• Workers' Compensation Claims Lead Examiner

    ADP (San Dimas, CA)
    ADP is hiring a ** Claims Lead Examiner** . **_RESPONSIBILITIES:_** + Assist Claims Manager in monitoring the workers compensation program within the ADPTS/PEO ... that could be problematic and take steps along with Claims Manager to take steps to develop processes to...department and company goals. + Monitor and ensure qualitative claim handling through TPA and other vendor partners. +… more
    ADP (08/22/25)
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  • Sr. Professional Liability Medical Claims

    Providence (CA)
    …who will:** **Investigate, evaluate, and manage professional, general, and other liability claims under the PSJH Insurance Program:** + Communicate with ... for each matter:** + Develop and document for each claim or lawsuit a plan of action for resolution...through the Risk & Integrity Services division and Risk, Claims , & Insurance department **_Providence welcomes 100%… more
    Providence (08/28/25)
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  • Commercial Auto Claims Representative

    Sedgwick (Sacramento, CA)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Commercial Auto Claims Representative **PRIMARY PURPOSE** : To analyze and ... FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files are… more
    Sedgwick (07/16/25)
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  • Commercial Auto Claims Manager

    Zurich NA (Gold River, CA)
    …with Microsoft Office + Experience collaborating across work groups + Knowledge of the insurance industry, claims , and the insurance legal and regulatory ... Commercial Auto Claims Manager 126571 Zurich is currently looking for...in analyzing coverage, liability, and damages for commercial casualty claim + Experience in oversight in handling and managing… more
    Zurich NA (08/23/25)
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  • Sr. Claims Specialist - Complex…

    Zurich NA (Sacramento, CA)
    …(or equivalent) and 10+ years of experience managing litigated general liability claims , including high-severity casesOR + Zurich Certified Insurance Apprentice, ... Sr. Claims Specialist - Complex Construction 126105 Zurich North...licenses + Proficiency with Microsoft Office + Knowledge of insurance regulations, markets, and products **Preferred Qualifications:** + SCLA,… more
    Zurich NA (08/08/25)
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  • Medical Claims Adjudication - remote

    Cognizant (Sacramento, CA)
    …and able to multi-task successfully? If so, please apply today! The Claims Processor, you will ensure accurate and timely adjudication of professional and ... hospital claims utilizing payer specific policies and procedures. Provide support...stakeholders and other teams. **Primary Responsibilities** : + Review claim system data and verify against UB or HCFA… more
    Cognizant (08/01/25)
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  • Claims Supervisor II - Commercial Auto - BI

    Philadelphia Insurance Companies (Roseville, CA)
    …day-to-day activities of a claims handling unit; oversees the investigation of insurance claims . + Assures that corporate claims handling procedures and ... Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer.… more
    Philadelphia Insurance Companies (08/09/25)
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  • Medical Biller - Healthcare Claims

    Guidehouse (San Marcos, CA)
    …finance or customer service. + Working knowledge can be of the following: insurance claims , billing, coding, follow-up, finance, accounting or customer service ... at a minimum daily. + Works all assigned claims daily by resolving edits, validating claim ,...to the appropriate people so the integrity of the insurance master is maintained. + Files adjusted billings based… more
    Guidehouse (08/24/25)
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  • Major Loss Claims Adjuster

    Kemper (Chatsworth, CA)
    …complex to claims to conclusion. This role will have advanced claim handling skills and demonstrate high quality results. This position necessitates strong ... a cohesive team. **Position Responsibilities** : + Primarily handles claims with a high complexity and large injury severity....high complexity and large injury severity. + Review each claim to ensure that all coverage and exposures issues… more
    Kemper (08/19/25)
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  • Director, Workers' Compensation Claims

    ICW Group (Sacramento, CA)
    …curiosity, and drive to be part of our journey as we strive to transform the insurance carrier space. We're proud to be in business for over 50 years, and its change ... will help us continue to deliver our mission to create the best insurance experience possible. Headquartered in San Diego with regional offices located throughout… more
    ICW Group (09/02/25)
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