Inside Senior Property Claims Adjuster - Sacramento, CA USAAInside Senior Property Claims Adjuster - Sacramento, CASacramento, CA$63,590–$121,530 / yearProactively manage assigned claims caseload comprised of claims with moderate complexity damages that require commensurate knowledge and understanding of claims coverage. Apply proficient knowledge of estimating technology platforms and virtual inspection tools; Utilize platforms and tools to prepare claims estimates to manage moderate complexity property insurance claims.
Senior Contracts & Claims Manager Aequor Technologies LLCSenior Contracts & Claims ManagerVacaville, CABusiness and financial acumen; " Contracting strategy & execution, strategic sourcing expertise, procurement/sourcing knowledge/experience for large CAPEX projects; " A strong understanding of construction technology, sequencing and practices; " Exceptional problem solving and analytical skills; " Demonstrated project management skills; " Demonstrated experience developing and implementing sourcing strategies that have yielded measurable business results. " Identifying opportunities for outgoing claims, development of claim strategies, supporting/preparing notifications/correspondence as well as negotiation and settlement; " Analysis of incoming claims, development of defense strategies, supporting/preparing response/correspondence, claim negotiation and settlement; " Collection and registration of all claim related documentation in company's claim repository.
Casualty Claims Manager, Ag Zenith Insurance CompanyCasualty Claims Manager, AgRoseville, CA$103,741–$149,552.68 / yearFrom dairies to berries, from almonds to wine, from vegetables to cattle ranches, we recognize the importance of agriculture and the effort it takes to compete in the global agriculture industry. Strengthens team performance by developing new initiatives, efficient processes and procedures to deliver exception claims service according to customer needs and industry trends.
Commercial Claims Strategy Manager WCF InsuranceCommercial Claims Strategy ManagerRoseville, CA$101,000–$125,000 / yearFull timeThis role leads training, strategy, and compliance efforts for WCF's commercial claims operation, helping ensure consistent claim handling, strong service, and continuous process improvement. WCF Insurance, an "A" rated carrier growing throughout the western states, has an immediate opening for a Commercial Claims Strategy Manager to join our Claims Strategy team.
System Manager Claims CommonSpirit HealthSystem Manager ClaimsRancho Cordova, CAAs one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. You will demonstrate exceptional expertise in negotiation, risk mitigation, and providing specialized guidance, acting as a pivotal resource for both internal teams and external parties to protect the organization's interests and uphold its reputation.
Senior Contracts & Claims Manager Sunrise Systems IncSenior Contracts & Claims ManagerVacaville, CA$80–$83 / hourIdentifying opportunities for outgoing claims, development of claim strategies, supporting/preparing notifications/correspondence as well as negotiation and settlement; Analysis of incoming claims, development of defense strategies, supporting/preparing response/correspondence, claim negotiation and settlement; Collection and registration of all claim related documentation in company's claim repository. Manage escalation of issues and claims management with supplier; Develop the supplier relationship according to the expectations per supplier segment; Support supplier relationship management and to ensure reliable high quality supply; Support the supplier performance, compliance and accountability through supplier scorecards and performance metrics; Involved in periodic commercial audits of main contractors.
Claims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTESacramento, CARemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTESacramento, CARemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
NewRisk Management Analyst II: Large Claims Specialist Pacific Coast Building ProductsRisk Management Analyst II: Large Claims SpecialistRancho Cordova, CA$70,000–$90,000 / yearA risk management firm in California is seeking an experienced claims manager responsible for handling major liability and workers compensation claims. Strong analytical, multi-tasking, and communication skills are essential to effectively manage and report on claims.
NewSenior Contracts & Claims Leader for Global CAPEX AequorSenior Contracts & Claims Leader for Global CAPEXVacaville, CAPreferred candidates will have a degree in relevant fields and experience in sectors such as construction and manufacturing.#J-18808-Ljbffr. Aequor is seeking a Senior Contracts & Claims Manager to oversee commercial management of large CAPEX projects.
