insurance claims assistant

AllCare Management Services

<div>We Are Seeking Qualified Candidates to Join Our Team!
AllCare Health offers competitive wages, an excellent benefits package including affordable healthcare, 401k retirement, wellness programs, and flexible schedule options.
Summary of the Position
This position supports claims operations and financial integrity by performing a variety of administrative and department functions related to claims processing, system COB updates, and audit support. Responsibilities include managing Coordination of Benefits (COB) reporting, implementing updates within the EZ-CAP claims system, processing refunds and overpayment recoveries, and assisting with internal and external audit activities, including HSAG, OHA, CMS, and financial audits. The role also involves reviewing claims identified through monitoring reports, ensuring issues are researched and resolved appropriately, and supporting check run activities to help ensure accurate and timely provider payments. This position works collaboratively with all claims staff, finance, compliance, and IT teams to maintain efficient operations and ensure adherence to regulatory and organizational requirements.
Essential Duties 
1. Maintain and update Coordination of Benefits (COB) information, including reporting, verification, and system updates to ensure accurate claims processing 
2. Review, research, and process refund requests and overpayment recoveries, ensuring compliance with contractual, regulatory, and internal policies 
3. Provide departmental support for internal and external audits, including preparation of documentation and data requests for entities such as HSAG, CMS, and financial auditors 
 
Qualifications
Ability to perform essential job duties with or without reasonable accommodation and without posing a direct threat to safety or health of employee or others. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.
Education
High school diploma or general education degree (GED) required. College degree in an applicable field is preferred.
Experience
One to two years related experience and/or training in administrative and/or medical claims processing required. EZ-CAP claim processing system experience is highly preferred.
Certificates, Licenses, and/or Registrations 
This position does not require any certificates, licenses, or registrations. The following certifications are preferred for this job role: 
<ul><li>Certified Professional Coder (CPC)</li><li> 
Certified Clinical Medical Assistant (CCMA)</li><li>Certified Billing and Coding Specialist (CBCS)</li><li>Certified Medical Administrative Assistant (CMAA)</li><li>Certified Coding Specialist (CCS)</li></ul> 

Technical Skills 
<ul><li>Knowledge of and compliance with HIPAA regulations.</li><li>Proficient in data entry and use of claims management systems</li><li>Knowledge of Medicare and Medicaid, procedures, and regulatory requirements</li><li>Basic understanding of medical coding and billing practices</li><li>Strong attention to detail and ability to identify discrepancies or inconsistencies</li><li>Excellent organizational skills and ability to manage multiple tasks efficiently</li><li>Excellent communication skills, both written and verbal, for interaction with internal and external stakeholders</li><li>Exceptional writing, editing, and proofreading skills.</li><li>Excellent computer skills, including the Microsoft Office Suite (Outlook, Word, PowerPoint, and Excel).</li><li>Skilled at breaking a project into definable and measurable tasks and tracking progress to completion.</li><li>Excellent customer service skills to respond appropriately and interact positively with upset customers.</li></ul>
Interpersonal Skills<ul><li>Reliable, confident, and effective in fostering positive relationships.</li><li>Demonstrates accountability, inspires trust, and connects well with colleagues.</li><li>Trustworthy, accountable, and skilled at collaborative engagement.</li></ul>
Language Skills 
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization. 
 
Mathematical Skills
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry.
Computer Skills
Has advanced basic computer job skills including logging on to systems, ability to communicate by email, ability to compose documents, enter database information, create presentations, download forms, and preserve/backup important data.
Reasoning Ability
Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to work with problems involving a few concrete variables in standardized situations.
Physical Demands &amp; Work Environment
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential duties of this job. The work environment characteristics described here are representative of those an employee encounters while performing the essential duties of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.
The employee must occasionally lift and/or move up to 10 pounds. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to stand; walk and reach with hands and arms. The noise level in the work environment is usually moderate. 
 
