claims adjuster trainee

Progressive Insurance

<div>
 Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress.
 
 
 As a
 
 claims adjuster trainee
 
 , you&rsquo;ll learn how to help customers get back on the road after an accident. This is not a field position which means you&rsquo;ll be building relationships with customers over the phone. In a fast-paced environment, you&rsquo;ll learn how to resolve a heavy case load of claims efficiently while managing the claims process from start to finish. You&rsquo;ll have the support of a collaborative eam and ongoing coaching from leaders. We&rsquo;ll also teach you the insurance stuff &ndash; providing in-depth training on property damage and insurance contracts so you can confidently and independently adjust claims.
 
 
 This is a hybrid role, which means you&rsquo;ll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that&rsquo;s at home or in the office, for a period of 12 months. After that period, the days you&rsquo;ll be expected to report to an office for important meetings, training, and collaboration will vary based on business need. In this hybrid work environment, you&rsquo;ll be supported by your leaders and tenured colleagues to develop relationships, establish connections, and share practices that are important to your development. If you prefer an in-office environment, you&rsquo;re welcome to work in the office as often as you would like.
 
 
 
 Duties &amp; Responsibilities (upon Completion Of Training)
 
 
 
 <ul>
 <li>
 Determine coverage
 </li>
 <li>
 Determine liability (who&rsquo;s at fault for the damages)
 </li>
 <li>
 Interview customers, claimants, and witnesses
 </li>
 <li>
 Partner with appraisers/estimators to manage vehicle repairs
 </li>
 <li>
 Negotiate with customers and other insurance carriers and resolve claims
 
 
 </li>
 </ul>
 
 Must-have Qualifications
 
 
 
 <ul>
 <li>
 Three years of work experience
 </li>
 <li>
 {OR} Associate's degree and two years work experience
 </li>
 <li>
 {OR} Bachelor's degree
 
 
 </li>
 </ul>
 
 Schedule:
 
 Monday - Friday, 8:30 AM- 5:30 PM for the first 3 weeks. Monday - Friday, 9:00 AM - 6:00 PM after, depending on business need.
 
 
 
 Compensation
 
 
 
 <ul>
 <li>
 $28.61 - $33.17/hour depending on location and experience
 </li>
 <li>
 Gainshare annual cash incentive payment up to 16% of your eligible earnings based on company performance
 
 
 </li>
 </ul>
 
 Benefits
 
 
 
 <ul>
 <li>
 401(k) with dollar-for-dollar company match up to 6%
 </li>
 <li>
 Medical, dental &amp; vision, including free preventative care
 </li>
 <li>
 Wellness &amp; mental health programs
 </li>
 <li>
 Health care flexible spending accounts, health savings accounts, &amp; life insurance
 </li>
 <li>
 Paid time off, including volunteer time off
 </li>
 <li>
 Paid &amp; unpaid sick leave where applicable, as well as short &amp; long-term disability
 </li>
 <li>
 Parental &amp; family leave; military leave &amp; pay
 </li>
 <li>
 Diverse, inclusive &amp; welcoming culture with Employee Resource Groups
 </li>
 <li>
 Career development &amp; tuition assistance
 
 
 </li>
 </ul>
 Energage recognizes Progressive as a 2025 Top Workplace for: Innovation, Purposes &amp; Values, Work-Life Flexibility, Compensation &amp; Benefits, and Leadership.
 
 
 Equal Opportunity Employer
 
 
 Applicants must be authorized to work for any employer in the U.S. without the need or potential need, of current or future sponsorship for employment. Progressive does not hire candidates with (e.g., F-1 CPT, OPT, or STEM OPT, H-1B, O-1, E-3, TN) statuses for this role.
 
 
 
 For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/
 
</div>

Claims Adjuster Trainee

<div>
 Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress.
 
 
 As a
 
 claims adjuster trainee
 
 , you&rsquo;ll learn how to help customers get back on the road after an accident. This is not a field position which means you&rsquo;ll be building relationships with customers over the phone. In a fast-paced environment, you&rsquo;ll learn how to resolve a heavy case load of claims efficiently while managing the claims process from start to finish. You&rsquo;ll have the support of a collaborative team and ongoing coaching from leaders. We&rsquo;ll also teach you the insurance stuff - providing in-depth training on property damage and insurance contracts so you can confidently and independently adjust claims.
 
