Claims Jobs in Mission Viejo, 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 38 Jobs

Claims Manager, Construction

  • Irvine, CA (16 miles from Mission Viejo, CA)
  • moments ago
  • Irvine, CA (16 miles from Mission Viejo, CA)
  • moments ago

adjuster license Successful achievement of industry designations (INS, IEA, AIC, ARM, SCLA, CPCU) or I-Lead or other Management Training Qualifications Minimum of 10 years of claims handling experience...

Property Field Adjuster Sr. - Greater Los Angeles, CA

  • Temecula, CA (23 miles from Mission Viejo, CA)
  • moments ago
  • Temecula, CA (23 miles from Mission Viejo, CA)
  • moments ago

Conducts interviews with claimant and witnesses regarding submitted claim(s). Negotiates and settles both 1st and 3rd party claims. Addresses salvage and subrogation as required by the client....

Remote Work

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

  • Orange, CA (22 miles from Mission Viejo, CA)
  • 21 hours ago
  • Orange, CA (22 miles from Mission Viejo, CA)
  • 21 hours ago

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

Claims Adjuster II, CA

  • Irvine, CA (16 miles from Mission Viejo, CA)
  • 1 day ago
  • Irvine, CA (16 miles from Mission Viejo, CA)
  • 1 day ago

Consult with attorneys regarding litigation management, settlement strategy and claim resolution....

Senior Professional Liability Claims Adjuster

  • Orange, CA (22 miles from Mission Viejo, CA)
  • 3 days ago
  • Orange, CA (22 miles from Mission Viejo, CA)
  • 3 days ago

healthcare claims....

Regional Benefits Analyst

  • Newport Beach, CA (16 miles from Mission Viejo, CA)
  • 6 days ago
  • Newport Beach, CA (16 miles from Mission Viejo, CA)
  • 6 days ago

Examines benefits and claims data for inclusion in RFPs, organizes carrier & vendor bids received and follows up on non-responses and late submissions....

Claims Adjuster Senior - Litigation

  • Irvine, CA (16 miles from Mission Viejo, CA)
  • 8 days ago
  • Irvine, CA (16 miles from Mission Viejo, CA)
  • 8 days ago

Must-have qualifications Five years of relevant work experience with two years in claims handling OR Two years in claims handling and a bachelor's degree OR Four years of relevant work experience with...

Benefits Analyst

  • Irvine, CA (16 miles from Mission Viejo, CA)
  • 8 days ago
  • Irvine, CA (16 miles from Mission Viejo, CA)
  • 8 days ago

Job Title: Benefits Analyst Do you like to ensure things are working properly? Do you like to help people? Then this role may be for you! As part of an industry-leading team, you will help empower...

Managed Care Operations Claim Manager - Managed Care Operations - FT University of California Irvine Health

  • Orange, CA (22 miles from Mission Viejo, CA)
  • 8 days ago
  • Orange, CA (22 miles from Mission Viejo, CA)
  • 8 days ago

Your Role on the Team Position Summary: Incumbent supports Managed Care Claims at UCI Health with respect to overseeing the daily operations of department....

Managed Care Operations Claim Manager - Managed Care Operations - FT

  • Irvine, CA (16 miles from Mission Viejo, CA)
  • 8 days ago
  • Irvine, CA (16 miles from Mission Viejo, CA)
  • 8 days ago

Your Role on the Team Position Summary: Incumbent supports Managed Care Claims at UCI Health with respect to overseeing the daily operations of department....

Claims Examiner

  • Irvine, CA (16 miles from Mission Viejo, CA)
  • 11 days ago
  • Irvine, CA (16 miles from Mission Viejo, CA)
  • 11 days ago

A minimum of one (1)year experience as a Claims Examiner for medical, dental claims and vision, subrogation, and accident claims Ability to interpret Plan Documents or Summary Plan Descriptions (SPD...

Construction Lead Estimator

  • Irvine, CA (16 miles from Mission Viejo, CA)
  • 12 days ago
  • Irvine, CA (16 miles from Mission Viejo, CA)
  • 12 days ago

Monitor and/or resolve claims, suggest ways to mitigate impacts, and develop workarounds. Support Rivian safety vision and comply with all safety rules, policies, and procedures....

General Liability Claims Examiner

  • Orange, CA (22 miles from Mission Viejo, CA)
  • 14 days ago
  • Orange, CA (22 miles from Mission Viejo, CA)
  • 14 days ago

ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements....

Senior Claim Representative I

  • Santa Ana, CA (21 miles from Mission Viejo, CA)
  • 15 days ago
  • Santa Ana, CA (21 miles from Mission Viejo, CA)
  • 15 days ago

Independently administers complex claims and catastrophic exposures within authority, including claims from dedicated large accounts....

Estimator

  • Santa Ana, CA (21 miles from Mission Viejo, CA)
  • 23 days ago
  • Santa Ana, CA (21 miles from Mission Viejo, CA)
  • 23 days ago

ESTIMATOR COMPANY DESCRIPTION AWP Safety is a rapidly growing national safety services provider committed to protecting our customers' people, businesses, and time. AWP Safety is America's Traffic...

Demographic Data for Mission Viejo, CA

Moving to Mission Viejo, CA? Find some basic demographic data about Mission Viejo, CA below.


Local
National
39,536,271
996,598

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 Modeling for Insurance
Discover best practices to model claims for insurance policies. This module includes the following lessons: Set Up the Product Model Get to Know Power Attributes Define the Scope of Power...
Claims Creation for Insurance
Explore the objects, tools, and services for issuing insurance claims. This module includes the following lessons: Prepare the Policy Configure the Claim Data Create the Claim Trailhead offers...

Title Synonyms

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Salary for Claims Jobs in Mission Viejo, 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 Mission Viejo, CA offer the following education background
Bachelor's Degree
43.7%
Associate's Degree
14.2%
Vocational Degree or Certification
12.7%
High School or GED
11.9%
Master's Degree
11.8%
Doctorate Degree
3.3%
Some College
2.1%
Some High School
0.4%


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