UNKNOWN

ADAPTED_NOW

HOUR

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. Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.

ICONMA&nbsp;is a global information consulting management firm providing Professional Staffing Services and Project-Based Solutions for organizations in a broad range of industries.
<ul class="ic_list">
<li>Corporate Headquarters in Troy, Michigan; 20+ locations worldwide.</li>
<li>Certified Woman-Owned Business Enterprise (WBE); certified by Women&rsquo;s Business Enterprise National Council, National Women Business Owners Corporation (NWBOC); and California Public Utilities Commission (CPUC).</li>
<li>Founded in 2000</li>
<li>2000+ Employees</li>
</ul>
The company was founded on the principle that success is derived from delivering high quality service and resources in the most responsive, flexible, and innovative way. ICONMA invests in people and resources with a single goal: To provide our customers with the highest quality service in the most responsive manner. Through its network of offices, ICONMA provides the resources to help clients maintain their competitive advantage.

Iconma

Claims Examiner - Workers Compensation (Hourly)

Iconma Staffing

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 best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. 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.

Claims Examiner - Workers Compensation

PERMANENT

FULL_TIME

Responsibilities include, but not limited to: Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including: Contractual agreement rates. Job Description : Claims Auditor will be responsible for auditing claims processed by Claims Examiners.

Health Source MSO

Claims Auditor

monster

FEED

Be able to seamlessly transition between various methods of inspection, including video, or photo, to write a damage estimate: Possess strong organizational, time management, and prioritization skills to handle varying workloads due to seasonal volume changes and catastrophes. Knowledge and Skills: As a Property Claims Examiner 2, you will: Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims.

YEAR

Mercury Insurance Company

Property Claims Examiner II

OTHER

This role requires strong technical expertise, sound judgment, and the ability to handle highly complex indemnity claims within established authority limits. This is a highly interactive role requiring regular communication with clients, claimants, attorneys, medical providers, and internal stakeholders.

TEEMA Group

Workers Compensation Claims Examiner

WorkWolf

The position may be primarily remote; however, candidates must reside in or very near San Diego and be available to attend onsite client meetings and file reviews. We are seeking an experienced Professional Liability Claims Examiner III to manage complex California professional liability claims, including litigated matters.

TEEMA

Professional Liability Claims Examiner III

The Senior Claims Examiner will adjust workers’ compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements. Must possess a current Experienced Indemnity Claims Adjuster Designation, provided by an insurer, as defined in California Code of Regulations, Title 10, Chapter 5, Subchapter 3, Section 2592.01(f).

Elite

Workers Compensation Claims Examiner (California Jurisdiction)

A typical day will include the following: Evaluates each claim in light of facts; Affirm or deny coverage; investigates to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.

Philadelphia Insurance Companies

Sr. Claims Examiner - PIP

Physical activity necessary to perform the job and frequency (e.g., continually, frequently, or occasionally): Climbing: Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like, using feet and legs and/or hands and arms. This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore consistently being at work in the office, in a timely manner, is inherently required of this position.

TRISTAR Insurance Group, Inc

Claims Examiner III (Hybrid)

Physical activity necessary to perform the job and frequency (e.g., continually, frequently, or occasionally): Climbing: Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like, using feet and legs and/or hands and arms. This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore, consistently being at work in the office, in a timely manner, is inherently required of this position.

Claims Examiner II (Hybrid)

Workers Compensation Claims Examiner III _ Temp

Adjudicate all claims types including Dental, Vision and Medical claims for inpatient and outpatient facilities, Blue Card, physician claims, In and Out of Network claims, Medicaid reclamation (HIPD), outpatient lab and radiology, accident and Third-Party Liability (TPL) claims, by calculating benefit due to approve or deny, based on SPD and within accepted corporate cycle timeframe. Claims Examiner I is responsible for reviewing and processing medical, dental, vision, and electronic claims per state, federal, and health plan regulatory requirements and department guidelines, as well as meeting established quality and production performance benchmarks, including research and review of applicable documentation.

Western Growers

Claims Examiner I (50480)

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 best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.

Looking for a great job? Join eTeam. We’re looking for talented staffing professionals to join our staff. We also provide contract assignments and full-time jobs at Fortune 2000 Companies. We’ve been named one of the best companies to work for by Staffing Industry Analysts and New Jersey Business.

eTeam Inc.

jobdiva

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 best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.

Tokio Marine HCC - Surety Group, a member of the Tokio Marine Group of Companies, has an exciting opportunity for an Associate Claims Examiner position on-site at our office in Los Angeles, California. We are looking for motivated individuals to join our team of highly skilled claims examiners who are part of a successful division that specializes in surety bond business.

HCC Life Insurance

Claims Examiner

ea_via_bold

HCC Life Insurance Company

ATHENS POSITION DETAILS Position Title: Assistant Claims Examiner - Flex Department: Workers’ Compensation Reports To: Claims Supervisor FLSA Status: Non-Exempt Job Grade: 6 Career Ladder: Next step in progression could include Future Medical Examiner or Claims Examiner Trainee ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. POSITION SUMMARY Athens Administrators has an immediate need for an experienced Assistant Claims Examiner - Flex to support our Workers’ Compensation department and can be located anywhere in the state of California, however, employees who live less than 26 miles from the Concord, CA or Orange, CA offices are required to work once a week in the office on a day determined by their supervisor between Tuesday – Thursday.

Athens Administrators

Assistant Claims Examiner - Flex

We are hoping you will join us as a Claims Examiner Sr and help shape the future of healthcare where you'll be an integral part of our Claims Administration team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.

CalOptima

Claims Examiner Sr

Tokio Marine HCC – Surety Group, a member of the Tokio Marine Group of Companies, has an exciting opportunity for an Associate Claims Examiner position on-site at our office in Los Angeles, California. We are looking for motivated individuals to join our team of highly skilled claims examiners who are part of a successful division that specializes in surety bond business.

Tokio Marine HCC

Investigation and overpayment administration: Facilitate claims investigation, negotiate settlements, interpret medical records, respond to Department of Insurance complaints, and authorize payment to claimants and providers. Overpayment reviews and recovery of claims overpayment; corrected financial histories of patients and service providers to ensure accurate records.

Claims Examiner Jobs in California

Claims Examiner - Workers Compensation (Hourly) Iconma

Claims Examiner - Workers Compensation Iconma

Claims Auditor Health Source MSO

Property Claims Examiner II Mercury Insurance Company

Workers Compensation Claims Examiner TEEMA Group

Professional Liability Claims Examiner III TEEMA

Workers Compensation Claims Examiner (California Jurisdiction) Elite

Sr. Claims Examiner - PIP Philadelphia Insurance Companies

Claims Examiner III (Hybrid) TRISTAR Insurance Group, Inc

Claims Examiner II (Hybrid) TRISTAR Insurance Group, Inc

Workers Compensation Claims Examiner III _ Temp TRISTAR Insurance Group, Inc

Claims Examiner I (50480) Western Growers

Claims Examiner - Workers Compensation eTeam Inc.

Claims Examiner - Workers Compensation (Hourly) eTeam Inc.

Claims Examiner HCC Life Insurance

Claims Examiner HCC Life Insurance Company

Assistant Claims Examiner - Flex Athens Administrators

Claims Examiner Sr CalOptima

Claims Examiner Tokio Marine HCC

Claims Examiner I GuideWell Mutual Holding Corp

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