Claims Training Specialist CorVel Enterprise Claims, Inc.Claims Training SpecialistFolsom, CARemote$77,960–$120,368 / yearPart timeOther duties to be carried out by Claims Training Specialist will include conducting classroom, virtual, and field training to internal employees/colleagues, developing training materials to meet specific needs, and monitoring new hires, and other tasks as required by management. In order to efficiently execute daily responsibilities, the Claims Training Specialist must first obtain a deep understanding of the business to articulate what our claims model does and to clearly demonstrate all aspects of the Operations roles in order to be able to successfully conduct and oversee the department training.
Claims Team Lead - Workers Compensation | Roseville, CA or San Diego, CA Sedgwick Claims Management Services, Inc.Claims Team Lead - Workers Compensation | Roseville, CA or San Diego, CARoseville, CA$105,000–$115,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Claims Team Lead - Workers Compensation (HYBRID- Roseville, CA) Sedgwick Claims Management Services, Inc.Claims Team Lead - Workers Compensation (HYBRID- Roseville, CA)Roseville, CA$95,000–$100,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Provides technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for high-cost or complex claims.
Workers Compensation Claims Team Lead | Roseville, CA or Long Beach, CA, Sedgwick Claims Management Services, Inc.Workers Compensation Claims Team Lead | Roseville, CA or Long Beach, CA,Roseville, CAMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Workers Compensation Claims Team Lead | Roseville, CA or Long Beach, CA, Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?.
Claims Team Lead - Workers Compensation | Roseville, CA Sedgwick Claims Management Services, Inc.Claims Team Lead - Workers Compensation | Roseville, CARoseville, CA$95,000–$115,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Education & Licensing: 6 years of California Workers Compensation claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience.
Catastrophe Field Claims Specialist AAA Southern New EnglandCatastrophe Field Claims SpecialistRoseville, CABy continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. Work Environment: This position is currently able to work remotely from a home office location for day-to-day operations, with traveling to field locations as necessary to complete job responsibilities, unless occasional team building activities are specified by leadership.
Claims Examiner - Workers Compensation ObjectWin Technology IncClaims Examiner - Workers CompensationRoseville, CADescription: 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.
Claims Training Specialist CorVelClaims Training SpecialistFolsom, CARemote$77,960–$120,368 / yearOther duties to be carried out by Claims Training Specialist will include conducting classroom, virtual, and field training to internal employees/colleagues, developing training materials to meet specific needs, and monitoring new hires, and other tasks as required by management. In order to efficiently execute daily responsibilities, the Claims Training Specialist must first obtain a deep understanding of the business to articulate what our claims model does and to clearly demonstrate all aspects of the Operations roles in order to be able to successfully conduct and oversee the department training.
Claims Representative (IAP) - Workers Compensation Training Program | San Diego & Roseville Sedgwick Claims Management Services, Inc.Claims Representative (IAP) - Workers Compensation Training Program | San Diego & RosevilleRoseville, CAMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Adjusting various levels of workers' compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.
Claims Representative (IAP): Workers Compensation Training Program | Rancho Cordova, CA Sedgwick Claims Management Services, Inc.Claims Representative (IAP): Workers Compensation Training Program | Rancho Cordova, CARancho Cordova, CAMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Adjusting various levels of workers' compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.
Claims Representative (Iap) - Workers Compensation Training Program | San Diego & Roseville Sedgwick Claims Management Services, Inc.Claims Representative (Iap) - Workers Compensation Training Program | San Diego & RosevilleRoseville, CAMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Adjusting various levels of workers' compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.
Claims Representative (Iap): Workers Compensation Training Program | Rancho Cordova, CA Sedgwick Claims Management Services, Inc.Claims Representative (Iap): Workers Compensation Training Program | Rancho Cordova, CARancho Cordova, CAMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Adjusting various levels of workers' compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.
Claims Team Lead - General Liability | Public Entity Exp. Required Sedgwick Claims Management Services, Inc.Claims Team Lead - General Liability | Public Entity Exp. RequiredRoseville, CA$95,000–$110,000 / yearPRIMARY PURPOSE: To supervise the operation of a team of examiners for liability claims for clients; to monitor colleagues workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - General Liability | Public Entity Exp.
Claims Resolution Coordinator Partnership HealthPlan of CaliforniaClaims Resolution CoordinatorFairfield, California$37.22–$46.53 / hourFull timeThe job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. Acts as a resource and provides support to customer service staff, as well as Provider Relations staff for complex Provider questions regarding claims and payments.
