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.
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....
- 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....
- 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...
- 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....
- 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...
- 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....
- 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....
- 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- 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.
Claims Online Courses and Training Opportunities
Title Synonyms
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Salary for Claims Jobs in Laguna Niguel, CA
Required or preferred licenses and certifications for Claims positions.
Highest Education Level
Claimss in Laguna Niguel, CA offer the following education backgroundQualifications / Skill Sets
The following top skills are often required or desired to land a Claims position
- Take-offs
- Restoration
- Claims Handling
- Residential Construction
- I-CAR Certification
- Property Claims
- Claims Adjusting
- Bodily Injury
- Subrogation
- General Liability
- Property and Casualty Insurance
- Commercial Claims
- Property Damage
- Auto Claims
- Special Investigative Unit
- Total Loss
- Claims Management
- Professional Liability
- Coverage Analysis
- Xactimate
- Symbility
- Commercial Insurance
- CCC One
- Audatex
- Property Insurance
- Litigation Management
- Claims Processing
- Medical Claims
- Litigation
- Insurance Claims
- Claims
- Financial Services
- Workers' Compensation
- Mediation
- Legal Research & Writing
- File Management
- Resolution
- Estimating
- Reimbursement
- Military Background
- High School Diploma
- Negotiation
- Investigation
- Written Communication
- Presentation
- Mentoring
- Interpersonal Skills
- Flexibility
- Collaboration
- Reporting
- Documentation
- Filing
- Microsoft Office
- Problem Solving
- Microsoft Excel
- Time Management
- Staff Supervision
- Organization
- Customer Service
- Scheduling
- Computer Skills
- Leadership
- Communication Skills
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