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Claim adjuster • berkeley ca

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California Workers Compensation Adjuster

California Workers Compensation Adjuster

The Jonus GroupSan Francisco, California, USA
[job_card.full_time] +1
California Workers Compensation Adjuster (Permanent).Seeking a highly skilled and experienced.Workers Compensation Claims Adjuster. This role involves managing all aspects of workers compensation cl...[show_more][last_updated.last_updated_variable_days]
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Outside Property Claim Representative Trainee

Outside Property Claim Representative Trainee

San Francisco StaffingSan Francisco, CA, US
[job_card.full_time]
Taking care of our customers, our communities and each other.By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 17...[show_more][last_updated.last_updated_30]
Claim Representative Jobs - Hiring Immediately

Claim Representative Jobs - Hiring Immediately

MyJobResourceSan Francisco, CA, United States
[job_card.full_time] +1
We are currently looking for individuals to fulfill Part-Time and Full-Time Claim Representative positions.No experience is required to apply for the position. Training is provided through former ex...[show_more][last_updated.last_updated_30]
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Daily Property Field Adjuster

Daily Property Field Adjuster

Alacrity SolutionsSan Francisco, CA, US
[job_card.full_time]
Alacrity Solutions is a full end-to-end provider delivering streamlined insurance claims, repair, and recovery solutions. As one of the largest independent providers of insurance claims services in ...[show_more][last_updated.last_updated_30]
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Field Adjuster (Residential or Commercial) - Oakland, CA

Field Adjuster (Residential or Commercial) - Oakland, CA

CCMS & AssociatesOakland, CA, US
[job_card.full_time]
CCMS & Associates is looking for a 1099 Field Adjuster in.We are looking to add to our existing roster.The time is now to get on board with our team!. We are seeking a residential or commer...[show_more][last_updated.last_updated_30]
Warranty Claim Associate

Warranty Claim Associate

VirtualVocationsOakland, California, United States
[job_card.full_time]
A company is looking for a Warranty Claim Associate - Level III.Key Responsibilities : Process warranty-related information in databases and manage the lifecycle of extended warranty requests Ser...[show_more][last_updated.last_updated_variable_days]
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Contents Adjuster

Contents Adjuster

SedgwickSan Francisco, CA, US
[job_card.full_time]
By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your c...[show_more][last_updated.last_updated_variable_days]
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Employment Practice Liability Claim Manager

Employment Practice Liability Claim Manager

Questor Consultants, Inc.San Francisco, CA, US
[job_card.full_time]
National Insurance Carrier is looking for an experienced EPL Claims Manager that is currently managing a team.Prior experience in EPLI & professional liability claims is preferred but not manda...[show_more][last_updated.last_updated_30]
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  • [new]
W2 Adjuster CA (PT)

W2 Adjuster CA (PT)

RYZE Claim SolutionsSan Francisco, CA, US
[job_card.full_time]
The Field Adjuster will investigate and evaluate daily property claims for clients pursuant to client and company direction. Provide timely, accurate, fair, and professional service to all clients a...[show_more][last_updated.last_updated_variable_hours]
Senior PMM - Insurtech & Claim Automation

Senior PMM - Insurtech & Claim Automation

HOVERSan Francisco, CA, United States
[job_card.full_time]
A leading technology firm in San Francisco is looking for a Senior Product Marketing Manager to lead the marketing of insurance products. The ideal candidate will have 5–7 years of B2B SaaS experien...[show_more][last_updated.last_updated_variable_days]
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Home Claim Specialist / Property Insurance Specialist

Home Claim Specialist / Property Insurance Specialist

Remote VAOakland, CA, US
[job_card.full_time]
Public Adjuster / Insurance Adjuster - Remote Work.We are seeking a detail-oriented and experienced Public Adjuster to assist policyholders in evaluating and negotiating insurance claims.The ideal ca...[show_more][last_updated.last_updated_30]
Commercial Auto Claims Adjuster / Examiner - REMOTE

