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Direct Claims Jobs in Carson, CA (NOW HIRING)

The Claims Examiner is responsible for liability claims and property damage claims to their ... Direct attorneys on litigated files and control defense costs. * Prepare timely Reports to ...

Direct claims strategies and outcomes, including management of TPAs, major and complex claims, and an effective return-to-work program. Program Design, Innovation & Alternative Risk Financing

Senior Claims Specialist

Orange, CA · On-site

$110K - $130K/yr

Assign, direct, and coordinate with defense counsel in compliance with internal claims guidelines * Investigate and evaluate claims by: * Reviewing medical records * Interviewing involved parties

Responsibilities include managing direct staff, as well as outsourced vendor programs, while ... Typically minimum of ten years of claims and/or recovery related experience. * Three or more years ...

Claims Manager Location: Pasadena, CA Duration: 3+months Workers' Compensation manager oversees all ... Additional Information Namratha Gandavarapu Sr. Recruiter Direct: 317-210-8733

Showing results 21-40

Direct Claims information

See Carson, CA salary details

$31.9K

$67.6K

$94.1K

How much do direct claims jobs pay per year?

As of Sep 6, 2026, the average yearly pay for direct claims in Carson, CA is $67,570.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,300.00 and $79,000.00 per year, depending on experience, location, and employer.

What is a direct claim?

Direct claims refer to insurance claims that are filed directly by the policyholder with their own insurance company, rather than going through a third party or the at-fault party's insurer. This process is common in situations like auto accidents, where the policyholder seeks compensation for damages or losses under their own policy. Direct claims help streamline the process, reduce delays, and ensure the policyholder receives prompt assistance and settlements. They are often associated with 'first-party' insurance coverage, such as collision, comprehensive, or health insurance claims.

What are the key skills and qualifications needed to thrive as a direct claims specialist?

To thrive as a Direct Claims Specialist, you need a solid understanding of insurance policies, claims processes, and relevant legal regulations, often supported by a degree in business, finance, or a related field. Familiarity with claims management software, customer relationship management (CRM) systems, and sometimes industry certifications like AIC or CPCU is typical. Exceptional attention to detail, problem-solving abilities, and strong communication skills set top performers apart in this role. These skills and qualifications ensure claims are processed accurately and efficiently, leading to customer satisfaction and minimized risk for the insurer.

What are some common challenges faced by professionals in direct claims roles, and how can they effectively manage these challenges?

Professionals in Direct Claims often face the challenge of balancing a high volume of claims with the need for thorough investigation and timely resolution. Managing customer expectations and handling sensitive situations, such as denied claims or complex cases, can also be demanding. Effective communication, strong organizational skills, and staying updated on policy guidelines are crucial for success. Building collaborative relationships with adjusters, underwriters, and other departments helps ensure accurate and efficient claims processing.

What is the difference between Direct Claims vs Claims Adjuster?

AspectDirect ClaimsClaims Adjuster
CredentialsInsurance license, knowledge of policiesInsurance license, sometimes certifications like AIC or CPCU
Work EnvironmentCustomer service, office or remoteFieldwork, office, or remote
Employer & IndustryInsurance companies, agenciesInsurance companies, third-party administrators
Search & Comparison IntentUnderstanding direct claims handlingEvaluating claims adjustment roles

Direct Claims professionals primarily handle claims directly from policyholders, focusing on processing and resolving claims within the insurance company. Claims Adjusters evaluate, investigate, and settle claims, often working in the field or remotely. Both roles require insurance licensing, but Claims Adjusters may have additional certifications. While their work overlaps in claims processing, Direct Claims roles are more customer-facing, whereas Claims Adjusters focus on assessment and negotiation.

What job categories do people searching Direct Claims jobs in Carson, CA look for?

The top searched job categories for Direct Claims jobs in Carson, CA are:

What cities near Carson, CA are hiring for Direct Claims jobs?

Cities near Carson, CA with the most Direct Claims job openings:

Senior Claims Specialist

Superior Grocers

Santa Fe Springs, CA • On-site

$80K - $95K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 14 days ago


Superior Grocers rating

5.7

Company rating: 5.7 out of 10

Based on 30 frontline employees who took The Breakroom Quiz

79th of 124 rated grocery stores


Job description

The Senior Claims Specialist will report directly to the Director of Risk Management. Duties include overseeing and monitoring the timely response and proper handling of General Liability, Auto and Property claims on behalf of Superior Grocers. Moreover, attendance of Small Claims court matters will be ensured as required. Position will have the autonomy and authority to make settlement decisions within a pre-determined range. Responsible for timely feedback/response and providing of necessary documentation to insurance company/TPA, defense counsel and corporate office staff as instructed. Display and communicate an understanding of insurance concepts, internal practices and procedures.
DAILY JOB DUTIES:
1. Claim documentation
  • Respond timely to incoming claims and monitor ongoing

2. Claim investigation as needed
  • Telephone and on-site investigation
  • Employee and customer interviews
  • Referrals to outside vendors

3. Review and oversee new and existing customer related claims
  • Accident Reports and related support documentation must be completed timely, thoroughly and objectively, thereafter provided to TPA/defense counsel/necessary parties.
  • Assist with determination of liability and corresponding/appropriate defense tactics
  • Ensure the timely logging of all new claims (delegate to Claims Assistant if necessary) and timely reporting to our Insurance Carrier, with guidance by the Dir of Risk Management

