Claims Examiner jobs in Fullerton, CA
Claims Examiner reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Additionally, Claims Examiner determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Claims Examiner typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)
Recently Added Claims Examiner jobs
Claims Examiner
- cesna
-
Anaheim, CA
FULL_TIME
-
[Position]
Claims Examiner
[About Our Client]
One of the largest non-life insurance companies based in South Korea. We currently writes all lines of property and casualty insurance in CA, NY, OH, IN, PA, TX and HI State.
Financial Ratings:
- A.M. Best Rating: A (Superior)
“Superior: A to A grade assigned to insurance companies that have superior ability to meet their financial obligations.”
- S&P Rating: A (Stable)
“The financial strength ratings reflect its very strong competitive position and lower adequate capital and earnings, excellent operating performance.”
[Job Descriptions]
-Handle Liability Claims, claims involving Commercial General Liability claims including Bodily Injury, Slip and Falls, Premise Liability and Auto Bodily Injury Liability, including litigation.
-Manage and supervise TPA adjusters and outside vendors who directly handle the case.
-Work proactively towards claims resolution with defense counsel
-Determine if coverage applies for claims reported
-Evaluate damages to ascertain compensation amount
-Respond to claims calls and e-mails from agents and claimants
-Negotiate claim settlements
-Participate in claims related audits
-Prepare detailed claim reports to management for additional authority or coverage issues with recommendation.
-Effectively manage and control litigation and claim expenses
[Qualifications]
Job Qualifications:
-Over 5 years experience in an insurance company with regard to Commercial auto liability claims or Commercial general liability claims.
-Bachelor’s degree or equivalent professional work experience.
-Knowledge of Microsoft Office Suite as well as other business-related software.
-Capability to build and maintain positive relationships through teamwork.
Compensation: $70,000 - 100,000 / yr
We offer competitive salary plus benefit package that includes health, vision, and dental insurance with 401K.
• Medical, Dental & Vision Insurance
• 401(K)
• Paid Time Off Vacation
• Paid Sick Days
Other qualification:
-Must be authorized to work in the United States
-Limited business travel may be required
-Interpersonal skills to interact with customers and team members
-Good communication skills
- 10 Days Ago
Claims Examiner
- City of Anaheim
-
Anaheim, CA
FULL_TIME
- Upcoming Increases:5% increase on June 21, 20245% increase on June 20, 2025The Risk Management division of the City of Anaheim Human Resources Department seeks an experienced Workers' Compensation Cla...
- 28 Days Ago
Claims Examiner III - temporary
- Tristar Insurance
-
Chino, CA
TEMPORARY
- Job Details Level: Experienced Job Location: Chino Hills - Chino Hills, CA Position Type: Temporary Education Level: High School Diploma or GED Salary Range: $93,600.00 - $104,000.00 Salary Travel Per...
- 13 Days Ago
Claims Examiner III - temporary
- TRISTAR RISK MANAGEMENT
-
Chino, CA
TEMPORARY
- Please make sure that you complete all of the questions and navigate to the end of the application to sign the application. This is a remote position. This temp assignment runs through 6/30/2024. POSI...
- 13 Days Ago
Claims Examiner - Remote Position
- Primary Care Associates of California, Medical Group
-
Cypress, CA
FULL_TIME
- The Claims Examiner is responsible for processing medical claims in an efficient, cost-effective, and timely manner.Daily Responsibilities: Responsible for determining financial responsibility between...
- 1 Month Ago
Claims Examiner-Workers Compensation (1305276) - REMOTE-CA-(38951)
- IOS Staffing
-
Brea, CA
CONTRACTOR,FULL_TIME
- TITLE: Claims Examiner - Workers Compensation (1305276 ) REMOTETERMS 4/1-7/2 -3 month contract Or longerLOCATION: REMOTE IN CA AREA HOURS: 8-5Hourly Rate: $50.00 Hourly Remote in CAMust have updated C...
- 1 Month Ago
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0 Claims Examiner jobs found in Fullerton, CA area
Claims Examiner
- D3 Search
-
Los Angeles, CA
- D3 Search is actively seeking the following Claims Examiner II - Cyber candidate for a global insurer with a growing off...
- 4/27/2024 12:00:00 AM
Claims Examiner
- American Automobile Association
-
Costa Mesa, CA
- Claims Examiner The person in this role works directly with Claims management to communicate trends and patterns on high...
- 4/27/2024 12:00:00 AM
Claims Examiner II
- AltaMed Health Services Corporation
-
Montebello, CA
- Work Boldly. Live Brilliantly. At AltaMed, we don't just serve our communities, we are part of them. We have raised the ...
- 4/27/2024 12:00:00 AM
Claims Examiner III
- Imperial Health Plan Of California Inc.
-
Pasadena, CA
- JOB SUMMARY: Is responsible for adjudicating complex claims which include high dollar claims. Responsible for accurate m...
- 4/27/2024 12:00:00 AM
Claims Examiner -Remote
- Generis Tek Inc
-
Irvine, CA
- Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
- 4/25/2024 12:00:00 AM
Claims Examiner -Remote
- Generis Tek Inc
-
Los Angeles, CA
- Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
- 4/25/2024 12:00:00 AM
Claims Examiner –Remote
- Generis Tek Inc
-
Irvine, CA
- Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
- 4/23/2024 12:00:00 AM
Claims Examiner –Remote
- Generis Tek Inc
-
Los Angeles, CA
- Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
- 4/23/2024 12:00:00 AM
About Fullerton, California
Fullerton (/ˈfʊlərtən/) is a city located in northern Orange County, California, United States. As of the 2010 census, the city had a total population of 135,161.
Fullerton was founded in 1887. It secured the land on behalf of the Atchison, Topeka and Santa Fe Railway. Historically it was a center of agriculture, notably groves of Valencia oranges and other citrus crops; petroleum extraction; transportation; and manufacturing. It is home to numerous higher educational institutions, particularly California State University, Fullerton and Fullerton College. From the mid-1940s through the late 19...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$53,080 to $70,387
Fullerton, California area prices
were up 3.2% from a year ago
were up 3.2% from a year ago