<ul><li>The employee must be able to work onsite, as needed.</li><li>The employee can work from a home office, occasionally.</li></ul> 
Company Overview
AllCare Health Website: https://www.allcarehealth.com.
AllCare Health is incorporated as an Oregon Benefit Corporation and has earned the coveted Certified B Corp&reg; status since 2017. As such, AllCare Health considers its impact on community, society, and the environment in all business decisions. We have long recognized the value in social, economic, and environmental concerns of our employees, customers, and community members. (Learn more about B Corps at https://bcorporation.net/about-b-corps)
AllCare Health headquarters are located in Grants Pass in Southern Oregon on the Rogue River, surrounded by mountains, forests, small farms, and breathtaking views. This thriving and energetic community is ideal for families and outdoor enthusiasts, with a temperate Pacific Northwest climate. We enjoy easy access to outdoor sports and recreation, river rafting, fishing, hiking, biking, wineries, outdoor concerts, the world-famous Ashland Shakespeare Festival, the stunning Oregon coast, magnificent redwood forests, pristine beaches, and much more.
The AllCare Health family of businesses is guided by our corporate principles:
Purpose | Working together with our communities to improve the health and well-being of everyone.
Values | Trust, Innovation, Relationships, and Voice.
Vision | Thriving, Inclusive, and Equitable communities.
Brand Promise | Changing Healthcare to Work for You.
AllCare Health is dedicated to building a diverse and authentic workplace centered in belonging and serving our growing community. If you are excited about this open position but your experience does not align perfectly with every qualification in this post, we encourage you to apply anyway or reach out to our human resources department. You may just be the right candidate for this role or others.
If you need accommodations, help in the application process, or wish to receive this job announcement in an alternative format, please call 541-471-4106 and ask for Human Resources.
All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information. 
699 - Claims Processing Assistant_March2026.pdf</div>

CLAIMS PROCESSING ASSISTANT

National General Insurance

<div>National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers&rsquo; evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers.
Job Description
Responsible for investigating and confirming the facts of loss for basic to advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority.
We are seeking detail‑oriented professionals to join our team as PIP Claims Adjuster Associates, supporting our claims in the state of Florida. This role offers the opportunity to build technical expertise while contributing to a high‑performing, results‑driven claims organization.<h3 class="jobSectionHeader">
Key Responsibilities</h3><ul><li>For claims involving fraud or subrogation, partners with assigned reps from those areas to achieve best outcome</li><li>Recognizes and identifies body parts of a vehicle and understanding of other potential property damage</li><li>Identifies customer needs and works to meet those needs using appropriate customer service skills</li><li>Determines subrogation or fraud potential and how to handle</li><li>Applies intermediate understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department</li><li>Handles investigation regarding all aspects of auto claims (coverage, damages, subrogation) with the exercise of discretion and independence within increased level of authority</li></ul><h3 class="jobSectionHeader">
#LI-LS2</h3> 
Skills
Case Management, Claims Administration, Claims Resolution, Claims Review, Collaboration, Communication, Insurance Claims Investigations, Medical Claims, Teamwork, Time Management 
Compensation
Base compensation offered for this role is:
Adjuster Cons I: $53,500.00 &ndash; $86,400.00
Adjuster Cons II: $56,000.00 - $93,250.00
Adjuster Sr. Cons. I: $68,500.00 - $117,700.00
And is based on experience and qualifications. Total compensation for this role is comprised of several factors, including the base compensation outlined above, plus incentive pay (i.e. commission, bonus, etc.) if applicable for the role.
Joining our team isn&rsquo;t just a job &mdash; it&rsquo;s an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger &ndash; a winning team making a meaningful impact.
Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component.
For jobs in San Francisco, please click &ldquo;here&rdquo; for information regarding the San Francisco Fair Chance Ordinance. 
For jobs in Los Angeles, please click &ldquo;here&rdquo; for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance.
To view the &ldquo;EEO Know Your Rights&rdquo; poster click &ldquo;here&rdquo;. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs.
To view the FMLA poster, click &ldquo;here&rdquo;. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint.
It is the Company&rsquo;s policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee&rsquo;s ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.
National General Holdings Corp., a member of the Allstate family of companies, is headquartered in New York City. National General traces its roots to 1939, has a financial strength rating of A&ndash; (excellent) from A.M. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products. We are a specialty personal lines insurance holding company. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Companies &amp; Partners
Direct General Auto &amp; Life, Personal Express Insurance, Century-National Insurance, ABC Insurance Agencies, NatGen Preferred, NatGen Premier, Seattle Specialty, National General Lender Services, ARS, RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands, Adirondack Insurance Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro Accident.
Benefits
National General Holdings Corp. is an Equal Opportunity (EO) employer &ndash; Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas. In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at (336) 435-2000.</div>

