Remote Dental Claims Processing Jobs in Riverside, CA

Why CIG?

At Capital Insurance Group we offer our employees more than just a job. We foster career growth, provide opportunities to give back to our communities, and help you take the next step in your career!

CIG was founded in 1898 by a group of earnest farmers in need of protection and today, we are the leading West Coast Property & Casualty insurer. CIG is certified as a Great Place to Work and provides a collaborative, inclusive, and fun work culture for all employees.

Benefits

• Accrue twenty-one days of Paid Time Off during your first year

• Up to eighty-seven percent of benefits covered by CIG for you and your family members

  • Medical, dental, vision plans

• One hundred percent covered plans

  • Basic Life & AD&D

  • Employee Assistance

  • Leave Management

  • Long Term Disability

  • Short Term Disability (Outside of CA)

• Family Caregiver Support (Homethrive)

• Child Care Resources (Tootris)

• Business Travel Accident Protection

• Voluntary benefit offerings

  • Short-term (CA only)

  • Voluntary Life AD&D self, spouse and child plans

  • Flexible Spending

  • Health Savings (HSA)

  • Hospital Indemnity

  • Accidental Injury

• Critical Illness

• ARAG Legal Services

• Norton LifeLock

• Nine paid holidays, plus two floating holidays

• Above and Beyond Reward Recognition Program

  • Kudos & Shout Out Points Program

  • Quarterly Above and Beyond Bonus Program

  • Annual Above and Beyond Bonus Program

• Competitive compensation

  • Base compensation

  • Salary Management Spot Bonuses

  • Annual Incentive/Profit sharing program, potential payout annually based on company results.

• Discount partnerships

  • Gym memberships, credit union, travel, shopping, restaurants, theme parks, and more

• Insurance Educational reimbursement and bonus programs

• Employee Referral Bonus Program

• You have a voice! You are encouraged to share your voice through multiple channels, get involved with our Employee Experience and DEI committees to drive and continue the health and wellbeing of our organization for everyone.

• Home and Auto Insurance Discount Program.

• Paid Volunteer Time Through company planned community events and choose your own adventure PVT in giving back in ways that are meaningful to you!

• Retirement savings benefit (401k and Roth + match)

• Health & Financial Wellness

  • Wellness platform, tools and events

  • Health Savings Account match

  • Financial Wellness Resources

Work Environment & Format:

This is a remote position, ideally with someone based in Orange County (Irvine, Costa Mesa, Newport Beach, Santa Ana, Anaheim, Orange, Huntington Beach, and Fullerton).

Job Overview:

Under general supervision, this position will be part of the Claims Legal team, which will provide settlement authority and general strategic support for claims/exposures that exceed the line units authority. The position encompasses a variety of responsibilities that include the analysis of unique jurisdictional concerns and ensuring consistency in claims positions. Overall, this position will assist in consulting on complex claim files that are reported to Claims Legal.

Responsibilities:

• Responsible for consultation with claims staff in a variety of claims issues, including but not limited to, coverage, indemnification, policy limit demand reviews, indemnity agreement review, release language review.
• Identifies coverage issues which require assignment to outside counsel and works with outside counsel as needed.
• Directly handle some policyholder suits against the company and work with outside counsel in managing the litigation. Will need to attend mediations as needed.
• Assists in training to claims staff on various jurisdictional issues and/or Fair Claims Practices training.
• Respond to insurance claims questions from a variety of departments.
• Works closely as part of the Claims Legal team in providing outstanding service to claims staff.
• Responsible for tracking claim files reported to Claims Legal ability to stay organized, and diary cases for future follow-up.
• Participate in roundtable discussions on a variety of claims topics, including trial authority, and taking the lead on future follow-up of action items.
• Will work collaboratively with current Panel Counsel to ensure consistency of service to CIG insureds. May also participate and/or take the lead in identifying new firms to join Panel list.
• Work with Analyst in Claims Legal in ensuring consistency of Reinsurance reporting as required.
• Ability to analyze complex insurance claims situations and develop recommendations to be shared with claims staff.
• Ability to handle conflicting requests from multiple stakeholders in a fast-paced environment while paying attention to detail.
• Good communication and interpersonal skills, ability to work independently and in a team setting.
• Ability to interface with multiple levels of the organization.
• Ability to travel (<10%) as needed to support business needs.
• Ability to stay organized and manage time effectively in order to manage competing priorities.
• Have effective research skills and ability to stay current with changes in case law and regulatory changes.
• Job description is not prescriptive, but rather a guide as to the duties and responsibilities you will have, however it is not limited to the listed above.

Minimum Requirements:

• Bachelors degree and JD from an accredited law school required.
• Active license to practice law in at least one U.S. jurisdiction is required. Applicants who are not licensed attorneys will not be considered for this position.
• Member in good standing of any CIG operating state (Arizona, California, Nevada, Oregon, Washington) bar required.
• Minimum of 8 years experience in property and casualty insurance required.
• Experience working inside insurance company claims department and/or law firm setting required.
• First Party Property experience strongly preferred.
• Experience advising on or litigating first party property coverage issues strongly preferred.
• Experience with adjustment and/or oversight of complex claims is strongly preferred.
• Experience in following jurisdictions preferred: California and Washington.
• CPCU preferred.
• A valid drivers license may be required.
• Candidates must be authorized to work in the United States without the need for current or future visa sponsorship.

Salary Range: $114,364.00 - $190,607.00

The salary range listed here has been provided to comply with local regulations and represents a potential base salary range for this role. Please note that actual salaries may vary within the range above or below, depending on experience and location. We look at compensation for each individual and base our offer on your unique qualifications, experience, and expected contributions. This position may also be eligible for other types of compensation in addition to base salary, such as benefits and bonus programs.