Claims examiner • costa mesa ca
Claims Examiner - Workers Compensation.PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involvi... Show more
Assistant Claims Adjuster (Workers' Compensation).We are seeking a detail-oriented and customer-focused.Workers' Compensation claims for a select group of commercial clients.Instead, the Assistant ... Show more
Established in 1975, Financial Pacific Leasing, Inc.Columbia Bank), is a direct provider of small-ticket commercial equipment leases.For over 50 years, these partners have relied on Financial Pacif... Show more
At DK Law, we don’t just represent our clients.We stand with them, all the way.We’re modern injury and accident attorneys who go all the way for every client, from every background.At the heart of ... Show more
The Vertex Companies, LLC (VERTEX) is a $180M global consulting firm that integrates strategic advisory, project management, and dispute resolution services for organizations facing complex challen... Show more
The primary objective of this position is the timely and satisfactory resolution of insurance claim situations resulting from damage to or loss of the vehicle, including negotiation of settlements.... Show more
The primary objective of this position is the timely and satisfactory resolution of insurance claim situations resulting from damage to or loss of the vehicle, including negotiation of settlements.... Show more
Orange, California, United States.Essential Duties and Responsibilities:.Manage medical malpractice claims, including the assignment, direction, and control of defense counsel, under supervision an... Show more
This entry-level position supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property damage, and/or liability lines of insurance ... Show more
As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs wh... Show more
Job Title: Claims Examiner - Workers Compensation<br /> Location (On-site, Remote, or Hybrid?): Orange, CA (Remote)<br /> Contract Duration: Contract until 12/11/2026</b><br... Show more
Founded in 1995, the company has built its reputation around a high-touch, hospitality-focused rental experience rather than a traditional airport rental model.Claims Supervisor to handle assigned ... Show more
At DK Law, we don't just represent our clients.We stand with them, all the way.We're modern injury and accident attorneys who go all the way for every client, from every background.At the heart of ... Show more
The Director of Claims will provide strategic leadership for all Medicare Advantage claims operations, ensuring accurate, timely, and compliant claims adjudication while driving operational excelle... Show more
Ability to analyze complex or technically difficult workers compensation claims to determine benefits due.Experience working with high exposure claims involving litigation and rehabilitation.Knowle... Show more
Workers' Compensation Claims Examiner III - Glendale OR Orange, CA (Contract - Hybrid).Workers' Compensation Claims Examiner III - Glendale OR Orange, CA (Contract - Hybrid) Pay Rate: 55.Position i... Show more
There are many reasons why EPIC Insurance Brokers & Consultants has become one of the fastest-growing firms in the insurance industry.Fueled and driven by capable, committed people who share common... Show more
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 facing the unexpected.We invite you to grow your c... Show more
Golden State Foods is a distinguished leader in the foodservice industry, offering an extensive array of products and services to a diverse clientele.Rooted in the values of quality service and int... Show more
Kinetic Personnel Group is currently recruiting for a Claims Resolution Specialist for a Public Health Agency (government entity).This position will be based in Orange County.This 3 billion-dollar ... Show more
The average salary range is between $ 40,010 and $ 91,090 year , with the average salary hovering around $ 55,009 year .
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.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
ADDITIONAL FUNCTIONS AND RESPONSIBILITIES:
QUALIFICATION:
Education & Licensing: Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
Experience: Five (5) years of claims management experience or equivalent combination of education and experience required.
Skills: 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. Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Good interpersonal skills Excellent negotiation skills Ability to work in a team environment Ability to meet or exceed Service Expectations
WORK ENVIRONMENT:
Mental: 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
Physical: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.
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