Claim examiner [h1.location_city]
[job_alerts.create_a_job]
Claim examiner • fontana ca
[last_updated.last_updated_1_day]
Rancho Cucamonga, CA -must live in CA.Monday-Friday 8 am – 4 : 30 pm.The Claims Examiner will investigate, analyze, and manage high-exposure cases, including litigated and rehabilitation claims...[show_more][last_updated.last_updated_variable_days]
At Gallagher, you'll be backed by our digital ecosystem : a client-centric suite of consulting tools making it easier for you to meet your clients where they want to be met.Advanced data and analyti...[show_more][last_updated.last_updated_30]
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]
Administer indemnity claims and handle complex claim issues.Use strong litigation management experience, lien resolution abilities, and customer service skills to resolve routine claims without leg...[show_more][last_updated.last_updated_30]
Dane Street is hiring licensed Internal Medicine Physicians with access to an ADA-compliant exam space to conduct Medical Disability Examinations for U.
Partnering with the Department of Veterans Af...[show_more][last_updated.last_updated_30]
Auto Damage Claims Representative.This position is responsible for handling low to moderate Personal and Business Insurance Auto Damage claims from the first notice of loss through resolution / settl...[show_more][last_updated.last_updated_variable_days]
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]
Work location : remote within California.Any specific skill / certification / license : SIP certificate, School district experience preferred.
PRIMARY PURPOSE : To analyze complex or technically difficul...[show_more][last_updated.last_updated_30]
Solera is a global leader in data and software services that strives to transform every touchpoint of the vehicle lifecycle into a connected digital experience.
In addition, we provide products and ...[show_more][last_updated.last_updated_30]
Location US-CA-San Bernardino Job Category Claims and Investigation Position Type Regular Full Time Req ID 42797 Overview Being good neighbors – helping people, investing in our communities, and ma...[show_more][last_updated.last_updated_30]
Keenan is a leading insurance brokerage and consulting firm serving hospitals, public agencies, and California school districts.
Specializing in employee benefits, workers' compensation, loss contro...[show_more][last_updated.last_updated_30]
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_1_day]
Finding a job that fits your lifestyle isn’t always easy.Claims Examiner - Workers Compensation.We’re here to help you find something great that works for you—so you won’...[show_more][last_updated.last_updated_variable_days]
Property Field Inspection Claim Specialist.Being good neighbors helping people, investing in our communities, and making the world a better place is who we are at State Farm.It is at the core of ...[show_more][last_updated.last_updated_30]
Finding a job that fits your lifestyle isn't always easy.Claims Examiner - Workers Compensation.Sound good? Take a closer look below.
We're here to help you find something great that works for you—s...[show_more][last_updated.last_updated_variable_days]
Applications will be accepted until a sufficient number of applications are received.The San Bernardino County Fire Protection District, Office of the Fire Marshal is recruiting for Fire Plans Exam...[show_more][last_updated.last_updated_30]
Manager's note : Work location : remote within California Any specific skill / certification / license : SIP certificate, School district experience preferred Years of experience : 3+years PRIMARY PURPOSE : ...[show_more][last_updated.last_updated_30]
Pay Range : $45hr - $50hr The Claims Examiner analyzes complex and technically challenging workers' compensation claims, determines benefits due, manages high-exposure cases involving litigation and...[show_more][last_updated.last_updated_variable_days]
The County of Riverside's Human Resources Temporary Assignment Program (TAP) seeks to fill a Temporary Polygraph Examiner position to support the Riverside County Sheriff's Office.This recruitment ...[show_more][last_updated.last_updated_30]
- [promoted]
Claims Examiner Worker Compensation
Imagine Staffing TechnologyRancho Cucamonga, CA, US[job_card.full_time]
- [promoted]
Senior Claims Examiner, Workers' Compensation
Arthur J Gallagher & CoRiverside, CA, US[job_card.full_time]
Warranty Claim Associate
VirtualVocationsSan Bernardino, California, United States[job_card.full_time]
Claims Examiner or Senior Claims Examiner - WC
Keenan & AssociatesRiverside, CA, US[job_card.full_time]
Physicians Needed : Veteran Disability Examiner