Commercial Auto Claims Adjuster / Examiner - REMOTE

Work At Home Vintage ExpertsSan Francisco, CA, US
[filters.remote]
[job_card.full_time] +2
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Put your Insurance Experience to work – FROM HOME!.Our unique platform provides you with.WHAT YOU’LL LOVE ABOUT WAHVE.We created a welcoming place to work with friendly and professional...[show_more][last_updated.last_updated_variable_days]
Independent Insurance Claims Adjuster in Richmond, California

Independent Insurance Claims Adjuster in Richmond, California

MileHigh Adjusters Houston IncRichmond, CA, US
[job_card.full_time]
[filters_job_card.quick_apply]
IS IT TIME FOR A CAREER CHANGE?.INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!.Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster?.This is you...[show_more][last_updated.last_updated_30]
Field Claims Adjuster

Field Claims Adjuster

EAC Claims Solutions LLCSan Francisco, California, United States
[job_card.full_time]
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency.Join us in delivering exceptional service while upholding the highest standards of professionalism and co...[show_more][last_updated.last_updated_30]
  • [promoted]
Senior Property Adjuster - New York / Long Island

Senior Property Adjuster - New York / Long Island

Engle MartinOakland, CA, US
[job_card.full_time]
The Senior Property Adjuster effectively determines and communicates the extent of loss or damage associated with commercial property claims in a variety of business classes.The Senior Property Adj...[show_more][last_updated.last_updated_30]
Outside Property Claim Representative Trainee - Seattle, WA

Outside Property Claim Representative Trainee - Seattle, WA

TravelersSan Francisco, CA, United States
[job_card.full_time]
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position wi...[show_more][last_updated.last_updated_30]
California Workers Compensation Adjuster

California Workers Compensation Adjuster

The Jonus GroupSan Francisco, California, USA
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
  • [job_card.permanent]
[job_card.job_description]

Job Description

California Workers Compensation Adjuster (Permanent)

Job Summary

Seeking a highly skilled and experienced Workers Compensation Claims Adjuster to join a team. This role involves managing all aspects of workers compensation claims including determining compensability verifying coverage administering disability and medical benefits negotiating claim resolutions and providing exceptional service to injured employees employers and medical / legal professionals.

Compensation Package

  • Medical dental and vision insurance
  • Life insurance
  • 401(K) with company match
  • Opportunities for professional growth and development in a supportive and collaborative environment

Responsibilities

  • Receive and manage newly reported claims
  • Maintain and update claim notes throughout the lifespan of claims
  • Record claim information in an electronic database
  • Conduct interviews with claimants insureds medical professionals and witnesses to determine claim validity
  • Communicate claim compensability decisions to claimants employers and medical providers
  • Set appropriate reserves based on the nature and extent of injuries
  • Calculate lost time wages and administer disability payments
  • Coordinate independent medical examinations and prepare relevant documentation
  • Maintain regular correspondence with claimants insureds and nurse case managers
  • Review and process medical bills through third-party vendors for additional discounts
  • Collaborate with claimants and insureds to facilitate early return-to-work
  • Partner with legal counsel to protect insured interests on litigated claims
  • Attend settlement conferences mediations and hearings on behalf of the company or insured
  • Review and approve defense attorney bills within authority
  • Provide relevant loss information to underwriting and risk management teams
  • Respond to state requests for health cost disputes applications for hearings and penalty assessment letters
  • Identify subrogation opportunities and pursue recovery
  • Lead claim reviews with clients as requested
  • Perform other duties as assigned

    • Qualifications / Requirements

  • Minimum of 10 years of experience adjusting Workers Compensation Claims in California
  • SIP Certification is required
  • Bilingual proficiency in Spanish and English is required
  • Current with Continuing Education Units (CEUs)
  • Proficiency in the Microsoft Office suite
  • In-depth knowledge of California workers compensation laws
  • Strong understanding of medical terminology and treatment progression
  • Excellent oral and written communication skills
  • Exceptional attention to detail and organizational abilities
  • Proven negotiation skills for resolving issues and settlements
  • Strong customer service orientation with a commitment to timely responses
  • Adaptability to changing technologies and new systems
  • Ability to establish and maintain effective working relationships with others

    • #LI-BR1

    Key Skills

    Accounts Administration,Customer Service,Advocacy,ABAP,Electronics,Bakery

    Employment Type : Full-Time

    Experience : years

    Vacancy : 1