Sr Claim Examiner- WC
TPI Global
Sr Claim Examiner- WC 04-month contract with possible extension or conversion Remote Must have multiple years' experience handling CA WC. Must work in PST hours. Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted. Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel. Analyzes claims activity and prepares reports for clients/carriers and management. Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost-effective manner and ensuring timely issuance of disbursements. Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits. Develops subrogation and third-party recovery potential and follows reclaim procedures. Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews. Ability to work independently while assimilating various technical subjects. Strong written and oral communication, negotiation and presentation skills. Advanced analytical and problem-solving skills, with the ability to manage and prioritize multiple projects. Bachelor's degree or equivalent experience required. Comprehensive claims investigations/settling experience 1-3 years' experience in Claims or similar organization
$75.8k - $124.1k
...Sr. Claims Specialist, Workers Compensation 135736 What can happen when you grow your career? Now's the time to take the next step and make a difference. At Zurich, we want your ideas and experiences to help us grow and create lasting change. Know someone who would...SeniorFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorship$100k - $125k
...Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL | Remote Primary Purpose To analyze complex or technically difficult errors and...SeniorWork at officeLocal areaRemote workFlexible hours- ...empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with...SeniorLocal areaRemote work
- ...Active Adjusters’ License required: California, SIP optional Location: This role is fully remote work. How you'll make an impact Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately...SeniorWork at officeLocal areaRemote workFlexible hours
$100k - $125k
A leading risk and claims administration firm is seeking a Sr. Claims Specialist to handle complex professional liability claims remotely. The role requires at least six years of claims management experience. Responsibilities include analyzing claims, conducting investigations...SeniorRemote work- Overview BHHC has an immediate opportunity for experienced Workers Compensation Claims Professionals. This position requires a self-starter who can work under minimum direction, can achieve defined results, and is willing to accept ownership for their work product....SeniorWork at officeImmediate startWork from home
$23.16 - $35.88 per hour
...A healthcare organization seeks a Stop Loss Claims Analyst based in California. The successful candidate will process claims, evaluate compliance with policies, and build client relationships. This role requires at least 5 years of experience in health insurance claims...SeniorHourly payWork at office- ...Senior Workers Compensation Claims Specialist Are you looking for an opportunity to join a fast-growing company that consistently... ...independent adjusters, cause and origin experts and independent medical examiners. Refers to claim to subrogation group or Special...SeniorWork experience placementRemote work
$23.16 per hour
...Job Description : JOB SUMMARY This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for building positive client relationships, providing...SeniorFor contractorsWork at officeLocal area$62.4k - $93.6k
...Sr Representative Claims - CH08BE We'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 theirs,...SeniorTemporary workRemote workMonday to Friday3 days per week- Your Role The Customer Experience organization is responsible for ensuring Stellarus' most critical customers achieve measurable, sustained value from the platform and maintain long-term trust and partnership with the company. The Senior Principal, Strategic Account...Senior
$20 - $23 per hour
...Claims Examiner I Western Health Advantage Location: Sacramento, CA (Hybrid) Salary $20.00 – $23.00 hourly Position Type: Full-Time "Purpose that inspires. Impact that improves lives. Join us in building healthier communities." Western Health Advantage As a Claims...Hourly payFull timeWork experience placementWork at office$95k - $105k
...Job Title: Senior Claims Representative, Property Pay Information: Exempt, $95,000 - $105,000 per year Location: Remote first... ...California, Oregon, Washington, or Nevada. Job Purpose: The Sr. Claims Rep, Property will manage, coordinate and appropriately...SeniorFull timeFor contractorsWork at officeRemote workNight shift- ...Claims Examiner I We are seeking a detail-oriented Claims Examiner I to join our Claims team. This role is responsible for reviewing, analyzing, and adjudicating medical claims accurately and within established regulatory timelines. The ideal candidate will ensure claims...Temporary workWork at officeLocal area
- ...Responsibilities Effectively manages a caseload of indemnity claim files, including very complex and litigated claims. Initiates and... ...State Audit and reporting responses. Mentors less experienced Examiners. Other duties as assigned, including claims management of other...
