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 • Brea, CA, US
Receives claim assignment, confirms policy coverages and directs acknowledgement of claims.Interprets and makes decisions using independent judgment on moderate difficulty claims and policy coverag...Mostrar más
General Liability Claims Examiner (Public Entity).By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are ...Mostrar más
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 adju...Mostrar más
Description: Sr Claim Examiner- WC 03-month contract with possible extension or conversion Remote Note: Must have multiple years' experience handling CA WC.Duties: Interprets and makes decisions us...Mostrar más
Remote Note: Must have multiple years' experience handling CA WC.Duties: Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if cov...Mostrar más
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, ...Mostrar más
Senior Claims Examiner Workers Compensation (California).This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise.Offers Work...Mostrar más
We’re Hiring: Claims Examiner | Whittier, CA (Onsite).This is a great opportunity for candidates with strong claims adjudication experience in a managed care environment.Monday–Friday | 7:00 AM – 3...Mostrar más
Remote Note: Must have multiple years' experience handling CA WC.Duties: Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if cov...Mostrar más
Remote Note: Must have multiple years' experience handling CA WC.Duties: Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if cov...Mostrar más
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 en...Mostrar más
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.Ens...Mostrar más
Established company is seeking a health care claims examiner on a temp to hire basis in the greater Pasadena, CA area.Review and process paper and electronic professional, facility, ancillary, and ...Mostrar más
Hybrid - 2 days in the office (Brea, California or Las Vegas, NV).Salary $90k-$94k (CA) or $86k-$89k (NV) (pending experience possible negotiation).Bonus of $400 a month w/another bonus in the depa...Mostrar más
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 ***.Mostrar más
General Liability Claims Examiner II.The General Liability Claims Examiner II role is to investigate and resolve liability, auto, property and first party claims.This position resolves claims in ac...Mostrar más
Are you ready to take your career to the next level in a vibrant and thriving community? Join us in Brea, California, where you'll enjoy a dynamic work environment and the chance to make a signific...Mostrar más
Job Summary Kinetic Personnel Group is seeking an experienced Property Damage Claims Adjuster for an insurance company in Monrovia, CA.This role is responsible for providing high-quality customer s...Mostrar más
