Claim Specialist: Average Salary in Orange, CA in 2024
Find out what the average Claim Specialist salary is in Orange, CA
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Claims Recovery Specialist
A company is looking for a Claims Recovery Specialist. ...
Senior Claim Specialist- Construction
Ability to assess coverage and tender opportunities; oversee and evaluate claim files for best outcomes; pursue and assess underlying policy limit/SIR's for reserving; audit underlying claim files; and resolve claims. Senior Claims Specialist- Construction. This position will focus on the claims man...
Specialist I RCM - Claims Submission
A company is looking for a Specialist I, RCM - Claims Submission. ...
Claims Specialist, Construction
Ability to assess coverage and tender opportunities; oversee and evaluate claim files for best outcomes; pursue and assess underlying policy limit/self-insured retentions for reserving; audit underlying claim files; and resolve claims. Claims Specialist, Construction. We achieve this by establishing...
Senior Claims Specialist
A company is looking for a Senior or Complex Claims Specialist. ...
Senior Claims Specialist
The Senior Claims Specialist will report directly to the Director of Risk Management. Ensure the timely logging of all new claims (delegate to Claims Assistant if necessary) and timely reporting to our Insurance Carrier, with guidance by the Dir of Risk Management. Review and approve the status of a...
TEMP - Claims Resolution Specialist (Customer Service)
Responds and researches issues on provider questions regarding claims payments, denials, resolves claim issues, contractual and/or *** Health agreements, established payment methodologies, division of financial responsibility, applicable regulatory legislation, claims processing guidelines and compa...
Lead Claims Specialist - Claims Processing
Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative contractual agreements. Designs, plans, dir...
New York Workers' Compensation TPA Claims Oversight Specialist | Remote
Our client, an A-rated Insurance Carrier, is seeking to add a New York Workers' Compensation TPA Claims Oversight Specialist. This person would be responsible for evaluating and reviewing New York Workers’ Compensation claims handled by Third Party Administrators (TPA) for adherence to company’s bes...
Workers' Comp Claims Specialist
Workers’ Compensation Claims Specialist. You’ll maintain phone and written contact with all necessary parties to verify coverage and to investigate, manage and resolve medical-only claims promptly and accurately. This is an excellent career opportunity as a Claims professional. Conducting meetings o...
Lead Claims Specialist - Claims Processing
Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative contractual agreements. Designs, plans, dir...
Senior Claims Specialist
The Senior Claims Specialist will report directly to the Director of Risk Management. Ensure the timely logging of all new claims (delegate to Claims Assistant if necessary) and timely reporting to our Insurance Carrier, with guidance by the Dir of Risk Management. Review and approve the status of a...
Claims Specialist - Construction Defect
Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters , estimating potential claim valuation, and following company's claim handling protocols. Conducts focused investigation to determ...
Workers Comp Claims Specialist -CA Remote
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...
Workers Comp Claims Specialist CA -Remote
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...
Field Claims Specialist II, Material Damage (Orange County, CA)
As a Field Claims Specialist, you’ll investigate, evaluate and resolve material/physical damage of a moderate to severe nature. You’ll be responsible for handling claims according to prescribed authorization and claims best practices. Maintains current knowledge of insurance and applicable product/s...
Workers Comp Claims Specialist CA -Remote
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...
Claims Resolution Specialist
Responds and researches issues on provider questions regarding claims payments, denials, resolves claim issues, contractual and/or agreements, established payment methodologies, division of financial responsibility, applicable regulatory legislation, claims processing guidelines and company policies...
Complex Claims Specialist – Architect and Engineer Liability
Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters , estimating potential claim valuation, and following company's claim handling protocols. Conducts focused investigation to determ...
Claims Specialist
The Prudential Claims Specialist role is essential in handling retirement claims and processing financial transactions on behalf of clients. The team’s focus areas include claims processing for short-term disability, long-term disability, retirement, and death claims. This position requires high mul...
California Workers Compensation Claims Specialist Opportunities!
Knowledge of claims and familiarity with claims terminology gained through industry experience and/or through specialized courses of study (Associate in Claim designation, etc). Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims. Works close...
Claims Member Experience Specialist (Remote)
Working under minimal supervision, the Member Experience Specialist – Claims contributes to Wawanesa’s goal of delivering an exceptional and consistent claims service experience by enhancing relationships with members through tracking and trending feedback utilizing various data sources. Works colla...
Complex Claims Specialist – Allied Healthcare Providers
Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters , estimating potential claim valuation, and following company's claim handling protocols. Authorizes and ensures claim disbursemen...
Claims Resolution Specialist (CS)
Responds and researches issues on provider questions regarding claims payments, denials, resolves claim issues, contractual and/or agreements, established payment methodologies, division of financial responsibility, applicable regulatory legislation, claims processing guidelines and company policies...
Workers Comp Claims Specialist -CA Remote
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...