Claims PIP Associate - National General

Protective

<div><div>The work we do has an impact on millions of lives, and you can be a part of it.</div><div>
We help protect our customers against life&rsquo;s uncertainties. Regardless of where you work within the company, you&rsquo;ll be helping provide protection and peace of mind when our customers need it most. 
</div><div></div> 
The GAP &amp; Theft Claims Administrator I will provide support our claims by handling a large volume of claims calls and emails, opening new claims, thoroughly and accurately collecting, and reviewing all claim documents, verifying all requirements have been met, and providing claim status updates. GAP &amp; Theft Claims Administrator I will provide exceptional customer service, carry out key administrative duties and perform other related functions as assigned by management.
<div>
Work Schedule: 
Monday through Friday, 8:30 a.m. to 5:00 p.m. EST.

Hybrid Work Arrangement: 
The GAP &amp; Theft Claims Administrator I position follows a hybrid work schedule. Employees will work from home on Tuesday, Thursday, and Friday, and onsite at the Strongsville, Ohio office on Monday and Wednesday.

Initial Training Requirements: 
Initial training will be conducted onsite at the Strongsville, Ohio office, Monday through Thursday.
</div>
<h3 class="jobSectionHeader">Essential Functions:</h3>
Phone Calls &amp; Customer Service:
<ul><li>Strive to uphold Core Values of Serving People, Building Trust, Improving Continuously, and Embracing Innovation &amp; Change.</li>
<li>Answer incoming claims calls, identify key information about the customer&rsquo;s contract and answer questions related to coverage.</li>
<li>Communicate new claims instructions and/or provide claim forms.</li>
<li>Make outbound calls to collect documents from lienholders, insurance companies, or dealers, when special assistance is required.</li>
<li>Review and respond to incoming emails within the same business date of receipt with a target of 1-business hour from receipt.</li>
<li>Ensure all claim handling and communication is handled within our desired metrics.</li>
<li>Provide simple claims web navigation support.</li>
<li>Maintain professional and technical knowledge.</li>
<li>Work independently &amp; proactively.</li>
<li>Assist the GAP &amp; Theft Claims Supervisor with various projects.</li>
</ul>
Claims Administration:
<ul>
<li>Maintain all new claims, assigned to you and/or your teammates, which includes reviewing and checking in files, updating checklist based on specifications which includes, legibility of files, content, new or used vehicle, underwriter, state, etc., updating required fields: date of loss, mileage at date of loss, type of loss, customer&rsquo;s address, email, and phone number, updating both online status comments and claim notes, sending courtesy notice and customer checklist.</li>
<li>Notify management if any escalated attorney, department of insurance, or equivalent files are received.</li>
</ul>
Claims Quality Control:
<ul>
<li>Maintain a minimum a score of Job Well Done on the monthly Key Objectives, which includes the following screening: file audits, calls, new claim handling, attendance, and actively participating in monthly 1-on-1&rsquo;s and coaching and development plans.</li>
</ul>
Be a Team Player with Other Departments:
<ul>
<li>Support other teams.</li>
<li>Cross train to gain basic knowledge of other departments within our organization.</li>
<li>Share ideas that may help with organizational productivity.</li></ul><h3 class="jobSectionHeader"> 
Required Knowledge, Skills and Abilities:</h3><div>
<ul><li>Reliable and punctual.</li>
<li>Keeps a positive attitude and remains cool under stress.</li>
<li>Plan, organize, prioritize, and complete projects and assignments in a timely manner.</li>
<li>Detail oriented, accurate, and highly organized.</li>
<li>Displays pride in work.</li>
<li>Active listener with ability to adapt/respond to various types of personalities.</li>
<li>Receptive to coaching and development.</li>
<li>Interact effectively with associates, management, and internal and external customers.</li>
<li>Superior communication skills, both written and verbal</li>
