Claims Examiner
LanceSoft
Job Title
Job Description:
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 best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
Requirements:
California WC claims knowledge
SIP certificate
Min. 3 Years of experience
Remote in CA
NIT001
LanceSoft- ...Claims Examiner - Workers Compensation (Hourly) Our client, a Business Solutions company, is looking for a Claims Examiner - Workers Compensation (Hourly) for their Brea, CA location. Responsibilities: Analyzes and processes complex or technically difficult workers...SuggestedHourly pay
- Sedgwick is hiring a Workers Compensation Claims Examiner to analyze and adjudicate complex claims from a remote CA location. Must reside in California. Responsibilities include analyzing claims, negotiating settlements, and communicating with claimants and clients while...SuggestedRemote job
$72k - $141k
...using their talents to their fullest potential. This individual contributor role operates under broad authority to manage commercial claims of high complexity and exposure within the Commercial Auto/General Liability/ Construction Auto and General Liability line(s) of...SuggestedFull timeWork experience placementWork at officeFlexible hours$65k - $100k
...Job Title ~3rd Party Property Claims Adjuster/Examiner Location ~222 S Harbor Blvd, #720, Anaheim, CA 92805 Salary ~$65,000 - $100,000/year Position Type ~ Full-time ~ Non-exempt (Hourly) or Exempt (Salaried) ~ Monday – Friday ~8:30 am – 5:3...SuggestedHourly payFull timeWork experience placementCasual workRemote workMonday to FridayFlexible hours$76.4k - $180k
Executive Underwriter - UW07BDSenior Underwriter - UW08BAUnderwriter - UW08BBWe’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - ...SuggestedFull timeTemporary workWork at office3 days per week$72k - $141k
...potential. This individual contributor position works under general direction, and within broad authority limits, to manage commercial claims with high complexity and exposure for a specific line of business. Responsibilities include the coordination of all claim...Full timeWork experience placementWork at officeLocal areaShift work- ...Job Title Duration: 3+ months contract Responsibilities Review, adjudicate, and process medical claims for HMO patients Work closely with affiliated medical groups and hospitals Evaluate provider reimbursement terms and flag non-contracted providers...Contract work
$24 per hour
...Job Opportunity Contract role. Contract to hire potential for the right candidate! The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims...Contract workWork at office- ...Claims Examiner Days LOCATION: 9557 Greenleaf Avenue, Whittier, CA SHIFT: Monday - Friday - 07:00am - 03:30pm PLEASE NOTE ORIENTATION TIME MAY DIFFER THAN SHIFT TIMES LISTED DURATION - 13 weeks 2 YEARS EXPERIENCE REQUIRED - MUST BE ABLE TO VERIFY HS DIPLOMA...Contract workWork at officeMonday to FridayShift work
$54k - $103k
...potential. This individual contributor position works under moderate direction, and within defined authority limits, to manage commercial claims with moderate to high complexity and exposure for a specific line of business. Responsibilities include investigating and resolving...Work experience placementWork at officeLocal areaFlexible hours$99.6k - $186k
Executive Underwriter - UW07CDSenior Underwriter - UW08CAWe’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish...Full timeTemporary work$97k - $189k
...potential. Individual contributor responsible for the direct handling and overall management of the most complex, highest exposure claims in the Mass Tort Claims Unit. This individual contributor is recognized as the most senior claims professional. Responsible for handling...Full timeWork experience placementWork at officeLocal areaShift work$23 - $26 per hour
Job TitleCome join our amazing team and work remote from home!Job DescriptionThe Loss Mitigation Underwriter I will be responsible for underwriting loan modifications applications in accordance with Treasury, company and investor guidelines while following company's policies...Hourly payExtra incomeRemote workWork from home- ...Claims Examiner Days Location: 9557 Greenleaf Avenue, Whittier, CA Shift: Monday - Friday - 07:00am - 03:30pm Duration: 13 weeks Experience Required: 2 years Must be able to verify HS diploma or GED or higher education Position Summary: The claims examiner...Monday 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
$60 - $80 per hour
...accordance with departmental guidelines: Interprets more complex or unusual policy coverages and determines if coverages apply to claims submitted, escalating issues as needed. Sets activities, reserves and authorizes payments within scope of authority. Ensures...Contract workTemporary workWork at office$72k - $96.5k
About the Role: The Claims Examiner is an early-career professional who supports Disney’s Corporate Risk Management organization by administering workers’ compensation claims in a way that protects the brand while enabling world-class storytelling and guest experiences....Permanent employmentFull timeTemporary work- locations: Anaheimtime type: Full timeposted on: Posted 6 Days Agojob requisition idJOB TITLE: Claims Adjuster, Public Entity DEPARTMENT: Claims Services EFFECTIVE DATE: COMPANY OVERVIEW: Carl Warren & Company is a leading nationwide Third-Party Administrator (TPA) founded...For subcontractor
- CWC01 Carl Warren & Company LLC is seeking a Claims Adjuster, Public Entity to manage public sector claims, ensuring high-quality outcomes per client guidelines. The ideal candidate will have 3+ years of claims experience, strong judgment, and investigative skills. This...
- **JOB TITLE:** Claims Adjuster, Public Entity**DEPARTMENT:** Claims Services**REPORTS TO:** Claims Manager / Director of Claims**FLSA STATUS:** Exempt**COMPANY OVERVIEW**Venbrook Claims Services is the claims business group of Venbrook Group, LLC, a holding company with...Temporary workFor subcontractorWork at officeFlexible hours
$80k - $90k
A leading claims services firm in California seeks a Claims Adjuster for public entity clients. The role involves managing property and casualty claims, conducting thorough investigations, and delivering high-quality outcomes. Candidates should have 3+ years of claims...- Venbrook Group, LLC is hiring a Claims Adjuster in Anaheim, CA, to manage and handle litigated auto and general liability claims. The ideal candidate will have at least 3 years of experience, field investigation skills, and a college degree or relevant designations. The...
$97k - $189k
...closely with senior level leaders and within the broadest authority limits, to manage the most complex, highest exposure commercial claims for a specialized line of business. Responsibilities include the management of all claim resolution activities in accordance with...Full timeWork experience placementWork at officeLocal areaFlexible hoursShift work- 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 job
- The Walt Disney Company is seeking an early‑career Claims Examiner to support California workers’ compensation claims within Corporate Risk Management. You will independently manage a portfolio of occupational injuries, applying sound judgment and problem‑solving to deliver...
- 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...
- 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...
- ...Summary Under minimal supervision, manages all aspects of indemnity claims handling from inception to conclusion within established... ...within company guidelines; limits are larger than those for Claims Examiner I and II. Settles and/or finalizes all claims and obtains...Temporary workWork at office
- ...A dynamic claims adjusting firm in California is seeking Independent Insurance Claims Adjusters to join their team. This role offers a rewarding career path where you can make a positive impact on people's lives while enjoying flexibility and competitive compensation....
- ...Mercury Insurance is seeking a Property Claims Field Adjuster after completing the training program. The role involves investigating and settling moderate homeowners' claims, with on-site inspections at least half the time and the option to handle some claims virtually...
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