 
 This is a hybrid role, which means you&rsquo;ll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that&rsquo;s at home or in the office, for a period of 12 months. After that period, the days you&rsquo;ll be expected to report to an office for important meetings, training, and collaboration will vary based on business need. In this hybrid work environment, you&rsquo;ll be supported by your leaders and tenured colleagues to develop relationships, establish connections, and share practices that are important to your development. If you prefer an in-office environment, you&rsquo;re welcome to work in the office as often as you would like.
 
 
 
 Duties &amp; Responsibilities (upon Completion Of Training)
 
 
 
 <ul>
 <li>
 Determine coverage
 </li>
 <li>
 Determine liability (who&rsquo;s at fault for the damages)
 </li>
 <li>
 Interview customers, claimants, and witnesses
 </li>
 <li>
 Partner with appraisers/estimators to manage vehicle repairs
 </li>
 <li>
 Negotiate with customers and other insurance carriers and resolve claims
 
 
 </li>
 </ul>
 
 Must-have Qualifications
 
 
 
 <ul>
 <li>
 Three years of work experience
 </li>
 <li>
 {OR} Associate's degree and two years work experience
 </li>
 <li>
 {OR} Bachelor's degree
 
 
 </li>
 </ul>
 
 Schedule:
 
 Monday - Friday, 8:30am - 5:30pm for the first 3 weeks. Monday - Friday, 9:00am - 6:00pm after, depending on business need.
 
 
 
 Compensation
 
 
 
 <ul>
 <li>
 $28.61 - $30.53/hour depending on location and experience
 </li>
 <li>
 Gainshare annual cash incentive payment up to 16% of your eligible earnings based on company performance
 
 
 </li>
 </ul>
 
 Benefits
 
 
 
 <ul>
 <li>
 401(k) with dollar-for-dollar company match up to 6%
 </li>
 <li>
 Medical, dental &amp; vision, including free preventative care
 </li>
 <li>
 Wellness &amp; mental health programs
 </li>
 <li>
 Health care flexible spending accounts, health savings accounts, &amp; life insurance
 </li>
 <li>
 Paid time off, including volunteer time off
 </li>
 <li>
 Paid &amp; unpaid sick leave where applicable, as well as short &amp; long-term disability
 </li>
 <li>
 Parental &amp; family leave; military leave &amp; pay
 </li>
 <li>
 Diverse, inclusive &amp; welcoming culture with Employee Resource Groups
 </li>
 <li>
 Career development &amp; tuition assistance
 
 
 </li>
 </ul>
 Energage recognizes Progressive as a 2025 Top Workplace for: Innovation, Purposes &amp; Values, Work-Life Flexibility, Compensation &amp; Benefits, and Leadership.
 
 
 Equal Opportunity Employer
 
 
 Applicants must be authorized to work for any employer in the U.S. without the need or potential need, of current or future sponsorship for employment. Progressive does not hire candidates with (e.g., F-1 CPT, OPT, or STEM OPT, H-1B, O-1, E-3, TN) statuses for this role.
 
 
 
 For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/
 
</div>

Jacoby & Meyers Accident & Injury Lawyers

<div>
 
 Want to
 
 LOVE
 
 where you work and get full training to do it?
 
 
 
 Jacoby &amp; Meyers is the nation's preeminent law firm protecting consumers since 1972. We are currently seeking a smart, determined and&nbsp;
 
 experienced
 
 &nbsp;Case Manager to join our growing team. At Jacoby &amp; Meyers, every single employee gets to make an impact. Our values guide the way we work with each other. It's a culture where you have the freedom to experiment and push your talents as far as they can go.
 
 
 
 
 Job Title
 
 : Case Manager (Experienced)&nbsp;
 
 
 Pay Range:
 
 $25.00/hour - $40.00/hour
 
 
 
 
 Type of Position:&nbsp;
 
 
 Full Time
 
 
 
 Location:&nbsp;
 
 
 Fully Remote
 
 
 
 
 
 
 Job Description:
 
 Core duties and responsibilities include the following. Other duties may be assigned.
 
 <ul>
 <li>
 Interview new clients
 </li>
 <li>
 Set up appointments with new clients
 </li>
 <li>
 Collect all possible information, evidence and documentation to build client's case
 </li>
 <li>
 Strict compliance with schedule of assigned appointments
 </li>
 <li>
 Use of Firm's software (training will be provided)
 </li>
 <li>
 Scan the documentation needed for the case and save it into the Firm's system
 </li>
 <li>
 Generate a weekly/monthly report with results for all assigned tasks
 </li>
 </ul>
 
 Requirements:
 