<li>Demonstrate that you can solve customer problems using creative and effective techniques.</li>
<li>Maintain confidentiality of sensitive company information and use judgment and tact in applying policies, solving problems, and communicating standards.</li>
<li>Operate computer hardware and software, including Microsoft Office Suite, and specialized software applications.</li>
<li>Ability to type at least 65 wpm + Strong 10-key.</li>
<li>Strong mathematical aptitude.</li>
<li>Operate a calculator and related office equipment.</li>
<li>Proven ability to multi-task and handle interruptions.</li>
<li>Ability to work flexible hours.</li>
</ul></div><h3 class="jobSectionHeader">Required Education and Experience:
</h3><div><ul><li>Bachelor&rsquo;s degree or equivalent work experience (see below)</li>
<li>2+ years of clerical/administrative experience</li>
<li>2+ years of customer service experience</li>
<li>2+ years of call center experience</li>
</ul></div><h3 class="jobSectionHeader">Preferred Skills:
</h3><div><ul><li>Bilingual in English/Spanish (preferred)</li>
<li>Knowledge and experience within the automotive, insurance, or auto financing industry</li>
<li>Proven ability to multi-task and handle interruptions</li>
</ul></div><h3 class="jobSectionHeader">Work Environment and Physical Requirements:
</h3><div><ul><li>Vision acuity required to include close vision, color vision, distant vision, and the ability to adjust focus</li>
<li>Ability to grasp objects such a telephone or computer mouse, finger dexterity to use a keyboard, calculator, and standard office equipment</li>
<li>Ability to walk, stand, reach with hands and arms; stoop kneel, crouch, and lift up to 25 pounds</li>
<li>Ability to frequently sit for extended periods of time</li>
<li>Ability to hear and talk, both in person and by phone</li>
<li>Ability to spend extended hours in front of a computer screen</li>
</ul></div><div>Protective&rsquo;s targeted compensation for this position is $19.00 - $20.00 hourly/ non-exempt. Actual salaries may vary depending on factors, including but not limited to, job location, skills, and experience. The range listed is just one component of Protective&rsquo;s total compensation package for employees. This position also offers additional incentive opportunities through an annual incentive based on individual and Company performance</div><div>
Employee Benefits:
</div><div>We aim to protect the wellbeing of our employees and their families with a broad benefits offering. In addition to offering comprehensive health, dental and vision insurance, we support emotional wellbeing through mental health benefits and an employee assistance program. Work/life balance is important and Protective offers a variety of paid time away benefits (e.g., paid time off, paid parental leave, short-term disability, and a cultural observance day). The financial health of our employees is just as important as physical and emotional health. Some of the financial wellbeing benefits include contributions to healthcare accounts, a pension plan, and a 401(k) plan with Company matching. All employees are encouraged to protect their overall wellbeing by engaging in ProHealth Rewards, Protective&rsquo;s platform to improve wellbeing while earning cash rewards. 
</div><div></div> 
<div>Eligibility for certain benefits may vary by position in accordance with the terms of the Company&rsquo;s benefit plans.</div><div></div><div> 
Accommodations for Applicants with a Disability:</div><div>
If you require an accommodation to complete the application and recruitment process due to a disability, please email eric.hess@protective.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application and recruitment process.</div><div></div><div> 
Please note that the above email is solely for individuals with disabilities requesting an accommodation. General employment questions should not be sent through this process.</div><div></div><div> 
We are proud to be an equal opportunity employer committed to being inclusive and attracting, retaining, and growing an inclusive workforce.</div>

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.</div>

GAP & Theft Claims Administrator I

CorVel Corporation

<div>The WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel.

