Talent.com
Sr. Claims Examiner
Sr. Claims ExaminerBerkley • Walnut Creek, California, USA
Sr. Claims Examiner

Sr. Claims Examiner

Berkley • Walnut Creek, California, USA
[job_card.1_day_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Company Details

W. R. Berkley Corporation founded in 1967 is one of the nations premier commercial lines property casualty insurance providers. Founded in 2004 Berkley Environmental has underwriting and account executive units in seven regions. Berkley Environmental offers an array of coverages for virtually all classes traditionally known to have environmental liability exposures on both an admitted and non-admitted basis. We provide a comprehensive portfolio of commercial property casualty insurance automobile liability and workers compensation along with claim services providing expertise to meet the unique business needs of our customers.

Company URL : company is an equal opportunity employer.

Responsibilities

Senior Claims Examiner Lost Time (California Workers Compensation)

Location : Remote or Hybrid (3 days in-office location dependent)

Key functions include but are not limited to the following :

  • Manage a caseload of lost time claims ranging from minor to complex.
  • Ensure compliance with California Workers Compensation laws and regulations.
  • Conduct thorough investigations evaluate claims and determine appropriate benefits.
  • Collaborate with internal and external stakeholders to drive timely and fair claim resolutions.
  • Identify and pursue subrogation opportunities where applicable.

Qualifications

  • Minimum 10 years of experience handling California Workers Compensation claims.
  • Familiarity with other WC jurisdictions is a strong plus.
  • In-depth knowledge of California Labor Code and Regulations.
  • Strong analytical communication and negotiation skills.
  • Experience with subrogation is highly desirable.
  • Additional Company Details

    We do not accept any unsolicited resumes from external recruiting agencies or firms.

    The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include :

    Base Salary Range : $76000 $125000

    Eligible to participate in annual discretionary bonus.

    Benefits : Health Dental Vision Life Disability Wellness Paid Time Off 401(k) and Profit-Sharing plans.

    The actual salary for this position will be determined by a number of factors including the scope complexity and location of the role; the skills education training credentials and experience of the candidate; and other conditions of employment.

    Sponsorship Details

    Sponsorship not Offered for this Role

    Required Experience :

    Senior IC

    Key Skills

    Auditing,GAAP,Military Experience,Phlebotomy,Conflict Management,Vital Signs Experience,Computer Forensics,Research Experience,Securities Law,Operating Systems,PTSD Care,RMF

    Employment Type : Full Time

    Experience : years

    Vacancy : 1

    [job_alerts.create_a_job]

    Claim Examiner • Walnut Creek, California, USA

    [internal_linking.similar_jobs]
    Claims Investigator - Experienced

    Claims Investigator - Experienced

    Command Investigations • Walnut Creek, CA, US
    [job_card.full_time]
    Seeking experienced investigators with commercial or personal lines experience, with multi-lines preferred to include AOE / COE, Auto, and Homeowners. SIU experience is highly desired, but not require...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Claims Medi-Cal Supervisor

    Claims Medi-Cal Supervisor

    Partnership HealthPlan of California • Fairfield, CA, US
    [job_card.full_time]
    To supervise the Medi-Cal Claims Specialists and Examiners.Ensures delivery of highest level of customer service to the community and its medical providers. Supervises the Medi-Cal claims specialist...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Occupational Therapist

    Travel Occupational Therapist

    CompHealth Inc. • Vacaville, CA, US
    [job_card.permanent]
    Occupational Therapist for a travel job in Vacaville, California.Job Description & Requirements.Interested in this assignment? Or maybe you still have not found what you are looking for? Contac...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel CT Tech - $3359 / Week

    Travel CT Tech - $3359 / Week

    Cynet Health • Fremont, CA, US
    [job_card.full_time]
    Cynet Health is seeking an experienced CT Tech for an exciting Travel Allied job in Fremont, CA.Shift : 5x8 hr days Start Date : ASAP Duration : 13 weeks Pay : $3359 / Week. Ranked #5 Best Travel Nursin...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Labor and Delivery (RN)

    Labor and Delivery (RN)

    Lancesoft INC • Vacaville, CA, US
    [job_card.full_time]
    Graduate of an accredited nursing program.Active RN License (state where care is provided).Certifications : BLS, ACLS, NRP, AWHONN. L&D experience (within last 2 years).L&D experience (within...[show_more]
    [last_updated.last_updated_30] • [promoted]
    RN Case Manager - AS Utilization Management - Walnut Creek - Full Time - 8 Hour - Days