 <ul>
 <li>
 Very well organized
 </li>
 <li>
 Good follow-up and follow through
 </li>
 <li>
 Strong communication skills
 </li>
 <li>
 Required to have 1 year of stable work experience
 </li>
 <li>
 Outgoing personality
 </li>
 <li>
 Able to multitask
 </li>
 <li>
 Eager to learn and grow
 </li>
 <li>
 Works well under pressure
 </li>
 <li>
 Schedules medical treatment for clients
 </li>
 <li>
 Assists clients with vehicle repairs
 </li>
 <li>
 Frequent follow ups with client regarding case
 </li>
 <li>
 Has attention to detail
 </li>
 <li>
 Team player
 </li>
 </ul>
 
 Experience:
 
 <ul>
 <li>
 Must have 3+ years of experience as a Case Manager at a Personal Injury Firm (or equivalent)
 </li>
 </ul>
 
 What We Offer:
 
 <ul>
 <li>
 
 Medical, Dental, Vision and Pet Insurance
 
 </li>
 <li>
 
 Company-paid Life Insurance and AD&amp;D Coverage, Voluntary Life Insurance
 
 </li>
 <li>
 
 Short-term and Long-term Disability
 
 </li>
 <li>
 
 Employee Assistance and Travel Assistance Programs
 
 </li>
 <li>
 
 Paid Time Off, Paid Sick Time, Paid Holidays
 
 </li>
 <li>
 
 Health FSA and Dependent Care FSA
 
 </li>
 <li>
 
 Hospital and Accident Insurance Plans
 
 </li>
 <li>
 
 Commuter Transportation Incentive
 
 </li>
 <li>
 
 Flexible Hours
 
 </li>
 <li>
 
 Fully-paid parking
 
 </li>
 <li>
 
 401(k) with Company Match
 
 </li>
 <li>
 
 Learning and Development Programs
 
 </li>
 <li>
 
 Remote Positions
 
 </li>
 </ul>
 
 
 About J&amp;M:
 
 Jacoby &amp; Meyers was founded in 1972 with the intention of making the legal system more accessible to the average person. Now, more than 50 years later, we continue to help people get the justice and compensation they deserve. Specializing in all types of accident claims, including automobile, motorcycle, bicycle, Uber/Lyft, or trucking accidents, slip and falls, dog bites, construction accidents and other wrongful conduct, the attorneys at Jacoby &amp; Meyers have recovered over a billion dollars for their clients' personal injury and wrongful death claims caused by the negligence of a third party.
 
 
 REQUIRED: Resume and References
 
 
 
 Jacoby &amp; Meyers is an Equal Opportunity Employer
 
 
</div>

Experienced Case Manager - Remote

Centene Corporation

<div>
 You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
 
 
 <ul>
 <li>
 Qualified candidates must be able to work 200PM-1030PM EST.*
 
 
 </li>
 </ul>
 
 Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.
 
 
 
 
 Position Purpose
 
 The Senior Pharmacy Resolution Specialist will act as a subject matter expert and handles more complex pharmacy issues and respond to escalated calls from members, provider/physician's offices and pharmacies. This role will make outbound calls and enters pharmacy overrides into systems based on approved guidelines and approvals provided from clinical pharmacists.
 
 
 <ul>
 <li>
 Takes member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests
 </li>
 <li>
 Offers options including submission of a prior authorization request
 </li>
 <li>
 Thoroughly researches issues and takes appropriate action to resolve them using the appropriate reference material within turnaround time requirements and quality standards
 </li>
 <li>
 Answers and conducts inbound and outbound calls with members and provider offices to provide resolution to claims (i.e. additional information requests and medication determination updates)
 </li>
 <li>
 Thoroughly researches issues and takes appropriate action to resolve them within turnaround time requirements and quality standards
 </li>
 <li>
 Assists team members often guiding them to the appropriate resolution of more complex and difficult inquiries
 </li>
 <li>
 Participates in the training of less experienced staff, including opportunity for job shadowing
 </li>
 <li>
 Acts as a liaison between internal departments on data gathering and problem solving while investigating problems of an unusual nature in the area of responsibility
 </li>
 <li>
 Presents proposed solutions in a clear and concise manner
 </li>
 <li>
 Assists with audit preparation as needed
 </li>
 <li>
 Assists with miscellaneous special project work as assigned
 </li>
 <li>
 Performs other duties as assigned
 </li>
 <li>
 Complies with all policies and standards
 
 
 </li>
 </ul>
 
 Education/Experience
 
 High School Diploma / GED.
 
 
 2 years of experience.
 
 
 Call center / customer service experience.
 
 
 Experience in healthcare environment (pharmacy operations, managed care, pharmacy hospitals and or pharmacy retail settings).
 
