LTD Case Specialist — Claims, Settlements & Benefits
Sedgwick Claims Management Services Ltd
Sedgwick is seeking a LTD Case Specialist (Hourly) in West Hills, CA. You will analyze claims to determine benefits due, assess need for outside vendors or medical evaluations, and negotiate settlements within authority. You will also process payments and revisions to benefits while ensuring compliance with plan provisions. The role requires a Bachelor's degree preferred, four years of medical disability experience, and strong communication, analytical and negotiation skills. #J-18808-Ljbffr Sedgwick Claims Management Services Ltd
$26.55 - $30 per hour
## LTD Case Specialist (Hourly)Applylocations: West Hills, CAtime type: Full timeposted... ...PRIMARY PURPOSE****:** To analyze claims and determine benefits due ensuring compliance with plan... ...medical evaluations; to negotiate settlements and to make claim payments and revisions...ClaimsHourly payWork at officeLocal areaFlexible hours$26 - $60 per hour
...and motivated Personal Injury Case Managers to join our team. As... ...clients receive the maximum settlement outcomes they deserve. Department... ...and procedures. Open claims with insurance companies and... ...preferred but not required. Benefits 401(k) Dental insurance Health...ClaimsFull timeWork at office- ...California-barred attorneys. Benefit from full benefits, a bonus structure... ...management, and practical claim resolution. Our team works... ..., motions, pleadings, settlements, and other litigation-related... ...proceedings as needed. Manage cases on appeal and work within applicable...ClaimsRemote workFlexible hours
$75k - $165k
...filled at either the Underwriting Specialist or Executive Underwriter... ...more years of experience in the Claims or Underwriting Support area... ...pay and comprehensive benefits for employees and their families... ...Recruiting Agency Portal. #J-18808-Ljbffr Zurich 56 Company LtdClaimsContract workTemporary workApprenticeshipWork at officeLocal area- Job Description Now Hiring: RN Case Manager - Los Angeles, CA... ...patients/employees receiving benefits under insurance lines including... ...of service (W/C, Health, STD, LTD, Auto, Liability, TPA, Catastrophic... ...RTW. May review files for claims adjusters and supervisors. May...ClaimsFull timeWork at officeLocal areaImmediate start
- ...Revenue Cycle Operations, the Revenue Cycle Specialist participates in all aspects of insurance... ...needed to resolve denials and pending claims. Generate patient correspondence to be... ...Review data on insurance explanation of benefits (EOB’s) to ensure accurate payment posting...ClaimsWork at office
- ...caseload of workers’ compensation claims from inception to resolution.... ..., depositions, and mandatory settlement conferences before the WCAB.... ...clients throughout their case. Draft pleadings, motions, trial... ...potential Comprehensive benefits including health, dental, vision...ClaimsCasual workWork at officeFlexible hours
$24 - $33 per hour
...Twitter) and Facebook. Position Summary As a Reimbursement Specialist II, Follow Up & Appeals, you will play a vital role... ...Track, report, and resolve complex outstanding claims. Troubleshoot Explanation of Benefits (EOBs) and identify reasons for claim denials or low...ClaimsWork experience placementWork at officeRemote workWork from home- ...deserve. The firm has secured significant case results and is known for its client-... ...personal injury cases from inception through settlement. This is a dynamic, client-facing role requiring... ...injury cases, including: Reporting claims to insurance companies Coordinating...ClaimsWork at office
$70.4k - $92k
...opportunities, competitive compensation, full benefits, an Employee Stock Ownership Plan and... ...success. Your Next Opportunity The HSE Specialist I is an entry‑level professional safety... .... Support incident, near‑miss, and claim investigations and communications. Maintain...ClaimsFull timeFor contractorsWork at officeLocal areaFlexible hours$88.5k - $134.85k
...Virgin Galactic (VG) is seeking a Manager, Benefits to implement and execute on the strategy... ...carriers on eligibility files, escalated claims, and data accuracy. Coordinating Short-... ...Being responsive and timely to escalated cases and appeals that are sent from the benefits...ClaimsFull timeTemporary workWork at officeLocal area- ...needs. Interfaces with Primary Care Physicians, Specialists and various disciplines on the development of case management plans/programs. Monitors and evaluates... ...patient. Coordinates transmission of clinical and benefit treatment to patients, families and outside agencies...Contract workWork at office
- ...Responsible for Human Resources functions including but not limited to: benefits administration, administrative duties, conducting New Employee Orientation, handling of worker’s compensation claims, unemployment claims, employee verifications, employment, i.e. qualifying...Claims
- ...behavioral health care manager, nurse practitioner and Community Engagement Specialist with delegated tasks Collaborates on care issues with Enhanced Care Management team by participating in systematic case reviews and consulting with nurse care manager, behavioral health...Full timeWork experience placementLocal areaRemote workWork from homeFlexible hours