4. Review, oversee and manage legacy customer claims continuously and ongoing
  • Utilize TPA website/database (if appl.) or internal tracking system to review the status and monitor claims being handled by outside adjusters.
  • Review and approve the status of any claim, any reserve changes, and maintain communication with the adjuster handling the claim.
  • Vice-Versa the adjuster can communicate with Senior Claims Specialist for added information

a. Authority requests are presented to the Director of Risk Management
b. Other Samples of requests from adjusters
  • Coordinate employee recorded statements
  • Coordinate internal/external investigations of incidents
  • Copy and analyze video tapes
  • Provide information on employees; current and terminated

a. When a claim is sent to our Attorney, same duties as above apply
b. Follow instructions communicated to pass on to defense attorney
c. Defense attorney is assigned in coordination with the Director of Risk Management
  • Be prepared with monthly status report (when requested) concerning any significant changes on our position of liability or damages
  • Calendar deposition appearances as necessary
  • Calendar hearings as necessary
  • Calendar Mediation or settlement conferences

5. Store Openings
  • Set up of Sweep Trax for new stores

WEEKLY JOB DUTIES:
1. Maintain customer claim files in order
  • Inspect our database in excel to make sure it is up to date and in order
  • Inspect physical claims file to make sure they are up to date and in order
  • Review carrier, TPA and attorney billing and update files

2. Store Inspections
  • Store visits will be done as instructed by the Director of Risk Management

Inspect for adverse liability conditions and/or store operations
a. Report to manager my findings and discuss a solution
b. Report to manager if a sweep compliance is unacceptable
3. Porter Inspections
  • Meet with a Store as instructed
  • Review porter inspections
  • Review porter schedules for each store
  • Provide porter training on using scanners, the purpose for a sweep, and the need to be diligent in doing their job and in using the scanner

4. Insurance Certificate Program
  • Maintain up to date our Insurance Certificate Program

a. Insurance certificates from vendors and contractors as needed.
b. Requests are made as needed
c. New Vendor Application process
5. Insurance Needs
  • Handle any General Liability Auto, and Property insurance needs

a. Add new vehicles as instructed
b. Add new stores as instructed
MONTHLY JOB DUTIES:
1. Claims
  • Generate monthly reports, regarding frequency and location of customer claims

a. Analyze report; recommend preventative measures share with store management
  • Review monthly billing and present to Director of Risk Management timely

a. Check figures, claims, etc. ensuring reimbursement is appropriate
b. Perform monthly store inspections as needed
QUARTERLY JOB DUTIES:
1. Claims
  • Quarter end reports (same as monthly)

YEARLY JOB DUTIES:
1. Assist where necessary regarding General Liability, Auto, and Property Insurance renewal
  • Administrative duties only

Job Requirements:
Education:
  • Bachelor Degree in business is preferred
  • In addition, attend insurance seminars and insurance classes with emphasis in insurance concepts, including, premises liability and related tort applicable to the position.

Experience:
  • At least 5 years work experience in the field if no Bachelor's Degree

Knowledge:
  • Working knowledge of Excel and Word.

Skills and Ability:
  • Excellent verbal and written communication skills
  • Ability to multi-task
  • Bilingual (Spanish and English) helpful, but not mandatory

Salary Range: $80,000 - $95,000 annually
TO VIEW THE APPLICANT NOTICE ABOUT YOUR PERSONAL INFORMATION CLICK THE LINK BELOW.
https://superiorgrocers.com/about-us/privacy-disclosure/
About Superior Grocers
Founded in 1981, Superior Grocers is one of the largest independent supermarket chains in the Western U.S., operating 74 stores across California and Nevada with approximately 7,000 employees. Recognized as the 2026 "Top Hispanic Supermarket in the U.S." by Abasto, we are committed to serving our customers, supporting our communities, and creating growth opportunities for our team members.
Our culture is grounded in four core values - Integrity, Service, Passion, and Excellence - which guide how we serve customers and develop our people. We strive to create a respectful, supportive workplace where employees can thrive and make a meaningful impact.
Why Join Us
We offer competitive pay, comprehensive benefits (medical, dental, vision, 401k, PTO), tuition assistance, employee support programs, and career development opportunities. At Superior Grocers, you'll find a collaborative environment with strong potential for growth and a chance to positively impact the communities we serve.
Superior Grocers is an Equal Opportunity Employer
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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About Superior Grocers

Sourced by ZipRecruiter

Superior Grocers is a leading supermarket chain, operating in the retail grocery sector, based in Bellflower, California, USA. With a focus on providing a spacious and comfortable shopping experience, the company features a wide variety of produce, meat, international grocery items and more. Founded in 1981, Superior Grocers has grown to over 45 locations, becoming a staple in Southern California, and has consistently aimed to create a fair-priced shopping environment dedicated to the communities they serve. Their mission is to provide local communities a variety of high-quality products at affordable prices, with the commitment to reach beyond being just a grocer, but also a good community partner. Over its significant history, the company has been recognized for its continuous growth and community focus.

Industry

Food and beverage stores

Company size

1,001 - 5,000 Employees

Headquarters location

Bellflower, CA, US

Year founded

1981