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1 Claims Examiner Job in Costa Mesa, CA

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MS ACSC Management Services Inc
Costa Mesa, CA | Full Time
$78k-99k (estimate)
1 Month Ago
Claims Examiner
$78k-99k (estimate)
Full Time 1 Month Ago
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MS ACSC Management Services Inc is Hiring a Claims Examiner Near Costa Mesa, CA

Claims Examiner The person in this role works directly with Claims management to communicate trends and patterns on high severity and complex claims. This individual provides guidance to management for the handling, strategy and resolution of claims, including providing authority for settlement. Duties/Responsibilities: Reviews and authorizes claim reserves and provides settlement recommendations. Provides direction to claims personnel and counsel on complex claims files. Reviews claim files to ensure completeness, timeliness and member service guidelines are being adhered to for compliance. Provides management with recommendations and guidance regarding coverage to ensure the Exchange is protected against risk. Ensures accurate diaries are established and maintained and provides guidance in litigation strategy to monitor expenses. Analyzes and reports patterns and trends to upper management and may be involved in extra contractual cases. Based on trends may provide training and insight to claims and legal personnel. Conducts annual audits as directed by senior management. Other duties and responsibilities as assigned or required. Education/Experience: BA/BS or equivalent combination of education and experience required. Continuing education through attainment of industry designations highly desirable. 5 years of an expert level of claims technical experience within a related specialized area 2-3 years Automobile Club experience is preferred Knowledge/Skills/Competencies: Moderate level of computer and line of business technical software skills required Advanced organization and planning skills necessary Advanced oral and written communication skills required Advanced interpersonal skills required Valid driver’s license with minimum level of financial coverage/responsibility required by the Automobile Club. An acceptable motor vehicle record is required for the position. The starting pay range for this position is: $88,300.00 - $117,700.00 Additionally, you will be eligible to participate in our incentive program based upon the achievement of organization, team and personal performance. . Remarkable benefits: • Health coverage for medical, dental, vision • 401(K) saving plan with company match AND Pension • Tuition assistance • PTO for community volunteer programs • Wellness program • Employee discounts The Automobile Club of Southern California is part of the largest federation of AAA clubs in the nation. We have 14,000 employees in 21 states helping 17 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity – we win. All of Us! With our national brand recognition, long-standing reputation since 1902, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team. “Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value.” AAA is an Equal Opportunity Employer The Automobile Club of Southern California will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. For more than a century, AAA has been synonymous with trust, dependability, quality, and innovation. It's our mission to provide our growing membership with the legendary service we are famous for, and we welcome committed professionals ready to challenge themselves in a dynamic industry. AAA would not exist without the millions of members who give us their loyalty, or our employees whose mission it is to give those members world-class service. What else do we offer? Stability. Growth. Commitment to an exciting future for both you and our members.

Job Summary

JOB TYPE

Full Time

SALARY

$78k-99k (estimate)

POST DATE

04/02/2023

EXPIRATION DATE

05/03/2024

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The job skills required for Claims Examiner include Claims Management, Initiative, Futures, Communication Skills, etc. Having related job skills and expertise will give you an advantage when applying to be a Claims Examiner. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Claims Examiner. Select any job title you are interested in and start to search job requirements.

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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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