Claims Team Lead - Workers Compensation | CA Claims Exp. Required Sedgwick Claims Management Services, Inc.Claims Team Lead - Workers Compensation | CA Claims Exp. RequiredRancho Cordova, CARemote$100,000–$118,000 / yearPRIMARY PURPOSE: To supervise the operation of a team of workers compensation claims examiners and technical staff for workers compensation claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. The ideal candidate brings strong technical knowledge of California workers' compensation claims, experience supervising claims examiners and support staff, and the ability to provide guidance on complex and high-exposure matters.
Sr. Workers Compensation Claims Adjuster (CA Jurisdiction) EliteSr. Workers Compensation Claims Adjuster (CA Jurisdiction)Sacramento, CaliforniaThe Senior Claims Adjuster 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).
Senior Workers'' Comp Claims Specialist CA Claims Zenith Insurance CompanySenior Workers'' Comp Claims Specialist CA ClaimsRoseville, CA$94,502.68–$127,972.38 / yearZenith is a team of Workers'' Compensation Specialists committed to helping businesses succeed by protecting against the financial and human consequences of workplace injuries, providing for the needs of injured employees and making the workplace safer. Opens new Claims, completes three-point contact, and performs needed investigations to determine compensability as well as possible subrogation or apportionment, according to state and/or Zenith's timeframes and guidelines.
Claims Analyst II (On-Site) NorthBay Medical CenterClaims Analyst II (On-Site)Fairfield, CAThe position is co-responsible for the operational functions for the organization's capitated hospital and medical group business, processing all claims, oversees customer service issues, researching/resolving payment issues and addressing corrections in the system with the Claims Specialist. Requires a high comfort level with taking initiative and responsibility, high energy and productivity, plus an orientation and ability to manage details in an organized work style.
Claims Examiner, Workers' Compensation GallagherClaims Examiner, Workers' CompensationRancho Cordova, CaliforniaRemoteFull timeThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Behaviors: Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
Senior Claims Specialist I, Workers Compensation - West Region Liberty Mutual Holding Company IncSenior Claims Specialist I, Workers Compensation - West RegionSacramento, CARemoteResponsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages. Demonstrates an advanced knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the state s tort laws as normally acquired through a bachelor s degree (or equivalent training) plus 3 to 5 years directly related work experience.
Claims Specialist, Workers Compensation - West Region Liberty Mutual Holding Company IncClaims Specialist, Workers Compensation - West RegionRocklin, CARemoteResponsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages. As a Workers Compensation Claims Specialist, you will work within a Claims Team, using the latest technology to review, analyze, and process claims that are routinely characterized as moderately complex to complex within assigned authority limits.
NewClaims Analyst II (On-Site) Northbay HealthcareClaims Analyst II (On-Site)Fairfield, California$33.29–$40.44 / hourFull timeThe position is co-responsible for the operational functions for the organization's capitated hospital and medical group business, processing all claims, oversees customer service issues, researching/resolving payment issues and addressing corrections in the system with the Claims Specialist. Maintains claims files and other recordkeeping systemsAssists Senior Analyst IV and Director and other staff as requestedInteracts and communicates effectively inside and outside NorthBay Healthcare.
Claims Supervisor Workers Compensation GallagherClaims Supervisor Workers CompensationSacramento, CaliforniaRemoteFull timeHow you'll make an impact : Supervise: Lead and encourage a Workers Compensation claims team handling a variety of caseload sizes and complexities to deliver high-quality and efficient service. Prioritize and Develop: Effectively manage multiple competing priorities, identify coaching opportunities, and position team members for successful development.
Property And Casualty Claims Associate Advocate Hub InternationalProperty And Casualty Claims Associate AdvocateSacramento, CA$24–$28 / hourMaintains accurate and organized claim files by appropriately documenting claim statuses; updates all HUB computer systems and automated agency management systems; ensures accuracy of data. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the US Recruiting Team toll-free at (844) 300-9193 or USRecruiting@hubinternational.com.
Property and Casualty Claims Associate Advocate Hub International LtdProperty and Casualty Claims Associate AdvocateSacramento, CA$24–$28 / hourMaintains accurate and organized claim files by appropriately documenting claim statuses; updates all HUB computer systems and automated agency management systems; ensures accuracy of data. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the US Recruiting Team toll-free at (844) 300-9193 or USRecruiting@hubinternational.com.
