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.
- Irvine, CA (16 miles from Mission Viejo, CA)
- 14 hours ago
- Irvine, CA (16 miles from Mission Viejo, CA)
- 14 hours 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...
- Irvine, CA (16 miles from Mission Viejo, CA)
- 1 day ago
- Irvine, CA (16 miles from Mission Viejo, CA)
- 1 day 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....
- Orange, CA (22 miles from Mission Viejo, CA)
- 1 day ago
- Orange, CA (22 miles from Mission Viejo, CA)
- 1 day ago
Handle recalculation of claims due to incorrect claim payments or where additional information has been received. Investigate and complete open or pended claims....
Claims Examiner - Workers Compensation
- Orange, CA (22 miles from Mission Viejo, CA)
- 2 days ago
- Orange, CA (22 miles from Mission Viejo, CA)
- 2 days ago
Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets....
General Liability Claims Examiner
- Orange, CA (22 miles from Mission Viejo, CA)
- 2 days ago
- Orange, CA (22 miles from Mission Viejo, CA)
- 2 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....
- Santa Ana, CA (21 miles from Mission Viejo, CA)
- 4 days ago
- Santa Ana, CA (21 miles from Mission Viejo, CA)
- 4 days ago
Independently administers complex claims and catastrophic exposures within authority, including claims from dedicated large accounts....
Claims Examiner - Workers Compensation
- Orange, CA (22 miles from Mission Viejo, CA)
- 5 days ago
- Orange, CA (22 miles from Mission Viejo, CA)
- 5 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....
- Irvine, CA (16 miles from Mission Viejo, CA)
- 8 days ago
- Irvine, CA (16 miles from Mission Viejo, CA)
- 8 days ago
At Alliant Insurance Services, we thrive on creating employee benefits solutions built on the idea that health makes growth possible. As top tier professionals dedicated to solving our clients'...
- Santa Ana, CA (21 miles from Mission Viejo, CA)
- 12 days ago
- Santa Ana, CA (21 miles from Mission Viejo, CA)
- 12 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...
- Orange, CA (22 miles from Mission Viejo, CA)
- 13 days ago
- Orange, CA (22 miles from Mission Viejo, CA)
- 13 days ago
Contract: 6+ months Hours: Monday-Friday, business hours Location: On-site (Orange, CA) The Claims Resolution Specialist will provide assistance in resolving provider claims payment status issues, provider...
Claims Examiner Workers Compensation Dedicated Account Hybrid - Orange, CA
- Orange, CA (22 miles from Mission Viejo, CA)
- 13 days ago
- Orange, CA (22 miles from Mission Viejo, CA)
- 13 days ago
and to identify subrogation of claims and negotiate settlements....
Estimator Underground Utilities
- Temecula, CA (23 miles from Mission Viejo, CA)
- 15 days ago
- Temecula, CA (23 miles from Mission Viejo, CA)
- 15 days ago
Senior Underground Utility Estimator Location: Temecula, CA About the Company: My client, a rapidly growing grading, demolition, excavation, and public works construction company, is expanding its...
- Irvine, CA (16 miles from Mission Viejo, CA)
- 15 days ago
- Irvine, CA (16 miles from Mission Viejo, CA)
- 15 days ago
In a fast-paced environment, you'll learn how to resolve a heavy case load of claims efficiently while managing the claims process from start to finish....
- Lake Forest, CA (9 miles from Mission Viejo, CA)
- 16 days ago
- Lake Forest, CA (9 miles from Mission Viejo, CA)
- 16 days ago
Review and verify personal information including names, addresses, ages, and other data when reviewing claim submissions. Review claims which may require direct network contact....
- Santa Ana, CA (21 miles from Mission Viejo, CA)
- 17 days ago
- Santa Ana, CA (21 miles from Mission Viejo, CA)
- 17 days ago
We're committed to bringing passion and customer focus to the business. Job Description Summary: Overall planning and management of estimating activities for specific construction projects,...
Demographic Data for Mission Viejo, CA
Moving to Mission Viejo, CA? Find some basic demographic data about Mission Viejo, CA below.
Claims Online Courses and Training Opportunities
Title Synonyms
Users interested in this job title also searched for the following job titles
Salary for Claims Jobs in Mission Viejo, CA
Required or preferred licenses and certifications for Claims positions.
Highest Education Level
Claimss in Mission Viejo, CA offer the following education backgroundQualifications / Skill Sets
The following top skills are often required or desired to land a Claims position
- Bidding
- Take-offs
- Restoration
- Claims Handling
- Residential Construction
- Specifications
- Property Claims
- General Liability
- Claims Adjusting
- Bodily Injury
- Subrogation
- Property and Casualty Insurance
- Property Damage
- Auto Claims
- Special Investigative Unit
- Total Loss
- Professional Liability
- Xactimate
- Coverage Analysis
- Commercial Claims
- Symbility
- Audatex
- Claims Management
- Property Insurance
- CCC One
- Commercial Insurance
- Litigation Management
- Claims Processing
- Medical Claims
- Underwriting
- Claims
- Litigation
- Insurance Claims
- Workers' Compensation
- Mediation
- File Management
- Resolution
- Estimating
- Reimbursement
- Military Background
- High School Diploma
- Negotiation
- Investigation
- Written Communication
- Presentation
- Flexibility
- Mentoring
- Documentation
- Collaboration
- Reporting
- Interpersonal Skills
- Filing
- Multitasking
- Problem Solving
- Project Management
- Microsoft Office
- Microsoft Excel
- Time Management
- Staff Supervision
- Organization
- Customer Service
- Scheduling
- Computer Skills
- Leadership
- Communication Skills
Other Career Titles
Here are some other career titles that require similar skills