Dane Street, LLCRancho Cucamonga, CA, US[job_card.full_time]
[filters_job_card.quick_apply]
- [promoted]
Auto Claim Representative
TravelersRiverside, CA, US[job_card.full_time]
Liability Claims Examiner - Auto & GL
Sedgwick Claims Management Services, Inc.Rancho Cucamonga, CA, United States[job_card.full_time]
Claims Examiner - Workers Compensation
MindlanceRancho Cucamonga, CA[job_card.full_time]
- [promoted]
Field Claim Representative
SoleraRiverside, CA, US[job_card.full_time]
Claim Specialist - Property Field Inspection
State Farm Mutual Automobile Insurance CompanySan Bernardino, California, US[job_card.full_time]
Senior Claims Examiner
GallagherRiverside, California[job_card.full_time]
Outside Property Claim Representative
020 Travelers Indemnity CoRancho Cucamonga,CA[job_card.full_time]
Claims Examiner - Workers Compensation
KellyRancho Cucamonga, California, US[filters.remote]
[job_card.temporary]
- [promoted]
Claim Specialist - Property Field Inspection
State FarmSan Bernardino, CA, US[job_card.full_time]
Claims Examiner - Workers Compensation
Kelly ServicesRancho Cucamonga, CA, US[job_card.full_time]
- [promoted]
Fire Plans Examiner •
Government JobsSan Bernardino, CA, US[job_card.full_time]
- [promoted]
Claims Examiner - Workers Compensation
StaffingRancho Cucamonga, CA, US[job_card.full_time]
- [promoted]
Claims Examiner Workers Compensation - Remote / Telecommute
Cynet SystemsRancho Cucamonga, CA, US[filters.remote]
[job_card.full_time]
Temporary Polygraph Examiner - As Needed
County of RiversideRiverside, US[job_card.full_time] +1
Claims Examiner Worker Compensation
Imagine Staffing TechnologyRancho Cucamonga, CA, US[job_card.variable_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]High School Diploma or GED required. Bachelor’s degree preferred. Professional certifications related to workers’ compensation or claims management preferred. Minimum 5 years of claims management experience, or an equivalent combination of experience and education. In-depth understanding of workers’ compensation laws, insurance principles, recovery practices, and cost containment strategies. Strong analytical, investigative, and interpretive abilities. Excellent written and verbal communication skills, including presentation ability. High proficiency with Microsoft Office and claims management systems. Strong negotiation skills and ability to resolve disputes effectively. Organized, detail-oriented, and capable of managing multiple cases simultaneously. Team-oriented with strong interpersonal skills. Ability to meet or exceed service expectations consistently.
Job Description
Job Description
Job Profile
Job Title : Claims Examiner
Location : Rancho Cucamonga, CA -must live in CA
Hire Type : Contingent
Pay Range : $50
Work Model : Remote
Work Shift : Monday-Friday 8 am – 4 : 30 pm
Recruiter Contact : Sean Craft I sean@marykraft.com I 443-345-3305
Nature & Scope : Positional Overview
We are seeking a skilled Claims Examiner with experience handling complex or technically challenging Workers’ Compensation claims. The Claims Examiner will investigate, analyze, and manage high-exposure cases, including litigated and rehabilitation claims, ensuring accurate benefit determination and adherence to industry’s best practices. This role will work remotely but must reside within the state of California.
Role & Responsibility :
Tasks That Will Lead to Your Success
- Analyze and process complex workers’ compensation claims, determining claim exposure through detailed investigation.
- Develop and execute action plans to ensure timely and appropriate claim resolution.
- Evaluate, calculate, and maintain accurate reserves across the life of each claim.
- Approve and process benefits, payments, and adjustments in accordance with authority levels.
- Prepare and submit all required state filings within statutory timeframes.
- Manage litigation activities and collaborate with legal partners to ensure cost-effective outcomes.
- Coordinate vendor referrals for investigations, medical reviews, or litigation support.
- Utilize cost-containment strategies, including partnerships with approved vendors, to minimize overall claim expenses.
- Manage recovery opportunities such as subrogation, Second Injury Fund recoveries, and Social Security / Medicare offsets.
- Report applicable claims to excess carriers and respond promptly to direction requests.
- Maintain ongoing communication with claimants and clients, fostering strong professional relationships.
- Ensure claim documentation is complete, accurate, and compliant with coding standards.
- Escalate cases to supervisors or management when necessary.
Skills & Experience
Qualifications That Will Help You Thrive