Talent.com
Claims Examiner - Workers Compensation

Claims Examiner - Workers Compensation

California StaffingOntario, CA, US
3 days ago
Job type
  • Full-time
Job description

Claims Examiner - Workers Compensation

Finding a job that fits your lifestyle isn't always easy. That's where Kelly comes in. We're seeking a Claims Examiner - Workers Compensation to work remotely in Ontario, CA. Sound good? Take a closer look below. We're here to help you find something great that works for youso you won't miss a moment of what really matters in your life. Pay Rate : $50 per hour

Why you should apply to be a Claims Examiner - Workers Compensation :

  • Competitive pay rate.
  • Opportunity to work with a reputable company.
  • Convenient dayshift timing.
  • Remote in CA.

What's a typical day as a Claims Examiner - Workers Compensation? You'll :

  • Analyze and process 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.
  • Negotiate settlement of claims within designated authority.
  • Calculate and assign timely and appropriate reserves to claims; manage reserve adequacy throughout the life of the claim.
  • Calculate and pay benefits due; approve and make timely claim payments and adjustments; and settle claims within designated authority level.
  • Prepare necessary state filings within statutory limits.
  • Manage the litigation process; ensure timely and cost effective claims resolution.
  • Coordinate vendor referrals for additional investigation and / or litigation management.
  • Use appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
  • Manage claim recoveries, including but not limited to : subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
  • Report claims to the excess carrier; respond to requests of directions in a professional and timely manner.
  • Communicate claim activity and processing with the claimant and the client; maintain professional client relationships.
  • Ensure claim files are properly documented and claims coding is correct.
  • Refer cases as appropriate to supervisor and management.
  • This job might be an outstanding fit if you :

  • High school diploma or GED equivalent is preferred.
  • 3+ years of California WC experience.
  • 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.
  • As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan.

    About Kelly Work changes everything. And at Kelly, we're obsessed with where it can take you. To us, it's about more than simply accepting your next job opportunity. It's the fuel that powers every next step of your life. It's the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your lifejust ask the 300,000 people we employ each year. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Kelly Services is proud to be an Equal Employment Opportunity and Affirmative Action employer. We welcome, value, and embrace diversity at all levels and are committed to building a team that is inclusive of a variety of backgrounds, communities, perspectives, and abilities. At Kelly, we believe that the more inclusive we are, the better services we can provide. Requests for accommodation related to our application process can be directed to Kelly's Human Resource Knowledge Center. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment.

    Create a job alert for this search

    Examiner • Ontario, CA, US

    Related jobs
    • Promoted
    Senior Claims Examiner, Workers' Compensation

    Senior Claims Examiner, Workers' Compensation

    Arthur J Gallagher & CoRiverside, CA, US
    Full-time
    At Gallagher, you'll be backed by our digital ecosystem : a client-centric suite of consulting tools making it easier for you to meet your clients where they want to be met.Advanced data and analyti...Show moreLast updated: 9 days ago
    • Promoted
    Accounts Receivable Manager

    Accounts Receivable Manager

    Vaco by HighspringAltadena, California, United States
    Full-time
    Vaco Los Angeles is working with a client who is seeking an Accounts Receivable Manager to assist their team.The Accounts Receivable Manager will oversee the accounts receivable team and ensure the...Show moreLast updated: 10 days ago
    • Promoted
    Case Manager- Workers Compensation

    Case Manager- Workers Compensation

    Vaco by HighspringGarden Grove, California, United States
    Permanent
    Workers’ Compensation Case Manager.Mid-City, Los Angeles, CA (Fully Onsite).Workers’ Compensation Case Manager.Manage 150–200 workers’ compensation cases, handling documentation, deadlines, and com...Show moreLast updated: 30+ days ago
    • Promoted
    Workers Compensation Claims Examiner | Dedicated Account | Ontario, CA (3 days remote)

    Workers Compensation Claims Examiner | Dedicated Account | Ontario, CA (3 days remote)

    SedgwickOntario, CA, US
    Remote
    Full-time
    Workers Compensation Claims Examiner | Dedicated Account | Ontario, CA (3 Days Remote).By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day...Show moreLast updated: 30+ days ago
    • Promoted
    Manager, Claims

    Manager, Claims

    AmTrust FinancialIrvine, CA, United States
    Full-time
    Amtrust Financial Services, a fast growing commercial insurance company, has a need for a Workers' Compensation Claims Supervisor. The WC Claims Supervisor works with the Claim Adjusters to manage a...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Claim Examiner II, CA

