Workers Compensation Claims Examiner
Virtual Vocations Inc
Managing a caseload of workers' compensation indemnity claims, the full-time Workers Compensation Claims Examiner II will assist in the administration and processing of claims from inception to conclusion, while working remotely in compliance with established policies and state regulations. Key responsibilities: Reviews new claim assignments and performs initial claim setup and investigation activities Communicates with claimants, medical providers, and legal counsel regarding claim status and documentation Maintains accurate claim file documentation and monitors claim activity using the Company diary system Required qualifications: High school diploma or GED required; Bachelor's degree in a related field preferred Three or more years of related experience or equivalent combination of education and experience Technical knowledge of statutory regulations and medical terminology Proficiency in Microsoft Word and Excel preferred Ability to independently manage complex claims effectively
$80k - $90k
...Role Overview This role requires an individual to analyze Lost‑Time Workers Compensation claims on behalf of clients to determine benefits due and ensure ongoing adjudication within service expectations, industry best practices, and specific client service requirements...SuggestedRemote workFlexible hours- ...reviewing, adjudicating and managing low- and mid-level workers' compensation claims in accordance with company guidelines, statutory regulations... ..., employers, doctors and attorneys; Composes medical examination assignments, letters and legal orders; Maintains a quality...SuggestedWork at officeLocal area
$80k - $90k
...Our client, a well-established organization in the insurance industry, is seeking an experienced Workers Compensation Claims Examiner to join their team. Candidates must reside in Lakewood, CO! HOURS: Full-Time DURATION: Direct Hire WORKPLACE: Hybrid: 3 days remote and...SuggestedPermanent employmentFull timeWork at officeRemote work- ...and best practices have set the standard in workers’ compensation, preventing excessive compensation and medical costs in claims while assisting employees in early, healthy... ...return to work. The Workers Compensation Claims Examiner is primarily responsible for analyzing and...SuggestedWork at office
$90k - $100k
...Workers Compensation Claims Examiner III Fully Remote • Signal Hill Office - Signal Hill, CA 90755 Overview Salary Range $90,000.00 - $100,000.00 Salary/year Level Experienced Position Type Full Time Job Shift Day Education Level High School Diploma or GED Travel...SuggestedFull timeWork at officeRemote workLong distanceShift work- ...Description Are you looking for an opportunity to join a claims team with a fast growing company that has consistently outpaced... ...Insurance has an excellent claims opportunity available for a Workers Compensation Claims Technician. Claims Technicians obtain essential...Full timeContract workWork at officeLocal areaRemote workWork from home
$85k - $105k
...Long Beach or Roseville, California (2 days in-office, 3 days remote) PRIMARY PURPOSE OF THE ROLE To analyze workers' compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations...Work at officeRemote workFlexible hours$73k - $96k
...At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Workers Compensation Claims Examiner to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team.Our Claims teams...Work at office$80k - $90k
...National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation (HYBRID- West Hills, CA/3 Days Remote) Are you looking for an opportunity to join a global industry leader where...Work at officeRemote workFlexible hours- ...Sedgwick is seeking a Workers Compensation Claims Examiner in Orange, CA. This role involves analyzing and processing complex workers' compensation claims while managing them through action plans and negotiating settlements. Candidates should possess at least 5 years...Flexible hours
- ...POSITION DETAILS POSITION SUMMARY COMPANY has an immediate need for a Senior Claims Examiner to support our workers compensation offices and can be located anywhere in the state of California. The schedule for this position is Monday-Friday at 37.5 hours a week...Work at officeImmediate startRemote workMonday to Friday
$73k - $96k
...Senior Workers Compensation Claims Examiner At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Workers Compensation Claims Examiner to play your part in that transformation. It's an opportunity to grow your skills and experience...- An established industry player is seeking a Workers' Compensation Claims Examiner to join their team. This full-time role involves investigating and managing claims across multiple jurisdictions, ensuring effective communication with all stakeholders, and maintaining high...Full time
- ...TEEMA is seeking a Workers’ Compensation Claims Examiner III in Albuquerque, NM, for a senior‑level role with hybrid work options. You will manage a large, complex caseload from inception to resolution, with oversight from a Claims Supervisor and direct client interaction...
- Tristar-d43fac80 is seeking a claims professional to manage indemnity claims for workers’ compensation. The role involves handling up to 150 files, initiating investigations promptly, and determining compensability in accordance with state law and company guidelines. The...
$80k - $100k
...PRIMARY PURPOSE To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry...Flexible hours- TRISTAR Insurance Group is seeking a Workers' Compensation Claims Examiner II for a fully remote role serving Milwaukee area employees. The examiner will manage up to 150 workers’ compensation files, investigate promptly, and determine claim compensability per state law...Remote work
$44 - $48 per hour
...A staffing and consulting firm in Los Angeles is seeking a Workers' Compensation Specialist/Senior Claims Examiner. This position involves overseeing claims from start to finish ensuring timely administration of benefits and compliance with statutory regulations. The successful...Hourly pay$59.7k - $111.2k
...consultant with the global resources of the world’s leading professional services firm, Marsh (NYSE: MRSH). About the Role As a Workers’ Compensation Claims Consultant on the Claims team, you will obtain claims status updates from carrier partners, provide suggestions and...Minimum wageLocal area$75k - $90k
...Overview Our client is looking to add a Workers’ Compensation Claims Examiner to their Connecticut team. This person will handle Lost Time and Medical Only claims from inception to resolution. Candidates must be well versed in Connecticut Law and hold an active CT Adjuster...$60.23k - $85k
...caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. To analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service...Flexible hours- ...Responsibilities Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; Manages claims through well-developed action plans to an appropriate and timely resolution...
- ...Gallagher is seeking a Senior Claims Examiner for a remote role based in California. You’ll help clients navigate Workers' Compensation claims and work with a team to deliver timely, accurate outcomes while keeping client satisfaction at the forefront. The ideal candidate...Remote work
- ...Cannon Cochran Management Services, Inc. (CCMSI) is seeking an experienced Workers’ Compensation Claim Adjuster for a hybrid role based in Jackson, MS. You will investigate, evaluate, and manage a portfolio of 100–125 workers’ compensation claims across multiple client...
$85k - $105k
...Sedgwick Claims Management Services Ltd is seeking a claims manager in Long Beach, California. The role involves analyzing workers' compensation claims for clients, ensuring timely adjudication, and negotiating settlements. Candidates should have 5 years of claims management...Flexible hours$60.23k - $90k
...include empathy, accountability, collaboration, growth, and inclusion. Are You an Ideal Candidate? To analyze California workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service...Flexible hours- ...The Hartford’s Denver-based Senior Claims Representative role focuses on planning, investigating and resolving workers’ compensation claims with accuracy and timely decisions. You will oversee benefit calculations, file disposition, and regulatory adherence while collaborating...
- ...Analyzing Workers Compensation claims on a part-time temporary basis, the New York Workers Compensation Examiner will adjudicate complex customer claims, negotiate settlements, and communicate claim activity while working remotely. Key responsibilities Analyze and process...Temporary workPart timeRemote work
$80k - $100k
...Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve...Work at officeRemote workFlexible hours- ...Sedgwick in Montana is seeking a Claims Examiner - Workers Compensation to analyze mid- to high-level claims and determine benefits due, ensuring adjudication aligns with client standards and industry best practices. You will investigate, negotiate settlements, and...Remote workFlexible hours
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