 
 
 License/Certification
 
 Pharmacy technician certification preferred.
 
 
 Pay Range $19.43 - $32.98 per hour
 
 
 Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
 
 
 Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
 
 
 Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
</div>

Senior Pharmacy Resolution Specialist

Blue Shield of California

<div>
 
 Job Description
 
 
 
 
 Your Role
 
 
 
 The Clinical Quality team oversees and is responsible of HEDIS medical record review, pursuit, and overall HEDIS submission. The Clinical Quality Coordinator, Entry will report to the Supervisor of the HEDIS Outreach Team. In this role you will be responsible for conducting provider outreach during the HEDIS season for medical record pursuit and retrieval. Also, participation in Quality initiatives involving member outreach for care gap closure. Responsible for maintaining high productivity and standard work.
 
 
 Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow &ndash; personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
 
 
 
 Responsibilities
 
 
 
 
 Your Work
 
 
 
 
 In this role, you will:
 
 
 
 <ul>
 <li>
 Initiate outbound calls to members and providers to collect information and provide care coordination assistance in obtaining services (schedule appointments, provider appointment reminders, coordinate transportation, etc.)
 </li>
 <li>
 Educate members on missing care gaps and provide encouragement to obtain missing service.
 </li>
 <li>
 Request medical records from PCP/Specialists by fax, remote EMR access or scheduled site visits as needed
 </li>
 <li>
 Manage and maintain HEDIS files and medical records
 </li>
 <li>
 Provide administrative support, including generating correspondence, organize mass mailings, coordinator schedules and training
 </li>
 <li>
 Continued development of understanding of HEDIS hybrid measures and medical record requirements for HEDIS compliance
 </li>
 <li>
 Research member claims and encounters to identify accurate pursuit information for medical record retrieval
 </li>
 <li>
 Review medical records and identify elements for compliance
 </li>
 <li>
 Create and maintain detailed logs of member and provider interactions
 </li>
 <li>
 Ability to de-escalate situations
 </li>
 <li>
 Assist in onboarding contingent workforce for HEDIS and outreach projects
 </li>
 <li>
 EMR and vendor portal medical record retrieval
 </li>
 <li>
 Developing understanding of HEDIS pursuit processes relative to pursuit systems and tracking processes
 </li>
 <li>
 Developing understanding of outreach and pursuit project intake procedures, schedules, and reporting requirements
 </li>
 <li>
 Ability to work independently in a fast-paced environment with minimal errors
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 
 Your Knowledge and Experience
 
 
 
 <ul>
 <li>
 Requires a high school diploma or equivalent
 </li>
 <li>
 Requires limited knowledge of systems and procedures
 </li>
 <li>
 Typically, has limited or no prior experience
 </li>
 <li>
 Communication and interpersonal skills
 </li>
 <li>
 Must be organized with the ability to keep accurate notes and records
 </li>
 <li>
 Customer service experience is preferred
 </li>
 <li>
 HEDIS knowledge strongly preferred
 </li>
 <li>
 Critical thinking skills
 </li>
 <li>
 Knowledge of computer applications including Microsoft Word, PowerPoint and Excel. Internet knowledge with the ability to complete searches
 
 
 </li>
 </ul>
 
 Hybrid Virtual Work
 
 
 
 This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.
 
 
 
 About The Team
 
 
 
 
 About Blue Shield of California
 
 
 
 As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.
 
 
 At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.
 
 
 To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.
 
 
 Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities &ndash; join us!
 
 
 
 Our Values:
 
 
 
 <ul>
 <li>
 Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
 </li>
 <li>
 Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
 </li>
 <li>
 Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.
 
 
 </li>
 </ul>
 
 Our Workplace Model
 
 
 
 We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:
 
 
 <ul>
 <li>
 For most teams, this means coming into the office two days per week.
 </li>
 <li>
 Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
 </li>
 <li>
 For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.
 
 
 </li>
 </ul>
 The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.
 
 
 
 Physical Requirements:
 
 
 
 Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.
 
 
 Please click here for further physical requirement detail.
 
 
 
 Equal Employment Opportunity:
 
 
 
 External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.
</div>

Clinical Quality Coordinator, Entry

Explore 5+ Claims adjuster trainee in California this May. Find roles across top companies and apply now to boost your career.

5 claims adjuster trainee jobs In California

Claims Adjuster Trainee

Claims Adjuster Trainee

Experienced Case Manager - Remote

Senior Pharmacy Resolution Specialist

Clinical Quality Coordinator, Entry