability, damages, and adjust and negotiate claims within...SuggestedBase plus commissionWork from home- Allstate Insurance Company is seeking an Investigative Specialist to join the West Coast claims team. This role involves investigating claims to verify validity, assess damages, and adjust claims within authority. Candidates must be proactive and possess strong analytical...SuggestedRemote job
- National General in California is seeking an Investigative Specialist to verify claim validity and investigate automobile accidents. This role involves determining coverage, liability, and negotiating claims within authority. Candidates should possess strong analytical...Suggested
- National General Management Corp, located in California, is looking for an Investigative Specialist who will handle all aspects of auto claims. This role requires an active insurance license and the ability to work Pacific Time Zone hours. The ideal candidate will investigate...SuggestedRemote jobWork from home
$85k - $95k
...commitment to their success. Position Workers' Compensation Claim Specialist Location: Concord, CA Schedule: 8:00am – 4:30pm (PST)... ...take ownership of a dedicated portfolio of claims—leading investigations, determining compensability, and guiding each case toward a...Suggested$62.5k - $115.5k
...passionate about delivering extraordinary care. This is a Field Claims Specialist II, Material Damage work‑from‑home opportunity in the South... ...to claims management as needed. Collaborates with Special Investigations Unit and Subrogation to identify fraud and subrogation...Temporary workCasual workWork at officeLocal areaWork from homeFlexible hoursNight shift- Summit Consulting is seeking a Field Claims Specialist to investigate and adjust workers' compensation claims in Southern California. Ideal candidates should have at least 10 years of claims adjusting experience and an active California workers compensation adjusters license...Remote jobWork at officeNight shift
$110k - $120k
## Senior Claims Specialist - CA Workers' Compensation**Be Here. Be Great.** Working for a leader in the insurance industry means opportunity... ...Senior Claims Specialist position. Your role would be to investigate and adjust workers' compensation claims with high potential...Full timePart timeSeasonal workWork at officeNight shift- Summit Consulting is seeking a Field Claims Specialist with expertise in California workers' compensation claims. The role requires a minimum... ...and an active California adjuster's license. You will investigate claims, analyze coverage, establish reserves, and negotiate...Remote jobWork from home
$100k - $120k
Sr. Claims Specialist, Medical Malpractice | Long Term Care | California PRIMARY PURPOSE OF THE ROLE: To analyze complex or technically... ...complex or technically difficult medical malpractice claims by investigating and gathering information to determine the exposure on the...Flexible hours$70k - $73k
...Intercare, InterMed, George Hills, and AS&G Claims Administration, AvonRisk is a people‑... ...possible) Primary Responsibilities Investigate, analyze, and determine the extent of insurance... .... Correspond with or interview medical specialists, agents, witnesses, or claimants to...Full timeContract workRemote work$56.7k - $94.9k
Blue Cross Blue Shield of Michigan seeks Claim Representatives I, II, and III in California. These positions involve verifying insurance coverage, investigating claims, and facilitating return-to-work processes. Candidates should have a bachelor’s degree and relevant experience...$115k - $125k
## Field Claims Specialist, Remote - Southern CA Workers' CompensationApplyremote type: Remotelocations: California, USAtime type: Full timeposted... ...the Field Claims Specialist position. Your role would be to investigate and adjust workers' compensation claims with the highest...Remote jobWork at officeNight shift$60k
...today and take the first step to Destination: Progress. As a claims specialist on our team, you’ll play a critical role in our ability to... ...resolve large-loss injury claims valued over $60k. Investigating intricate and high-risk claims - which may have some litigation...Temporary workWork experience placementH1bWork at officeFlexible hours- CCMSI is seeking a Workers’ Compensation Claim Specialist in Concord, CA. The role involves managing a portfolio of claims, leading investigations, and ensuring timely resolutions. Candidates should have over 5 years of claims handling experience and strong analytical and...
$90k - $115k
Sr. Workers' Compensation Claims Specialist | Remote 3 days ago Be among the first 25 applicants Pay range: $90,000.00/yr - $115,000.00... ...and effectively. Key Responsibilities: Conduct thorough investigations to determine liability, establish compensability, and assess...Remote jobFull time- ## Claims Examiner IApplylocations: California - Encino: Georgia - Alpharettatime type: Full timeposted on: Posted Todayjob requisition... ...to love what you do**Job Summary**Resolves claims by investigating losses through the collecting and analyzing of data according...Full timeWork at officeWorldwide
- ...using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted. Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel. Analyzes...
$21.2 - $50.24 per hour
...zone, preferably from California. The role involves handling claims related to homeowner, commercial, and auto liability. Candidates... ...experience in litigation preferred. Responsibilities include investigating claims, negotiating settlements, and ensuring compliance with...Hourly pay$59.9k - $98.2k
...Zurich is seeking an experienced Litigation Claims Specialist to join its Commercial General Liability team. At Zurich North America Claims, we recognize that flexibility and work‑life balance are key considerations when choosing your next career move. Our hybrid work...Full timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorship$70k - $73k
AvonRisk LLC is seeking a General Liability and Auto Claims Adjuster II to work fully remotely. The ideal candidate will investigate and evaluate insurance claims while managing a diverse caseload. AvonRisk emphasizes a supportive culture with opportunities for career advancement...Remote job- ServiceMaster Restore 9430 - Riverside is hiring a Claims Coordinator in California, MO. The coordinator manages customer claims and service complaints, ensuring proper documentation and communication. Candidates should possess exceptional customer service skills and have...
- ...Department (EDD). This role involves determining claimant eligibility for State Disability Insurance benefits, including managing claims for Disability Insurance and Paid Family Leave. The representative will conduct interviews, provide customer service, and maintain...
$62.4k - $93.6k
...Sr Representative Claims - CH08BE We’re determined to make a difference and are proud to be an insurance company that goes well beyond... ...is accountable for planning, recommending, and executing the investigation of workers’ compensation claims. Our dynamic team of claim...Temporary workRemote workMonday to Friday3 days per week$100k - $120k
...Employment Practices Liability) and/or CSA (Childhood Sexual Assault) claims handling experience. Handles complex, technically challenging... ...contract, company policies, and applicable state laws. Investigates and evaluates coverage, liability and damages in handling of...Contract workWork at officeFlexible hours- A leading claims management service provider is seeking a Disability Representative Sr to provide effective case management and make complex claims determinations. The ideal candidate should have a background in disability case management, strong analytical skills, and...
- CareDx, Inc. is seeking an administrative support professional in California. This role includes sorting and distributing mail, assisting with patient inquiries, and providing departmental support. Candidates should have a High School Diploma and strong analytical skills...
- Job Description We’re Hiring: Sr. Claim Examiner - WC. Ready to take on high‑stakes claims and make a real impact? We’re seeking an... ...coverages apply to claims submitted. Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation...
$90k - $110k
Property & Casualty Claims Analyst - California Are you a dedicated Claims Analyst ready to unlock a significant growth opportunity... ...Review claim documentation and policy terms to ensure accuracy Investigate and resolve discrepancies to address issues, including...Remote jobWork at office- AutoNation is seeking a Service Warranty Administrator in California, MO, responsible for processing and managing warranty claims. Candidates should possess a high school diploma and two years of automotive dealership experience. The role requires strong communication...
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