Claims Jobs in Laguna Niguel, CA

A Claims Professional in the insurance industry is responsible for handling insurance claims filed by policyholders. Their role includes investigating the claim, determining the policyholder's coverage, negotiating settlements, and authorizing payments. They are often the main point of contact for clients during the claims process and will work closely with underwriters, brokers, and other insurance professionals. They may also provide recommendations for policy adjustments or present evidence in legal cases.

Claims Professionals should have excellent customer service skills, as well as strong analytical and problem-solving abilities. They should be familiar with insurance laws and regulations, and have a solid understanding of the specific types of insurance they work with. Some positions may require professional certifications such as the Chartered Property Casualty Underwriter (CPCU) or Associate in Claims (AIC). Prior to becoming a Claims Professional, a person might serve in roles such as Insurance Underwriter, Insurance Sales Agent, or Claims Adjuster Trainee.

1-15 of 43 Jobs

Property and Casualty Claims Manager- Contract Position

  • Newport Beach, CA (4 miles from Laguna Niguel, CA)
  • 18 hours ago
  • Newport Beach, CA (4 miles from Laguna Niguel, CA)
  • 18 hours ago

Provide technical guidance on complex property claims, including coverage analysis, large loss strategy, subrogation, and valuation issues....

Claims Consultant

  • Aliso Viejo, CA (5 miles from Laguna Niguel, CA)
  • 1 day ago
  • Aliso Viejo, CA (5 miles from Laguna Niguel, CA)
  • 1 day ago

for as long as the claim is open....

Corporate Claims Adjuster

  • Stanton, CA (21 miles from Laguna Niguel, CA)
  • 5 days ago
  • Stanton, CA (21 miles from Laguna Niguel, CA)
  • 5 days ago

Reviews claims documentation for compensability and subrogation issues; computes indemnity benefits and relevant payments; provides information and assistance to company personnel, injured employees...

Claims Manager

  • Irvine, CA (14 miles from Laguna Niguel, CA)
  • 6 days ago
  • Irvine, CA (14 miles from Laguna Niguel, CA)
  • 6 days ago

You will handle calls of a serious nature, incidents involving bodily injury or significant property damage which will include traveling to communities and/or jobsites as necessary....

Claims Representative

  • Anaheim, CA (23 miles from Laguna Niguel, CA)
  • 8 days ago
  • Anaheim, CA (23 miles from Laguna Niguel, CA)
  • 8 days ago

Working under the direction of the Director Claims or EDI Supervisor, this position is responsible for performing and reviewing claims data for all claims and resolving submission rejections following...

Claims Examiner

  • Orange, CA (17 miles from Laguna Niguel, CA)
  • 10 days ago
  • Orange, CA (17 miles from Laguna Niguel, CA)
  • 10 days ago

The Claims Examiner will be responsible for analyzing and validating claim data elements and claims processing....

Residential Review Appraiser

  • Irvine, CA (14 miles from Laguna Niguel, CA)
  • 11 days ago
  • Irvine, CA (14 miles from Laguna Niguel, CA)
  • 11 days ago

Job Title: Residential Review Appraiser Location: CityScape What you'll do: As an Appraiser you'll be responsible for performing internal appraisal reviews on 1 - 4 family unit properties for...

Claims Administrator ($30.19-$40.77)

  • Irvine, CA (7 miles from Laguna Niguel, CA)
  • 12 days ago
  • Irvine, CA (7 miles from Laguna Niguel, CA)
  • 12 days ago

Experience: At least 4 years of bodily injury litigation claim handling experience preferred....

Claims Examiner - Workers Compensation

  • Orange, CA (17 miles from Laguna Niguel, CA)
  • 13 days ago
  • Orange, CA (17 miles from Laguna Niguel, CA)
  • 13 days ago

Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets....

Claims Examiner (Remote CA)

  • Orange, CA (17 miles from Laguna Niguel, CA)
  • 13 days ago
  • Orange, CA (17 miles from Laguna Niguel, CA)
  • 13 days ago

Document claim files accurately and ensure proper claims coding....

Remote Work

Industry Advancement Program Workers Compensation Claims Representative Trainee Orange, CA (In-Office)

  • Orange, CA (17 miles from Laguna Niguel, CA)
  • 16 days ago
  • Orange, CA (17 miles from Laguna Niguel, CA)
  • 16 days ago

Documenting claims files and properly coding claim activity. Communicating claim action/processing with claimant and client....

Liability Claims Examiner (Public Entity) Must Reside in California

  • Orange, CA (17 miles from Laguna Niguel, CA)
  • 18 days ago
  • Orange, CA (17 miles from Laguna Niguel, CA)
  • 18 days ago

the exposure on the claim....

Complex Claims Consultant (Healthcare)

  • Irvine, CA (14 miles from Laguna Niguel, CA)
  • 21 days ago
  • Irvine, CA (14 miles from Laguna Niguel, CA)
  • 21 days ago

handling protocols....

Claims Assistant In-office (Orange, CA)

  • Orange, CA (17 miles from Laguna Niguel, CA)
  • 22 days ago
  • Orange, CA (17 miles from Laguna Niguel, CA)
  • 22 days ago

ESSENTIAL FUNCTIONS and RESPONSIBILITIES Sets up and enters new claims into claims management system. Inputs and reviews notes/diaries in claims management system as instructed....

Claims Specialist - Workers Compensation - West Region

  • Anaheim, CA (23 miles from Laguna Niguel, CA)
  • 23 days ago
  • Anaheim, CA (23 miles from Laguna Niguel, CA)
  • 23 days ago

claims, and refers claims to the subrogation group or Special Investigations Unit as appropriate....

Demographic Data for Laguna Niguel, CA

Moving to Laguna Niguel, CA? Find some basic demographic data about Laguna Niguel, CA below.


Local
National
64,355
1,891
Medium

Claims Online Courses and Training Opportunities

iHireInsurance curates thousands of courses in order to recommend the best ones to help further your career. If you register for a course using the links on our site, we may receive a small commission.
Construction Claims - Identifying Claims
This course is aimed at helping construction professionals better understand the practice and importance of claim identification and how this contributes to a successful claims strategy and...
Claims Creation for Insurance
Learn to prepare policies and configure claim data for effective insurance claims. Discover best practices for using JSON and Integration Procedures. This module includes the following lessons:...
Insurance Claims Foundations
Learn how Claims Management can transform the insurance claims lifecycle. Explore various topics like Claims Product Modeling, First Notice of Loss, and more. This module includes the following...

Title Synonyms

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Salary for Claims Jobs in Laguna Niguel, CA

Estimated salary range based on data from US Bureau of Labor Statistics (BLS) and iHireInsurance research efforts.

Licensing / Certification

Required or preferred licenses and certifications for Claims positions.



Highest Education Level

Claimss in Laguna Niguel, CA offer the following education background
Bachelor's Degree
43.8%
Associate's Degree
14.2%
Vocational Degree or Certification
12.6%
Master's Degree
11.9%
High School or GED
11.8%
Doctorate Degree
3.2%
Some College
2.0%
Some High School
0.3%


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