Claims Representative Jobs in California

1000+ jobs

The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Claims Specialist to research and resolve problems and issues related to their area of specialty. The CareAdvantage Claims Development Specialist will contact non-contracted providers via telephone and correspondence, and resolve and develop pended claims within a timely manner in accordance with CMS guideline and a...

Description: Energize your career with one of health care's fastest growing companies. You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading health care companies, UnitedHealt...

Overview: At Great American, we focus on building relationships and linking people to various career paths. Whether it’s underwriting, claims, accounting, IT, legal, or customer service, Great American Insurance Group combines a "small company" entrepreneurial atmosphere with "big company" expertise. Great American has more than 25 specialty insurance divisions within our Property & Casualty Grou...

Job Summary Investigates, determines liability, confirms coverage, establishes damages, and negotiates settlement of claims. Will also be required to maintain an active adjusters license in states where required. Essential Job Functions Participates in an intensive training program in a supervised learning environment, which includes training in claims investigation, liability determination, co...

Job Summary Investigates, determines liability, confirms coverage, establishes damages, and negotiates settlement of claims. Will also be required to maintain an active adjusters license in states where required. Essential Job Functions Participates in an intensive training program in a supervised learning environment, which includes training in claims investigation, liability determination, co...

JOB DESCRIPTION Obtains information and maintains accurate records about accidents from customers and claimants through telephone and written reports. Arranges appraisals, reviews appraisal reports and communicates with customers, claimants, repair shops, etc. Secures the essential facts about accidents, accesses liability, negotiates settlements and communicates decisions effectively to custom...

MOUNTAIN, LTD. is currently seeking a Claims Representative for a major Property & Casualty Insurance Providerin Rocklin, California. This is a contract opportunity, currently scheduled to run for one year. Pay Rate will be $15.00 - $18.00 per hour and will depend on qualifications and experience. Work Days / Hours will be Monday through Friday, 9:00am to 5:00pm. DESCRIPTION Obtains informati...

Description ExamWorks is a dynamic, fast growing global industry pioneer in the health care services sector. Our size, scale and service capabilities, combined with management's vision are transforming the independent medical examination (IME) industry. We are convinced that the high growth environment, the largest global geographic footprint and most advanced IT platform available differentiates...

Location: Bakersfield, CA Overview: Founded in 1898, Capital Insurance Group specializes in offering “main street” commercial lines and personal lines insurance products and services distributed through the independent agency system. Our core products include commercial multiple peril, commercial and private passenger auto, homeowners and farm owners, dwelling fire, general liability, inland mari...

Location: Reno, NV Overview: Founded in 1898, Capital Insurance Group specializes in offering “main street” commercial lines and personal lines insurance products and services distributed through the independent agency system. Our core products include commercial multiple peril, commercial and private passenger auto, homeowners and farm owners, dwelling fire, general liability, inland marine and ...

Organized in 1953, ESIS®, Inc. (ESIS) provides customized risk management services. ESIS is part of ACE USA, the U.S.-based retail operating division of the ACE Group, headed by ACE Limited (NYSE: ACE). ACE USA, through its underwriting and service companies, provides insurance products and services throughout the U.S. Additional information about ESIS and its products and services can be found at...

Under the direction of the Claims Team Leader investigates and settles claims promptly, equitably and within established best practices guidelines. MAJOR DUTIES & RESPONSIBILITIES: Duties include but are not limited to: · Under limited supervision, receives assignments and reviews claim and policy information to provide background for investigation and may determine the extent of the policy’s ob...

Description: Careers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality...

Job Description JT2 Integrated Resources, a successful statewide TPA, has a career opportunity for a Workers Compensation Claims Supervisor in Northern California (Oakland Branch). Benefits: After 30 days of employment: Medical/Dental/Vision package; 401k Retirement Plan; Company paid & Voluntary Life Insurance; Health & Dependent Care Spending Accounts: PTO (10 days/start accruing after 90 days...

Ensure data integrity for all claims handled, including confirming/obtaining claimant details (DOB, SSN, etc) and coding of injury, accident, location of accident, etc. * Contact employer, injured worker, and medical provider within 24 hours of receipt of new injury reports for thorough investigation of each claim. * Evaluate claims for compensability based on jurisdiction and review all claims ...

Organized in 1953, ESIS®, Inc. (ESIS) provides customized risk management services. ESIS is part of ACE USA, the U.S.-based retail operating division of the ACE Group, headed by ACE Limited (NYSE: ACE). ACE USA, through its underwriting and service companies, provides insurance products and services throughout the U.S. Additional information about ESIS and its products and services can be found at...

Organized in 1953, ESIS®, Inc. (ESIS) provides customized risk management services. ESIS is part of ACE USA, the U.S.-based retail operating division of the ACE Group, headed by ACE Limited (NYSE: ACE). ACE USA, through its underwriting and service companies, provides insurance products and services throughout the U.S. Additional information about ESIS and its products and services can be found at...

EDGEWOOD PARTNERS Insurance Center Job Description Job Title: Workers’ Compensation Claims Specialist Location & Department: San Ramon Programs Group FLSA Status: Non-Exempt Headquartered in San Francisco, EPIC Insurance Brokers and Consultants has nationwide presence with a depth of industry expertise across key lines of insurance including commercial property and casualty, employee bene...

Job Summary Alliance Inspection Management (AiM) is the premier new and pre-owned vehicle inspection partnership in North America that combines breakthrough technology with deep industry experience to provide a trustworthy, independent bridge between buyers and sellers. We offer a comprehensive range of vehicle inspection services to verify the condition of new, off-lease and fleet vehicles and o...

Description: Careers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of l...