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Resolution Processing Jobs in Irvine, CA (NOW HIRING)

Conflicts Attorney

Costa Mesa, CA · Hybrid

$110K - $140K/yr

The conflicts resolution process is supported by Aderant Expert software. This position has no billable hour requirement. This position is hybrid; fully remote opportunities are available. We offer ...

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Serve as the primary point of contact for clients throughout the tax preparation process ... resolution strategy. The focus of this position is client communication, document collection ...

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The conflicts resolution process is supported by Aderant Expert software. This position has no billable hour requirement. This position is hybrid; fully remote opportunities are available. We offer ...

Identify potential risk and develop resolution processes * Continually analyze program needs and productivity and adjust staffing and resources to ensure cost effectiveness * Development of or ...

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Resolution Processing information

See Irvine, CA salary details

$16

$37

$56

How much do resolution processing jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for resolution processing in Irvine, CA is $37.76, according to ZipRecruiter salary data. Most workers in this role earn between $26.06 and $50.05 per hour, depending on experience, location, and employer.

What is the difference between Resolution Processing vs Claims Processor?

AspectResolution ProcessingClaims Processor
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or claims processing certificationsHigh school diploma or equivalent; often requires insurance or claims processing certifications
Work EnvironmentOffice settings, call centers, or remote work; primarily administrative and customer serviceOffice or remote; handling insurance claims, data entry, and customer communication
Industry UsageInsurance, healthcare, financeInsurance, healthcare, government agencies
Common Search/ComparisonResolution Processing vs Claims Processor

Resolution Processing and Claims Processors both handle insurance-related tasks, often in similar environments. Resolution Processing typically focuses on resolving claims issues, discrepancies, or appeals, while Claims Processors primarily review and process insurance claims from submission to payout. Both roles require similar credentials and are used across insurance and healthcare industries. Understanding their differences helps job seekers identify the right career path within the claims and resolution field.

What job categories do people searching Resolution Processing jobs in Irvine, CA look for?

The top searched job categories for Resolution Processing jobs in Irvine, CA are:

What cities near Irvine, CA are hiring for Resolution Processing jobs?

Cities near Irvine, CA with the most Resolution Processing job openings:

Infographic showing various Resolution Processing job openings in Irvine, CA as of August 2026, with employment types broken down into 71% Full Time, 5% Part Time, 14% Temporary, and 10% Contract. Highlights an 100% In-person job distribution, with an average salary of $78,551 per year, or $37.8 per hour.

Workers Compensation Claims Examiner

Mary Kraft HR

Long Beach, CA • Remote

$33.65 - $45/hr

Full-time

Re-posted 21 days ago


Job description

Job Profile
Job Title
Workers Compensation Claims Examiner (Project 1346011)
Location
Remote reside in California
Hire Type
Contingent
Hourly
$33.65 - $45.00
Work Model
Monday Friday
Contact Phone
(443)-345-3305
Contact Email
sean@marykraft.com
Nature & Scope:
Positional Overview

Mary Kraft is seeking an experienced Workers Compensation Claims Examiner that can analyze and manage complex or technically difficult workers' compensation claims, including indemnity claims, to determine benefits due. This role involves working with high exposure claims that may include litigation and rehabilitation, ensuring timely adjudication in accordance with service expectations, industry best practices, and client requirements. The examiner will be responsible for identifying subrogation opportunities, managing the litigation process, and negotiating settlements to ensure cost-effective claim resolution.
Role & Responsibility:
Tasks That Will Lead To Your Success

  • Analyze and process complex workers' compensation claims by investigating and gathering relevant information to assess claim exposure.
  • Develop action plans to manage claims efficiently and bring them to timely resolution.
  • Negotiate claim settlements within designated authority levels.
  • Calculate and assign reserves to claims promptly; monitor reserve adequacy throughout the claim lifecycle.
  • Calculate benefits due and approve timely claim payments and adjustments; settle claims within authority levels.
  • Prepare and submit necessary state filings in compliance with statutory requirements.
  • Manage the litigation process to ensure claims are resolved timely and in a cost-effective manner.
  • Coordinate vendor referrals for additional investigations or litigation management as necessary.
  • Use cost-containment strategies, including partnerships with vendors, to minimize overall claim costs.
  • Manage claim recoveries, such as subrogation, Second Injury Fund excess recoveries, and Social Security or Medicare offsets.
  • Report claims to excess carriers and respond to requests or directives in a timely and professional manner.
  • Maintain clear and regular communication with claimants and clients, ensuring professional relationships are upheld.
  • Ensure proper documentation and accurate coding of claim files.
  • Refer cases to supervisors and management as needed.
  • Perform other duties as assigned.
  • Support the organization’s quality initiatives.
  • Travel as required.
Skills & Experience:
Qualifications That Will Help You Thrive

  • High School Graduate or GED required, Bachelor's degree preferred.
  • Professional certifications related to workers' compensation or claims handling preferred.
  • Minimum of 5 years of workers' compensation indemnity claims handling experience is required.
  • In-depth knowledge of workers' compensation principles, laws, and best practices, including indemnity claims.
  • Expertise in litigation management and claims resolution processes.
  • Strong understanding of medical management practices, cost-containment techniques, and Social Security/Medicare procedures.
  • Excellent oral and written communication skills, including the ability to negotiate and present effectively.
  • Proficient in Microsoft Office and claims management software.
  • Analytical and problem-solving abilities, with strong organizational skills.
  • Ability to work independently and as part of a team.
  • Strong interpersonal skills and the ability to meet or exceed service expectations.
  • Must reside within California boundaries.
  • Minimum of 5 years of experience handling California workers' compensation indemnity claims.
  • Strong experience in managing the litigation process to ensure timely, cost-effective claims resolution.
  • Credit security clearance, confirmed via a background check, is required.

Mary Kraft HR logo

About Mary Kraft HR

Sourced by ZipRecruiter

Mary Kraft HR was founded in 1989 by Maryland native Mary Kraft and has since partnered with industry-leading healthcare, education, non-profit, financial, commercial and service industry clients to increase productivity and drive cost savings through an array of flexible, cost-effective staffing and outsourced HR options. Each year, Mary Kraft HR’s winning combination of industry-leading staffing expertise and high-quality talent enables hundreds of outstanding companies to respond to ever-changing business needs with unparalleled success. Our commitment to understanding our client’s business and culture to get them the right talent in the right job every time. We always strive to exceed your expectations. Since Mary Kraft’s death in May of 2012, the company has remained a family-owned and women-owned business determined to carry on Mary’s legacy in business and in community outreach (see our community outreach section). Mary Kraft HR is certified by the State of Maryland MDOT as a MBE, WBE and DBE, and by the City of Baltimore as a WBE.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Hunt Valley, MD, US

Year founded

1989

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