$63.4k - $85k
...Claims Examiner - Workers Compensation (Remote) Primary Purpose of the Role We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. Are You an Ideal Candidate...Remote workFlexible hours$114k - $177.8k
RELOCATION ASSISTANCE: Relocation assistance may be availableCLEARANCE REQUIRED FOR START: YesCLEARANCE TYPE: SecretTRAVEL: Yes, 10% of the TimeDescriptionAt Northrop Grumman, our employees have incredible opportunities to work on revolutionary systems that impact people...SeniorFull timeRelocation packageShift work$80k - $100k
...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$104.13k - $175.6k
Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our journey as...SeniorFull timeWork at officeLocal area- A leading claims management company is seeking a Claims Examiner in Sacramento, California. This remote role focuses on analyzing and processing workers compensation claims while adhering to industry standards. Candidates should have 5 years of claims management experience...Remote workFlexible hours
- ...Sedgwick in California is seeking a seasoned Workers’ Compensation Claims Examiner to adjudicate complex CA claims and determine benefits due. You’ll manage intake, analyze exposure, negotiate settlements within authority, and communicate with claimants and clients to...Flexible hours
- Senior Principal, Strategic Account Manager The Customer Experience organization is responsible for ensuring Stellarus' most critical customers achieve measurable, sustained value from the platform and maintain long-term trust and partnership with the company. The Senior...SeniorFull timePart timeWork at officeWork from homeHome office2 days per week
$129.3k - $193.9k
...guidance on ClearCase and CM best practicesContribute to software design, development, testing, and debuggingBasic Qualifications for a Sr. Principal Software Configuration AnalystBachelor’s degree in STEM discipline (Science, Technology, Engineering or Mathematics) with...SeniorFull timeRelocation packageShift work$70k - $85k
...Sedgwick is seeking a Liability Claims Adjuster to manage general liability, bodily injury, and property damage claims in California, Florida, and New York. The position requires 3 years of claims management experience and offers a pay range of $70,000 – $85,000 alongside...Flexible hours$4,470 - $5,078 per month
...satisfaction Collaborate Across Departments Work closely with Claims, Marketing, and Loss Prevention Participate in projects... ...How To Apply Complete Application Packages (including your Examination/Employment Application (STD 678) and applicable or required...SeniorPermanent employmentFull timeContract workWork at officeRemote workFlexible hours$300k - $400k
Job Summary: The Sr. Sales Executive, or Sr. Healthcare Transformational Consultant (HTC), is tasked with leading new logo sales pursuits for Abacus's Healthcare Business Unit aimed at enhancing operational efficiency, supporting clinicians, and improving patient care...SeniorFull timeWork at officeFlexible hours- ...Gallagher Bassett in the United States is seeking an experienced Claims Adjuster specialized in workers' compensation to join a fully remote team. The role focuses on analyzing claims exposure, coordinating with clients, and delivering timely resolutions while upholding...SeniorRemote work
$90k - $117k
Job Summary Seeking a highly skilled and motivated CA Workers Compensation Claims Adjuster to join a team. This is a permanent position with an immediate start date. The ideal candidate will have a strong background in public entity claims, excellent communication and...SeniorPermanent employmentImmediate start$90k - $100k
...for their Remote Direct Hire opportunity. #INDR Required Qualifications Minimum of 3-5 years of current California WC experience Experience adjusting claims for a TPA or insurance carrier required. Current on continuing education Preferred Qualifications SIP About...Temporary workLocal areaRemote work$90k - $117k
...The Jonus Group is seeking a CA Workers' Compensation Claims Adjuster in Sacramento for a permanent role with an immediate start date. You will manage a caseload of 120-130 claims, including medical-only and future medical, focusing on public entity experience and accurate...SeniorPermanent employmentImmediate start
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