    RN Case Manager - AS Utilization Management - Walnut Creek - Full Time - 8 Hour - Days

    John Muir Health • Walnut Creek, CA, US
    [job_card.full_time]
    The role of the inpatient case manager is one of patient advocate of appropriate utilization of resources.The inpatient case manager applies the process of assessment, planning, implementation, mon...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Product Manager with insurance claims : 24-03419

    Product Manager with insurance claims : 24-03419

    Akraya Inc • Fremont, California, United States
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Primary Skills : Strategy-Advanced, Leadership-Expert, Data Analysis-Intermediate, Coordination-Advanced.Location : Fremont, CA 100% Onsite. This role seeks an experienced Product Manager ready to t...[show_more]
    [last_updated.last_updated_30]
    Associate Director of Outpatient & Prevention Program Operations

    Associate Director of Outpatient & Prevention Program Operations

    Horizon Services, Inc. • Hayward, CA, US
    [job_card.full_time]
    Job Description : \n\nJOB TITLE : Associate Director of Outpatient & Prevention Program OperationsLOCATION : Administration - Hayward CAEmployment Type : Full-Time (Salary) POSITION START DATE : Soon...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Labor & Delivery RN

    Travel Labor & Delivery RN

    Medical Solutions • Fairfield, CA, US
    [job_card.full_time]
    Medical Solutions is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Fairfield, California.Job Description & Requirements. We’re seeking talented healthcare profes...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel CT Tech - $3099 / Week

    Travel CT Tech - $3099 / Week

    LRS Healthcare - Allied • Fremont, CA, US
    [job_card.full_time]
    LRS Healthcare - Allied is seeking an experienced CT Tech for an exciting Travel Allied job in Fremont, CA.Shift : Inquire Start Date : ASAP Duration : 13 weeks Pay : $3099 / Week.Ready to start your n...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel CT Tech - $3120 / Week

    Travel CT Tech - $3120 / Week

    Ventura MedStaff • Fremont, CA, US
    [job_card.full_time]
    Ventura MedStaff is seeking an experienced CT Tech for an exciting Travel Allied job in Fremont, CA.Shift : 5x8 hr days Start Date : ASAP Duration : 13 weeks Pay : $3120 / Week.Founded in 2018 and loca...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Nurse RN - Labor and Delivery

    Travel Nurse RN - Labor and Delivery

    Genie Healthcare • Vacaville, CA, US
    [job_card.full_time]
    Genie Healthcare is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Vacaville, California.Job Description & Requirements. Genie Healthcare is looking for a RN to work in...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel CT Tech - $3370 / Week

    Travel CT Tech - $3370 / Week

    Medpro Healthcare Staffing • Fremont, CA, US
    [job_card.full_time]
    Medpro Healthcare Staffing is seeking an experienced CT Tech for an exciting Travel Allied job in Fremont, CA.Shift : 3x12 hr nights Start Date : 12 / 29 / 2025 Duration : 13 weeks Pay : $3370 / Week.Joint...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Claims Auditor I

    Claims Auditor I

    Partnership HealthPlan of California • Fairfield, CA, US
    [job_card.full_time]
    To accurately perform concurrent, retrospective, and special audits on all level I claim types for all Partnership lines of business. Perform concurrent and retro claims audits on new Claims examini...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Site Safety Manager - Santa Clara Area

    Site Safety Manager - Santa Clara Area

    Compliance Systems Management • San Ramon, CA, US
    [job_card.full_time]
    Job Title : Site Safety Manager Santa Clara.Compensation : $50-60 / hr (negotiable).We are seeking an experienced and qualified Site Safety Manager to oversee safety operations on a project in the Sant...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Nurse RN - Labor and Delivery

    Travel Nurse RN - Labor and Delivery

    American Traveler • Vacaville, CA, US
    [job_card.full_time]
    American Traveler is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Vacaville, California.Job Description & Requirements. American Traveler is seeking an experienced RN...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Sr. Construction Defect Claims Representative

    Sr. Construction Defect Claims Representative

    Frank Winston Crum Insurance • Concord, CA, US
    [job_card.full_time]
    Construction Defect Claims Representative.Frank Winston Crum Insurance (FWCI) issues Workers' Compensation and General Liability policies by offering flexible coverage and payment options to meet t...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Loan Review Manager

    Loan Review Manager

    Westamerica Bank • Suisun, CA, US
    [job_card.full_time]
    Westamerica is among the largest commercial banks headquartered in California.We are looking for outstanding people to join our winning team. We reached our current strength because our employees, c...[show_more]
    [last_updated.last_updated_30] • [promoted]