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
JOB TITLE: Senior Claims Examiner.LOCATION: Remote/Southern California.Carl Warren & Company is a leading nationwide Third-Party Administrator (TPA) founded in 1944.Carl Warren has been a trusted p...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
At RPS, we don’t just embrace bold ideas, we make them happen.We’re a team of entrepreneurs, big-picture thinkers, and passionate experts who thrive on possibility.Every day, we collaborate across ...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
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
Profession: Non-Clinical - Finance/Accounting Pay: $960.Assignment Length: 13 Weeks Schedule: 5x8-Hour 07:00 - 15:30 Openings: 1 Start Date: 04-20-2026 Experience: 1 year Facility Info: Log in to v...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
A leading insurance company in Brea, California is seeking a Senior Technical Expert to manage complex D&O and E&O claims.This role requires a minimum of 10 years of experience, expertise in specia...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
Workers Compensation Claims Examiner.Finding a remote job that fits your lifestyle isn't always easy.We're seeking a Workers Compensation Claims Examiner to work at a premier client in Pasadena, Ca...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
Sr claim examiner- wc 03-month contract with possible extension remote note: must have multiple years' experience handling ca wc.Mostrar más
Location: Whittier, CA 90601 Duration: 13 weeks / 3+ Months Shift: Day Shift | MondayFriday | 07:00 AM - 03:30 PM.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
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
