UNKNOWN

ADAPTED_NOW

The role involves reviewing the claim, performing focused assessments of claimed injuries, reviewing medical records, and potentially rendering a medical opinion based on the record review and completed Compensation & Pension (C&P) exam. Conduct Comprehensive Medical Disability Examinations: Perform thorough and focused medical evaluations of Veterans, including reviewing their medical history, conducting physical examinations, and assessing the impact of disabilities on their daily life and functional abilities.

YEAR

OUR MISSION is to be the partner of choice for government agencies by providing a solid foundation, quality processes, and precise outcomes through rapid recruitment and deployment of personnel services.

OUR VISION is to create a culture by empowering people to be treated as partners in order to create effective solutions in which we can all call OUR SUCCESS.

OUR NAME "Loyalty is willing in that it is freely given, not coerced. It is chosen after personal consideration, not something that one is born into. Loyalty is practical in that it is practiced. It is actively engaged upon, not passively expressed merely as a strong feeling about something. Loyalty is thoroughgoing in that it is not merely a casual interest but a wholehearted commitment to a cause." – Royce

Loyal Source

Examiner Physician Assistant

FEED

Proficient computer skills and extensive knowledge of the Microsoft suite of Office products, including Outlook, Word, Excel, and PowerPoint; knowledge of state EDI systems and/or familiarity with CA Workers Compensation terminology are a plus. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.

Chubb is the world&rsquo;s largest publicly traded property and casualty insurance company and the largest commercial insurer in the U.S.
With operations in 54 countries and territories, we are a major personal lines writer, as well as a leading middle market, small commercial and large industrial commercial insurer, providing a wide range of traditional and specialty coverages.
As an underwriting company, we assess, assume and manage risk with insight and discipline. We service and pay our claims fairly and promptly. And we combine the precision of craftsmanship with deep experience to conceive, craft and deliver the very best insurance coverage and service to individuals and families and to businesses of all sizes.
Our products and services are distributed through brokers, independent agents, exclusive agents and various forms of direct marketing.
What we deliver:
<ul>
<li>Extensive product and service offerings</li>
<li>Broad distribution capabilities</li>
<li>Service excellence</li>
<li>Risk expertise</li>
<li>Underwriting discipline</li>
<li>Exceptional financial strength</li>
<li>Local operations globally</li>
</ul>

Chubb Ltd

Claim Technical Assistant

Cash/Claims Processor duties: Manage the flow of processes completed by Cash Processors to ensure all cash is applied in a timely manner to outstanding invoices and provide Cash Supervisor for daily updates. Train associates on how to process transactions, which include researching and applying cash for both Payers and Members, Provide a point of contact for any questions/issues regarding Cash for other areas of Assignment.

Globalchannelmanagement

Cash/Claims Processor

ea_via_bold

Researches and resolves data issues through coordination and communication with internal and/or external clients and team members, ensuring timely application of payments on open receivables. Detailed working knowledge of basic computer operations and systems, i.e. Web-based search engines, Windows, and Microsoft Office products.

ObjectWin Technology Inc

Cash/Claims Processor Assignment

Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for the twelfth consecutive year in a row and for the 20th time overall as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. If hired at ICW Group, your final base salary compensation will be determined by factors unique to each candidate, including experience, education and the location of the role and considers employees performing substantially similar work.

ICW Group

Hearing Representative (California)

To determine the actual offer, Crawford considers a wide range of factors including the candidate's previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours. Keeps VP/Assistant Vice President of Claims informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to VP/Assistant VP of Claims for direction.

Based in Atlanta, Georgia, Crawford &amp; Company is the world's largest independent provider of claims management solutions to the risk management and insurance industry as well as self-insured entities, with an expansive global network serving clients in more than 70 countries. 

The Crawford System of Claims Solutions(SM) offers comprehensive, integrated claims services, business process outsourcing and consulting services for major product lines, including property and casualty claims management, workers compensation claims and medical management, and legal settlement administration 

The Company's shares are traded on the NYSE under the symbols CRDA and CRDB.

Crawford & Co

Team Manager - WC

Team Manager-WC (CA) Seasonal

The employee is regularly required to communicate, frequently required to use repetitive motions, move, remain stationary, regularly push, pull and lift up to 20 pounds and occasionally push, pull and lift up to 40 pounds. OSHA Category 3 - Involves no regular exposure to blood, body fluids, or tissues, and tasks that involve exposure to blood, body fluids, or tissues are not a condition of employment.

NORTHEAST COMMUNITY CLINIC, INC

Billing Manager

Essential Responsibilities: Create and Maintain Reports: For all medical services related to treatment of industrial injuries or illnesses: Create and maintain complete industrial claim files using internal systems. Actual base pay determined at offer will be based on labor market data, internal alignment, and a candidate''s years of relevant work experience, education, certifications, skills, and geographic location.

HOUR

At Kaiser Permanente, we are relentless in our pursuit of excellence. Driven by our mission to provide the highest quality preventive medicine, we are committed to eliminating health care disparities, and to making lives better through innovation, technology, and research.

Our desire to deliver the best possible care inspires us to promote wellness among our members, communities, and each other. It also fuels our belief that everyone — regardless of circumstance — deserves access to affordable care, which further drives our motivation to expand our reach.

Founded nearly 80 years ago, our unique business model sets us apart — positioning us to drive improvements across the industry and around the world.

