Claims Processing Clerk jobs in Orange, CA

Claims Processing Clerk receives and inputs new healthcare claims, processes payments, researches billing issues, and responds to email and telephone inquiries. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk typically reports to a supervisor. The Claims Processing Clerk works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)

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CA - Orange County - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Irvine, CA FULL_TIME
  • 1099 Property Claims Adjuster

    Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA.

    Copper Claims Services excels in providing custom claims solutions for Property and Casualty, Transportation and High Net Worth, with an emphasis on Specialized Programs.

    We are currently looking for licensed adjusters (or individuals who will obtain their license upon onboarding) to assist with daily claims handling for the California area. In this role, you will manage, investigate and resolve homeowner and commercial property losses of moderate to severe complexity with minimal supervision to include completing field investigations, evaluating and analyzing coverage, completing property damage estimates, reporting findings to various clients, and handling files to the conclusion of the claim.

    In this role, you will:

    • Handle claims during local catastrophes
    • Complete field investigations including inspections, interviews, preparing diagrams, taking photographs, and various other tasks
    • Analyze insurance coverage issues on specific claims and make appropriate recommendations to our clients
    • Prepare detailed estimates in Xactimate based on our client’s specifications and parameters
    • Prepare clear, concise, and timely narrative reports for our clients
    • Create ITV reports
    • Evaluate co-insurance calculations and penalties if applicable
    • Maintain continuous and professional communication with our clients to ensure their needs are being met.
    • Analyze and evaluate damages including reserves, property estimates, business personal property inventories, business interruption, and business income losses
    • Investigate, analyze, adjust and negotiate settlements with insured’s in compliance with our client’s direction
    • Coordinate and oversee vendors such as emergency service contractors, origin and cause investigators, general contractors, engineers, etc.

    Qualifications:

    • 5 years of field Property adjusting experience
    • Ability to climb ladders/Access roofs
    • Thorough knowledge and understanding of roofing, HVAC, and various other mechanical specialties
    • Knowledge of Commercial Lines insurance policies
    • Proficient in Xactimate including Sketch
    • Previous experience with Xactanalysis preferred
    • Proficient in Microsoft Office (Word, Excel, and Outlook)
    • Effective negotiation skills
    • Ability to effectively and independently manage workload
    • Proven ability to provide exceptional customer service
    • Strong written and verbal communication skills
    • Exceptional organization and time management skills

    Job Type: Full-time

    Pay: $30.00 - $35.00 per hour

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Work setting:

    • Outdoor work

    Work Location: On the road

  • 1 Month Ago

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Appraisal Reviewer
  • Infinity International Processing Services, Inc.
  • Irvine, CA FULL_TIME
  • Company DescriptionWe are a 15 years old company based out of Rockville, MD offering Appraisal Quality Control and numerous other services to appraisal management companies.Currently we perform 45,000...
  • 1 Month Ago

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Auditor (Claims)
  • CalOptima
  • Orange, CA FULL_TIME
  • Job DetailsAuditor (Claims) Job Description Department(s): Delegation OversightReports to: Manager Audit & Oversight (Delegation)FLSA status: Non-ExemptSalary Grade: I - $61,000 - $99,110 Applications...
  • 21 Days Ago

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Manager, Claims
  • AmTrust Financial
  • Irvine, CA FULL_TIME
  • Manager, Claims Job Locations US-CA-Irvine Requisition ID 2024-16419 Category Claims - Workers Compensation Position Type Regular Full-Time Overview AmTrust Financial Services, a fast growing commerci...
  • 1 Month Ago

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Claims Trainer
  • UST
  • Aliso Viejo, CA FULL_TIME
  • Claims Trainer Lead I - BPM Who we are: UST HealthProof is a dynamic company with a mission to lower the cost of care and deliver the future of healthcare. Our consumer-centric approach gives our heal...
  • 1 Month Ago

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Claims Examiner
  • MS ACSC Management Services Inc
  • Costa Mesa, CA FULL_TIME
  • Claims Examiner The person in this role works directly with Claims management to communicate trends and patterns on high severity and complex claims. This individual provides guidance to management fo...
  • 1 Month Ago

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0 Claims Processing Clerk jobs found in Orange, CA area

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Accounts Payable Clerk- Construction
  • Premier Developing
  • Brea, CA
  • Job Description Job Description Mandatory Requirements- 3 Years of previous experience in AP with one of those years bei...
  • 4/24/2024 12:00:00 AM

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Grocery Clerk
  • Superior Grocers
  • Corona, CA
  • Grocery Clerk will maintain stocking and rotation of merchandise in the grocery area and to perform other functions as r...
  • 4/24/2024 12:00:00 AM

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Grocery Clerk
  • Superior Grocers
  • Bellflower, CA
  • Grocery Clerk will maintain stocking and rotation of merchandise in the grocery area and to perform other functions as r...
  • 4/24/2024 12:00:00 AM

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Access Service Representative-SRN Float Pool-Sharp Healthcare-Per Diem-Variable Shift
  • Sharp Healthcare
  • Orange, CA
  • Hours Shift Start Time: Variable Shift End Time: Variable Additional Shift Information: Weekend Requirements: Every Othe...
  • 4/23/2024 12:00:00 AM

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AIRPORT NOISE COMPLIANCE OFFICER
  • City of Long Beach, CA
  • Long Beach, CA
  • Salary: $135,000.00 - $170,000.00 Annually Location : City of Long Beach, CA Job Type: Unclassified - Full-Time, Permane...
  • 4/23/2024 12:00:00 AM

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Hot Foods Clerk
  • Superior Grocers
  • Buena Park, CA
  • Hot Foods Clerk takes customer orders, ring up Hot Foods sales while providing 5 Star customer service. Responsible for ...
  • 4/22/2024 12:00:00 AM

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Grocery Clerk
  • Superior Grocers
  • Buena Park, CA
  • Grocery Clerk will maintain stocking and rotation of merchandise in the grocery area and to perform other functions as r...
  • 4/22/2024 12:00:00 AM

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Grocery Night Crew Clerk
  • Superior Grocers
  • Buena Park, CA
  • Grocery Night Crew Clerk is responsible for maintaining shelves filled with stock, and keeping shelves neat. Focus on de...
  • 4/21/2024 12:00:00 AM

Orange is a city located in Orange County, California. It is approximately 3 miles (4.8 kilometers) north of the county seat, Santa Ana. Orange is unusual in this region because many of the homes in its Old Town District were built before 1920. While many other cities in the region demolished such houses in the 1960s, Orange decided to preserve them. The small city of Villa Park is surrounded by the city of Orange. The population was 139,812 as of 2014. The city has a total area of 25.2 square miles (65 km2), 24.8 square miles (64 km2) of which is land and 0.4 square miles (1.0 km2) of which i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Clerk jobs
$41,748 to $50,484
Orange, California area prices
were up 3.0% from a year ago