This is a remote position.

ESSENTIAL FUNCTIONS &amp; RESPONSIBILITIES:
<ul>
<li>Receives Workers&rsquo; Compensation claim, confirms policy coverage and acknowledgement of the claim</li>
<li>Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies</li>
<li>Establishes reserves and authorizes payments within reserving authority limits</li>
<li>Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim</li>
<li>Coordinates early return-to-work efforts with the appropriate parties</li>
<li>Manages subrogation and litigation of claim as it applies</li>
<li>Manages potential claim recoveries of all types</li>
<li>Reports claims to the excess carrier when applicable</li>
<li>Communicates claim status with the customer and claimant</li>
<li>Adheres to client and carrier guidelines and participates in claims review as needed</li>
<li>Develops and maintains professional customer relationships</li>
<li>Complies with rules and regulations of applicable state</li>
<li>Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (&ldquo;IIPP&rdquo;)</li>
<li>Additional duties as assigned</li></ul> 


KNOWLEDGE &amp; SKILLS:
<ul>
<li>Excellent written and verbal communication skills</li>
<li>Ability to assist team members to develop knowledge and understanding of claims practice</li>
<li>Ability to identify, analyze and solve problems</li>
<li>Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets</li>
<li>Strong interpersonal, time management and organizational skills</li>
<li>Ability to work both independently and within a team environment</li>
<li>Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers&rsquo; Compensation</li></ul> 


EDUCATION &amp; EXPERIENCE:
<ul>
<li>Bachelor's degree or a combination of education and related experience</li>
<li>Minimum of 3 years&rsquo; industry experience and claim handling</li>
<li>Self-Insured Certificate preferred</li>
<li>State Certification or license as an experienced claims adjuster</li>
<li>Current license or certification in Workers&rsquo; Compensation must be maintained throughout employment with CorVel</li></ul> 


PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $29.35 - $47.28 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. 


ABOUT CORVEL:

CorVel, a certified Great Place to Work&reg; Company, is a national provider of industry-leading risk management solutions for the workers&rsquo; compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Remote</div>