Kaiser Permanente

Industrial Report Billing

Thoroughly investigate workers' compensation claims by timely contacting injured workers, medical providers, and employer representatives/witnesses and documenting investigation efforts and findings within claim management guidelines. Responsibilities include: determining benefits due; ensuring management of claims within internal claims management guidelines and in compliance applicable laws; and identifying opportunities for and managing subrogation of claims and negotiating settlements.

Nordstrom Inc

Workers Compensation, Risk Analyst 3 (Hybrid)

The Citys liberal fringe benefits for full-time employment include sick leave, holiday and vacation pay, the Public Employees Retirement System, medical, dental and vision insurance, credit union, deferred compensation, tuition reimbursement, Dependent Care Assistance Plan and priority enrollment consideration at Hill & Dale Family Learning Center, Marine Park Child Development Center, and Santa Monica Early Childhood Lab School. If fewer than three qualified City employees pass the examination, the appointing authority, in accordance with the Citys civil service rules and regulations, can decline to use a promotional list, in which case a promotional list will not be established for this position.

City of Santa Monica

SCADA Systems Analyst

By combining global corporate cards and banking with intuitive spend management, bill pay, and travel software, Brex enables founders and finance teams to accelerate operations, gain real-time visibility, and control spend effortlessly. Data Mining: Use SQL and Python to mine large-scale data, and apply LLM-based tools to detect and automate the identification of fraudulent patterns across credit, deposit, and card payment rails.

Brex Inc

Fraud Strategy Associate

Brex Inc.

Demonstrate considerable knowledge and analytical abilities by leading the development of quantitative data analysis and data mining solutions in support of forensic investigations, litigation, and/or in response to regulatory compliance-related inquiries emphasizing the development of database-driven reports to deliver high-quality services while improving client business results. Apply results of data analysis processes with knowledge of financial and emerging management concepts, accounting and operational systems, other business data, performance measures, and benchmarks to identify trends, risk/problem areas, and opportunities to deliver high-quality services or improve client business results.

Crowe

Forensic Accounting Senior Consultant

IRecruitee

Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are preferred. Investigates files by using appropriate field, computer and telephone investigative techniques and provides appropriate documentation of actions in a thorough timely manner.

Military, Veterans and Diverse Job Seekers

SIU Investigator

OTHER

You will balance core corporate accounting tasks—such as invoice coding, budget support, and expense report auditing—with specialized healthcare financial coordination, including claims verification and government revenue reconciliation. Budgeting Processes: Provide data gathering and analytical support for the annual corporate budgeting process and participate in monthly budget-to-actual variance reviews.

TEEMA Group

Staff Accountant

WorkWolf

The Lead Special Investigations Unit Investigator works as an integral member of the Special Investigations Unit (SIU) performing as a Lead team member, providing oversight and guidance with provider training communications and documentation, fraud data analysis, data mining, non-fraud referrals, and the training of SIU team members. Completes investigation after referrals to law enforcement (Department of Health Care Services (DHCS), Centers for Medicare & Medicaid Services (CMS) and Department of Justice (DOJ) or local police) and initiate process with L.A.

L.A. Care Health Plan

Lead Special Investigation Unit Investigator

FULL_TIME

Responsibilities: MV Transportation is seeking an experienced  Safety and Training Manager for proposed business that will be a hands - on manager helping implement programs and procedures in compliance with State and Federal regulations and corporate and client policies and be accountable for the leadership of OSHA/CDL at the division level. Ensures a consistent safety culture throughout the locations that incorporates operations, safety, and maintenance departments and emphasizes the team approach and individual responsibility of all employees to achieve common goals.

MV Transportation

Training and Safety Manager

[AW]-iCims

Provide and/or manage classroom and behind the wheel instruction according to corporate and client specifications in all aspects of vehicle operation in the course of passenger transportation, including defensive driving, service area familiarization, passenger loading, unloading and securement, proper manifest documentation, use of on-board equipment, accident and emergency procedures, dispatch and radio communications, and passenger sensitivity. Review all vehicular, passenger and employee accidents/incidents for determination of cause and preventability, identifying potential trends to be addressed in future training efforts as well as ensuring that retraining and safety points are assessed according to company policy.

Assistant Training and Safety Manager

Acquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance. High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud.

Allied Universal provides unparalleled service, systems and solutions to the people and business of our communities, and is North America's leading security services provider. With over 140,000 employees, Allied Universal delivers high-quality, tailored solutions, which allows clients to focus on their core business. For more information: 866.825.5433 or <a href="http://www.aus.com/" target="_blank">www.AUS.com</a>

Claims Examiner Jobs in California

Examiner Physician Assistant Loyal Source

Claim Technical Assistant Chubb Ltd

Cash/Claims Processor Globalchannelmanagement

Cash/Claims Processor Assignment ObjectWin Technology Inc

Hearing Representative (California) ICW Group

Team Manager - WC Crawford & Co

Team Manager-WC (CA) Seasonal Crawford & Co

Billing Manager NORTHEAST COMMUNITY CLINIC, INC

Industrial Report Billing Kaiser Permanente

Workers Compensation, Risk Analyst 3 (Hybrid) Nordstrom Inc

SCADA Systems Analyst City of Santa Monica

Fraud Strategy Associate Brex Inc

Fraud Strategy Associate Brex Inc.

Forensic Accounting Senior Consultant Crowe

SIU Investigator Military, Veterans and Diverse Job Seekers

Staff Accountant TEEMA Group

Lead Special Investigation Unit Investigator L.A. Care Health Plan

Training and Safety Manager MV Transportation

Assistant Training and Safety Manager MV Transportation

SIU Investigator Allied Universal

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