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4 Claims Examiner Jobs in Anaheim, CA

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cesna
Anaheim, CA | Full Time
$64k-82k (estimate)
1 Week Ago
DB Insurance
Anaheim, CA | Full Time
$66k-83k (estimate)
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City of Anaheim, CA
Anaheim, CA | Full Time
$68k-87k (estimate)
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cesna
Anaheim, CA | Full Time
$78k-96k (estimate)
3 Weeks Ago
Claims Examiner
cesna Anaheim, CA
$78k-96k (estimate)
Full Time | Business Services 3 Weeks Ago
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cesna is Hiring a Claims Examiner Near Anaheim, CA

[Position]
Claims Examiner
[About Our Client]
One of the largest non-life insurance companies based in South Korea. We currently writes all lines of property and casualty insurance in CA, NY, OH, IN, PA, TX and HI State.
Financial Ratings:
 - A.M. Best Rating: A (Superior)
“Superior: A to A grade assigned to insurance companies that have superior ability to meet their financial obligations.”
 - S&P Rating: A (Stable)
“The financial strength ratings reflect its very strong competitive position and lower adequate capital and earnings, excellent operating performance.”
[Job Descriptions]
-Handle Liability Claims, claims involving Commercial General Liability claims including Bodily Injury, Slip and Falls, Premise Liability and Auto Bodily Injury Liability, including litigation.
-Manage and supervise TPA adjusters and outside vendors who directly handle the case.
-Work proactively towards claims resolution with defense counsel
-Determine if coverage applies for claims reported
-Evaluate damages to ascertain compensation amount
-Respond to claims calls and e-mails from agents and claimants
-Negotiate claim settlements
-Participate in claims related audits
-Prepare detailed claim reports to management for additional authority or coverage issues with recommendation. 
-Effectively manage and control litigation and claim expenses
[Qualifications]
Job Qualifications:
-Over 5 years experience in an insurance company with regard to Commercial auto liability claims or Commercial general liability claims.
-Bachelor’s degree or equivalent professional work experience.
-Knowledge of Microsoft Office Suite as well as other business-related software.
-Capability to build and maintain positive relationships through teamwork.
Compensation: $70,000 - 100,000 / yr
We offer competitive salary plus benefit package that includes health, vision, and dental insurance with 401K.
• Medical, Dental & Vision Insurance
• 401(K)
• Paid Time Off Vacation
• Paid Sick Days
 
Other qualification:
-Must be authorized to work in the United States
-Limited business travel may be required
-Interpersonal skills to interact with customers and team members
-Good communication skills

Job Summary

JOB TYPE

Full Time

INDUSTRY

Business Services

SALARY

$78k-96k (estimate)

POST DATE

04/17/2024

EXPIRATION DATE

07/14/2024

WEBSITE

cesnagroup.com

HEADQUARTERS

ENGLEWOOD CLIFFS, NJ

SIZE

<25

FOUNDED

1999

TYPE

Private

CEO

SUNG MIN KIM

REVENUE

$10M - $50M

INDUSTRY

Business Services

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About cesna

CESNA is a staffing and recruiting firm that specializes in human resources and executive search and allocation services.

Show more

cesna
Full Time
$65-70 (estimate)
1 Day Ago

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The following is the career advancement route for Claims Examiner positions, which can be used as a reference in future career path planning. As a Claims Examiner, it can be promoted into senior positions as a Claims Examiner III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Claims Examiner. You can explore the career advancement for a Claims Examiner below and select your interested title to get hiring information.

If you are interested in becoming a Claims Examiner, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Claims Examiner for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Claims Examiner job description and responsibilities

Most medical claims examiners deal with paperwork on a daily basis and they are expected to work on multiple claims per day.

04/03/2022: Springfield, MA

Each claim often comes with supporting documents such as medical records and hospital bills and examiners need to look over each file carefully.

03/08/2022: Manchester, NH

Claims examiners are responsible for approving or rejecting claims or arranging settlements.

01/25/2022: Santa Fe, NM

Examiners may review medical bills or accident reports and they may consult specialists.

01/30/2022: Santa Barbara, CA

The Claims Examiner maintains a full case load of professional liability claims.

01/24/2022: Monroe, LA

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Claims Examiner jobs

Keep reading to learn more about a claims examiner role.

03/28/2022: Oklahoma City, OK

Candidates should know that having a critical thinking and outstanding decision-making give examiners the logic and reasoning to evaluate and resolve claims.

04/05/2022: Tulsa, OK

Most employers require or strongly prefer medical claims examiners that have some medical background such as a postsecondary diploma.

03/11/2022: San Antonio, TX

To determine whether a claim should be rewarded, an examiner must be aware of the red flags associated with fraudulent claims and possess detailed analysis skills.

01/30/2022: Bellingham, WA

To begin a career as a medical claims examiner, one must first learn certain knowledge and skills that will help them execute the duties of the job.

02/17/2022: Lawton, OK

Step 3: View the best colleges and universities for Claims Examiner.

Butler University
Carroll College
Cooper Union
High Point University
Princeton University
Providence College
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