CA Senior Claims Specialist

Liberty Mutual Insurance

<div>Description
<div>Under direct supervision, develops the knowledge and skills needed to conduct thorough investigations, make decisions about liability / compensability, evaluate losses, negotiate settlements and manage an inventory of commercial property/casualty and disability claims by participating in a comprehensive training program, one-on-one mentoring, and on-the-job training. Assists in providing service to policyholders/customers on mid-sized and/or large commercial accounts. 
Training is a critical component of your success, and that success starts with reliable attendance. Attendance and active engagement during training are mandatory. Training will require 1 week in our Plano, TX office onsite in July 2026. 
To be considered for this position, candidates must reside within 50 miles of Hoffman Estates, IL, or Indianapolis, IN, and will be required to work in the office twice a month. Candidates located in Ohio, Montana, Virginia and Minnesota are eligible for 100% remote work, as we do not have claims offices in these states. Please note that this policy is subject to change. 
Responsibilities 
<ul><li>
Investigates new claims by reviewing first reports of loss and supporting materials, determines the best first point of contact (claimants, customers, witnesses, etc.) to gather information regarding injuries or loss refers tasks to auxiliary units as necessary and posts file accordingly.</li><li>
Establishes action plans based on case facts, best practices, protocols, jurisdictional issues and available resources.</li><li>
Manages an inventory of property/casualty and disability claims (e.g. workers` compensation, general liability, commercial automobile, property, group benefits), evaluates compensability/liability and losses, and negotiates settlements within prescribed limits.</li><li>
Establishes accurate loss cost estimates using available resources, special service instructions, and market protocols.</li><li>
Confirms or denies coverage based on facts obtained during the investigation and advises policyholders as to proper course of action.</li><li>
Makes effective use of loss management techniques (e.g. Immediate Contact Plan, L9 check, Disability Management, open end release, first call settlements) and other resources.</li><li>
Updates files and provides comprehensive reports as required.</li></ul></div>
Qualifications<div><ul><li>
Effective interpersonal, analytical and negotiation abilities required</li><li>
Ability to provide information in a clear, concise manner with an appropriate level of detail</li><li>
Demonstrated ability to build and maintain effective relationships</li><li>
Demonstrated success in a professional environment; success in a customer service/retail environment preferred</li><li>
Effective analytical skills to gather information, analyze facts, and draw conclusions; as normally acquired through a bachelor's degree or equivalent</li><li>
Knowledge of legal liability, insurance coverage and medical terminology helpful, but not mandatory</li><li>
Licensing may be required in some states</li></ul></div>
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. 
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. 
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: https://www.libertymutualgroup.com/about-lm/careers/benefits 
 
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. 
 
Fair Chance Notices<ul><li>
California</li><li>
Los Angeles Incorporated</li><li>
Los Angeles Unincorporated</li><li>
Philadelphia</li><li>
San Francisco</li></ul></div>

Associate Claims Specialist

Midwestern Insurance Alliance

<div><div>Midwestern Insurance Alliance (MIA) is seeking a full-time California Workers&rsquo; Compensation Assistant to join its workers&rsquo; compensation claims processing team Remotely.
MIA is a program administrator offering custom-tailored workers&rsquo; compensation insurance programs through its carrier partners. MIA&rsquo;s acquisition by San Diego-based K2 Insurance Services in 2012 has enabled MIA to expand its product offerings and product distribution channels.
Pay Range: $29.81&ndash;$31.25 USD/hour
Workers&rsquo; Compensation Claims Assistant responsibilities include, but are not limited to:<ul><li>
Input First Report of Injuries into claims system and related duties at time of receipt.</li><li>
Assist in obtaining police reports on accident claims.</li><li>
Manage incoming faxes and distribute them to the appropriate individual for handling.</li><li>
Handle incoming mail. Prepare and process outgoing mail.</li><li>
Perform as an administrative assistant to the Claims Manager.</li><li>
Upload and index into paperless filing system.</li><li>
Handle claim calls.</li><li>
Provide switchboard relief.</li><li>
Assist in other duties as requested.</li></ul>
The ideal Workers&rsquo; Compensation Claims Assistant will have:<ul><li>
Some post-high school education.</li><li>
Strong verbal and written communication skills.</li><li>
Strong organizational skills with attention to detail.</li><li>
Ability to work with little supervision.</li><li>
Ability to manage multiple tasks in a fast-paced environment.</li><li>
Proficiency in MS Word, Excel, and Outlook.</li><li>
At least 1 year of California specific administrative or claims support experience.</li></ul>
MIA offers the opportunity to join an established company in growth mode. Our benefits package includes medical, dental, vision, disability, and life insurance and 401(k) with employer match. We also offer a business casual work environment and an 8:00-5:00 Monday-Friday work week.
Learn more about MIA at midwesterninsurance.com and K2 Insurance Services at k2ins.com.</div></div>

California Workers’ Compensation Assistant - REMOTE

Search 10000+ Insurance claims assistant jobs near you this May. New roles added regularly across leading industries. Apply today.

10000 insurance claims assistant jobs Near Me

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GAP & Theft Claims Administrator I

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CA Senior Claims Specialist

Associate Claims Specialist

California Workers’ Compensation Assistant - REMOTE