Claims Examiner - Workers Compensation eTeam Inc.Claims Examiner - Workers CompensationRoseville, CA$45–$50 / hourPRIMARY 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. 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 IconmaClaims Examiner - Workers CompensationRoseville, CA$45–$50 / hourResponsibilities: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.
Claims Examiner - Workers Compensation Iconma LLCClaims Examiner - Workers CompensationRoseville, CAResponsibilities: 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.
Claims Examiner - Workers Compensation Apidel TechnologiesClaims Examiner - Workers CompensationRoseville, CAContractorTo 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 Comp (Hybird Roseville, CA) Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Comp (Hybird Roseville, CA)Roseville, CA$80,000–$85,000 / yearPRIMARY 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.
Claims Examiner - Workers Compensation | Rancho Cordova, CA Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation | Rancho Cordova, CARancho Cordova, CARemote$80,000–$100,000 / yearPRIMARY 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. 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.
Workers Compensation Claims Examiner Sedgwick Claims Management Services, Inc.Workers Compensation Claims ExaminerRancho Cordova, CARemote$80,000–$100,000 / yearPRIMARY 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. 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 Ova TechnologiesClaims ExaminerRoseville, CAPRIMARY 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. 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.
Claims Examiner - Workers Compensation MindlanceClaims Examiner - Workers CompensationRoseville, CA$48–$50 / hourPRIMARY 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. 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.
Claims Adjuster II (Workers'' Compensation) | California Employers Holdings IncClaims Adjuster II (Workers'' Compensation) | CaliforniaSacramento, CARemote$50,000–$85,000 / yearThe Work comp Claims Adjuster II is responsible for timely and accurate management of workers' compensation claims with moderate medical and indemnity benefit exposure, including litigation. As a dynamic, fast-growing provider of workers'' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work!
Claims Customer Service Representative I Partnership HealthPlan of CaliforniaClaims Customer Service Representative IFairfield, California$29.95–$35.19 / hourFull timeTo accurately research and process paper and electronic medical, outpatient, ancillary, long term care, CHDP, encounter data and paper crossover/other coverage claims within established time frames, applying appropriate program policies related to claims processing and analysis. Overview: To research and resolve provider telephone and written inquiries within established time frames, accurately screen claims, and participate in provider meetings and projects.
NewSENIOR WORKERS'' COMPENSATION CLAIMS ADJUSTER State Of CaliforniaSENIOR WORKERS'' COMPENSATION CLAIMS ADJUSTERSacramento, CA$6,646–$8,324Artificial intelligence (AI) tools such as ChatGPT, website searches, and third-party reviewers can be helpful in researching responses to the SOQ; however, by submitting your application for this position, you understand and acknowledge the SOQ you submit is your own work, in your own words, and accurately reflects your knowledge, skills, abilities, and experiences. At State Fund, our Legal Lien Representatives provide representation, consultation, analysis, defense, and testimony on lien cases at the Division of Workers' Compensation ("DWC") lien hearings in accordance with regional office/corporate policies.
Claims Examiner - Workers Compensation ICONMA, LLCClaims Examiner - Workers CompensationRoseville, CA$45–$50 / hourResponsibilities: 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.
Sr. Work Comp Claims Adjuster (Rancho Cordova, CA) EliteSr. Work Comp Claims Adjuster (Rancho Cordova, CA)Rancho Cordova, California$85,000–$95,000 / yearExcellent written and verbal communication skills, including ability to convey technical details to claimants, clients and staff. Effectively manages a caseload of 130 to 150 workers’ compensation files, including very complex claims.
Sr. Claims Examiner (Onsite, Roseville) Adventist Health SystemSr. Claims Examiner (Onsite, Roseville)Roseville, CAJob Requirements: Education and Work Experience: • Bachelors degree or equivalent combination of education/related experience: Required • Masters Degree or Juris Doctor: Preferred • Seven years liability claims management experience: Preferred • One years leadership experience: Preferred • Experience with legal matters and complex litigation: Preferred. • Involves structured settlement professionals as necessary to maximize settlement and identifies opportunities for subrogation, contribution, recovery and other case management opportunities to mitigate total claim costs.