$54.1k - $155.54k
...Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and... ...and regulatory standards while assessing benefits and/or member's needs to ensure appropriate... ...multidisciplinary focus to benefit overall claim management. Using a holistic approach, consults...ClaimsHourly payFull timeLocal areaRemote workWork from homeFlexible hours$64.8k - $88.47k
...tier medical, dental and vision benefits, health & wellness support,... ...and clients. The EEO Specialist must adeptly balance customer... ...position statements, negotiating settlements via direct discussions with plaintiff... ...matter.Maintains accurate case files and corresponding...Local area$200k - $250k
...contests, breach of fiduciary duty claims, trustee removal, contested accountings... ...Represent clients in mediations and settlement negotiations Prepare cases for trial in California probate and... ...up to $250,000, plus competitive benefits Approximately 1,600 annual billable...ClaimsFlexible hours- ...will be litigating lemon law claims. Previous experience as a plaintiff... ...: Health Insurance Benefits Paid Time Off – Vacation & Sick... ...Vehicle inspections Negotiate settlements Take and defend depositions Draft... ...respond to discovery Assess case value and strategy Maximize...ClaimsCasual work
$170k - $220k
...litigation matters from initial claim evaluation through resolution... ...Handle mediations, settlement negotiations, and trial preparation... ...motion practice, depositions, and case strategy Ability to work... ...of the successful candidate. Benefits Medical insurance (fully paid...ClaimsFull time$60k - $128k
...utilization reports, carrier reports and claims data and trends. COBRA, HIPAA and coordination... ...in a timely manner. Guide and mentor Benefit Analysts throughout the process of... ...education. Decisions will be determined on a case‑by‑case basis. In addition to the base salary...ClaimsWork experience placementWork at officeNight shift- Progressive Insurance is seeking a Senior Claims Specialist to play a critical role in resolving injury claims. This hybrid role involves... ...customer service skills, and the ability to build rapport quickly. Benefits include a competitive salary, 401(k) match, and various...Claims
$75k - $165k
...is seeking an experienced Underwriting Specialist or Executive Underwriter, Construction PL... ...and 6 or more years of experience in the Claims or Underwriting Support area OR Zurich... ...offer competitive pay and comprehensive benefits for employees and their families. [Learn...ClaimsFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorship$24 - $26 per hour
...schedule. Key Responsibilities Follow up on outstanding insurance claims and patient accounts to ensure full resolution and payment.... ...to apply or learn more? Submit your resume today and one of our healthcare recruiting specialists will be in touch! #J-18808-Ljbffr...ClaimsWeekly payContract workMonday to Friday- Progressive Insurance is seeking a Senior Claims Specialist in California locations including Riverside, Irvine, San Diego, Pasadena, and... ...determine coverage, liability and total claim value, while benefiting from coaching and an in-office cadence about four days per month...ClaimsWork at office
$100k - $220k
...attorney team to handle increasing claim volume across the state. You\... ...environment with digital case management and dictation... ...depositions; draft motions and settlement documents; negotiate resolutions... ...for remote legal work. Benefits ~$100,000 to $220,000 USD...ClaimsWork at officeRemote work$100k - $140k
...will be litigating lemon law claims. Previous experience as a plaintiff... ...consumer law is a big plus. Benefits Health Insurance Benefits... ...inspections Negotiate settlements Take and defend depositions Draft... ...respond to discovery Assess case value and strategy Maximize client...ClaimsFull timeCasual work- ...University Health System - Behavioral Health Department is seeking Behavioral Health Specialist II positions across Riverside County, CA. The most competitive candidates will have case management experience and knowledge of mental health services, and the ability to work...
- ...5 years of experience in escrow and real estate, with strong communication skills and the ability to work independently. The position offers an attractive salary and a comprehensive benefits package. #J-18808-Ljbffr C1400 Stewart Title Guaranty Company - United States
- Jobtailor in California seeks a dedicated Case Manager to oversee a caseload and advance health goals using evidence-based approaches. You will support members with navigation of social supports and coordinate follow-ups with multiple care team members. The role requires...Work at office
$100k - $160k
...innovation. The role involves drafting legal documents, negotiating claims, and interacting with clients to build strong relationships... ...ranging from $100K to $160K annually, along with comprehensive benefits. #J-18808-Ljbffr Jacoby & Meyers Accident & Injury LawyersClaimsRemote jobFull time
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