Workers Compensation Claims Examiner
Jobtailor
Responsibilities Analyze workers' compensation claims on behalf of our valued clients to determine benefits due. Ensure ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Analyze and process claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim. Negotiate settlement of claims within designated authority. Communicate claim activity and processing with the claimant and the client. Report claims to the excess carrier and respond to requests of directions in a professional and timely manner. Requirements 5 years of claims management experience or equivalent combination of education and experience required. High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. California workers' compensation claims experience required | SIP Preferred. #J-18808-Ljbffr
- ...supervision manages all aspects of indemnity claims handling from inception to conclusion... ..., and with management, other Claims Examiners, and other TRISTAR staff in the office... ...manages a caseload of 150 to 180 workers’ compensation files, including very complex claims.*...SuggestedTemporary workWork at officeLong distance
- ...supervision, manages all aspects of indemnity claims handling from inception to conclusion... ...manages a caseload of 150 to 180 workers’ compensation files, including very complex claims.... ...are larger than those for Claims Examiner I and II. Settles and/or finalizes all...SuggestedTemporary workWork at office
- ...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...Suggested
$20 - $22 per hour
...Workers Compensation Claims Assistant By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our...SuggestedWork at officeFlexible hours- ...Industry Advancement Program | Workers Compensation Claims Representative Trainee | In Office, Brea, CA Are you looking for an impactful job... ...processing with claimant and client. Supporting other claims examiners and claims supervisors with larger or more complex claims...SuggestedTemporary workTraineeshipWork at officeLocal area
$67 per hour
...Description Job Description Job Profile Job Title: Claims Examiner Location: Remote Hire Type: Contingent Pay... ...: Positional Overview We are seeking an experienced Workers Compensation Claims Examiner to manage and resolve complex workers’ compensation...Work at officeRemote workMonday to FridayShift work- ...Responsibilities Investigates and maintains Long Term Care claims Reviews coverages, determines liability and compensability, secures information, and negotiates and settles claims Coordinates and performs investigations and evaluates claims and suits through contact...Work at office
$70.4k - $116.2k
...loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position... ...or Irvine location. Under general supervision, manage Workers' Compensation claims with lost time to conclusion and...Permanent employmentContract workWork experience placementWork at officeLocal areaRelocation package2 days per week$50 - $52 per hour
...A staffing firm based in California is seeking a Workers' Compensation Claims Adjuster to manage California Workers' Compensation Indemnity claims from inception to closure. This remote position requires at least 3 years of experience with California Workers' Compensation...Hourly payRemote work$52.6k - $86.8k
...loving what you do and where you do it. Compensation Overview The annual base salary range provided... ...1 What Is the Opportunity? Travelers' Claim Organization is at the heart of our... ...employees in their time of need. The Travelers Workers Compensation Claim team is committed to...Work experience placementInternshipLocal area- Travelers Canada in Diamond Bar is looking for an Associate Claim Rep in Workers Compensation. This entry-level position offers extensive training on insurance policies and claims management, ideal for candidates with customer service experience or a Bachelor's Degree....
- ...Responsibilities 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...
$60k
...Job Title Claims Examiner – Workers Compensation Location & Compensation Location: 222 S Harbor Blvd, #720, Anaheim, CA 92805 Salary: $60,000.00 per year Responsibilities Analyze complex or technically difficult workers' compensation claims to determine benefits due....Contract work- ...Descriptions: 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,...Full timeWork at office
$75k - $80k
...Want to learn more about this role and Jobot? Click our Jobot logo and follow LinkedIn page! Job details Workers’ comp claim Specialist for a grocery chain in the OC! Drive compliance, investigations, and return-to-work in a fast-paced, growing retail environment. This...Permanent employmentFull timeWork at officeImmediate start- ...AvonRisk LLC in California is seeking a Claims Handler to effectively manage an assigned inventory of claims, ensuring timely resolution and compliance with regulations. The ideal candidate will have at least seven years of experience in claims handling, including complex...
$80k - $100k
...Summary Reports directly to the unit Claims Supervisor and may be called upon to provide technical backup in the absence of the... ...the Labor Code of the State of California as it pertains to workers compensation claims and the legal requirements for handling them. Litigation...- Tristar Insurance in Chino Hills seeks a Claims Manager to oversee all aspects of indemnity claims handling. You will manage a caseload of 150 to 180 complex workers' compensation files and communicate effectively with various stakeholders, ensuring claims are resolved...
- Tristar-d43fac80 in California is seeking a Claims Examiner to manage all aspects of indemnity claims from inception to closure. The... ...stakeholders. The examiner will handle 150 to 180 complex workers’ compensation cases, ensuring compliance with regulations and efficient...
$33 - $43 per hour
Job Overview We are seeking a detail-oriented Compensation Specialist to join our team. The ideal candidate will have experience with workers' compensation claims and the ability to handle sensitive employee information. Responsibilities Maintain current knowledge...Full timeFlexible hours$70.4k - $116.2k
...primary residence. This position will office out of the Diamond Bar or Irvine location. Under general supervision, manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate to resolve claims. Coordinate medical and...Permanent employmentWork at officeRelocation package2 days per week$33 - $43 per hour
Job Overview We are seeking a detail-oriented Compensation Specialist to join our team. The ideal candidate will have experience with workers' compensation coverage and claims within California. What you'll do Manage and monitor WC claim data end-to-end — from initial...Hourly pay$24.04 - $30.77 per hour
...Workers’ Compensation Resolution Specialist I West Covina, CA / Rocklin, CA About Gemini Legal If you are seeking meaningful work in a company... ...resolve accounts/cases associated with workers' compensation claims in outstanding AR greater than 1 year. This role demands a...Hourly payFull timeWork at officeRemote workMonday to Friday$24.04 - $30.77 per hour
...The Workers’ Compensation (WC) Resolution Specialist I is responsible for managing and resolving workers’ compensation claims with an outstanding adverse response (AR) greater than one year. This role requires a strong understanding of workers’ compensation regulations...Hourly payWork at officeRemote workMonday to Friday$65k - $85k
...Workers Compensation Claims Adjuster | HYBRID | Brea, CA By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with...Contract workWork at officeRemote workFlexible hours$75k - $105k
...Workplace® Forbes Best-in-State Employer Senior Adjuster Workers Compensation - (Hybrid Schedule) HYBRID ROLE: Must be able to go into... ...complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims...Work at officeLocal areaFlexible hours2 days per week3 days per week$27.69 per hour
...National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Representative (IAP) - Workers Compensation Training Program | Brea, CA Are you looking for an impactful job that offers an opportunity to develop a...TraineeshipWork at officeFlexible hours$120.4k - $198.7k
...collaboration. Imagine loving what you do and where you do it. Compensation Overview The annual base salary range provided for this... ...outstanding client service. We handle litigation arising from claims asserted against policyholders or the company and take cases from...Work at officeLocal areaFlexible hours$100k - $220k
...California, United States - (Remote/Hybrid) California residency not required. The Law Offices of Bradford & Barthel, LLP seeks workers' compensation attorneys throughout the State of California. We offer a diverse and inclusive work environment with a competitive benefits...Remote workFlexible hours$22 per hour
...Workers Compensation Claims Associate By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our...Work at officeLocal areaFlexible hours
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