    Senior Claim Examiner II, CA

    AmTrust FinancialIrvine, CA, United States
    Full-time
    US-CA-Irvine | US-UT-South Jordan | US-AZ-Scottsdale.AmTrust is actively seeking a skilled Resolution Examiner specializing in Workers' Compensation Claims. The primary focus will be on negotiating...Show moreLast updated: 30+ days ago
    • Promoted
    Claims Examiner - Workers Compensation

    Claims Examiner - Workers Compensation

    IconmaOrange, CA, US
    Full-time
    Claims Examiner - Workers Compensation.Our client, a Business Solutions company, is looking for a Claims Examiner - Workers Compensation for their Orange, CA / Hybrid location.Responsibilities : Anal...Show moreLast updated: 11 days ago
    • Promoted
    Travel CT Tech - $2,447 to $2,735 per week in Modesto, CT

    Travel CT Tech - $2,447 to $2,735 per week in Modesto, CT

    AlliedTravelCareersModesto, CT, US
    Full-time
    AlliedTravelCareers is working with Prime Time Healthcare to find a qualified CT Tech in Modesto, Connecticut!.Now Hiring : Allied Healthcare CT - Modesto, California. Contact us for Pay Information....Show moreLast updated: 29 days ago
    • Promoted
    Inventory Clerk

    Inventory Clerk

    Vaco by HighspringAltadena, California, United States
    Temporary
    Monrovia, CA (Onsite, 5 days a week).Duration- 4-6 months contract .We are seeking a detail-oriented.This role will be responsible for processing a high volume of purchase orders (POs), ensuring pr...Show moreLast updated: 25 days ago
    • Promoted
    Worker's Compensation Claims Adjuster

    Worker's Compensation Claims Adjuster

    Staffmark GroupSan Bernardino, CA, United States
    Full-time
    Staffmark is hiring an experienced Workers' Compensation Claims Adjuster for a leading risk management company in San Bernardino. If you're skilled in handling complex and litigated claims, this is ...Show moreLast updated: 30+ days ago
    • Promoted
    Associate Claims Specialist - Workers Compensation - West Region

    Associate Claims Specialist - Workers Compensation - West Region

    Liberty Mutual InsuranceOrange, California, United States
    Full-time
    Schedule : Full-Time Salary Range : USD $49000.Job Category : Claims Description Ready to grow your career in a role that makes a meaningful impact? Liberty Mutual is hiring Workers' Compensation Clai...Show moreLast updated: 5 days ago
    Workers Compensation Claims Supervisor

    Workers Compensation Claims Supervisor

    AVONRISKOrange, CA, US
    Full-time
    Quick Apply
    Workers' Compensation Claims Supervisor - Lead a Dynamic Team in Orange, CA We're seeking an experienced and motivated Workers' Compensation Claims Supervisor to join our team in Orange, CA.As a Su...Show moreLast updated: 13 days ago
    • Promoted
    Travel CT Tech - $2,278 to $2,546 per week in Modesto, CT

    Travel CT Tech - $2,278 to $2,546 per week in Modesto, CT

    AlliedTravelCareersModesto, CT, US
    Full-time
    AlliedTravelCareers is working with Prime Time Healthcare to find a qualified CT Tech in Modesto, Connecticut!.Now Hiring : Allied Healthcare CT - Modesto, California. Contact us for Pay Information....Show moreLast updated: 29 days ago
    • Promoted
    Medical Biller

    Medical Biller

    TEKsystemsSan Bernardino, CA, United States
    Full-time
    The Collector performs A / R collections and billing involving multiple insurance contracts & entities.Analyzes and audits accounts for correct balance, proper follow-up and complete reimbursement.Mo...Show moreLast updated: 3 days ago
    Claims Examiner - Workers Compensation

    Claims Examiner - Workers Compensation

    BCforwardUSA, California, Orange
    Full-time
    Claims Examiner - Workers Compensation.Claims Examiner - Workers Compensation in.Claims Examiner - Workers Compensation.Locations : 333 City Boulevard West, Orange, CA 92868.Job Type : Contract with ...Show moreLast updated: 26 days ago
    • Promoted
    Orthopedist Trauma – Riverside (Full Time Opportunity)

    Orthopedist Trauma – Riverside (Full Time Opportunity)

    Kaiser Permanente – Southern California Permanente Medical GroupRiverside, US
    Full-time +1
    Potential Premium Earnings : $78,192.Salary range includes incentives that are contingent upon skills, competencies, longevity, experience and geographic location. The earnings included in the s...Show moreLast updated: 30+ days ago
    • Promoted
    Large Loss Property Field Claims Adjuster (Southern CA)

    Large Loss Property Field Claims Adjuster (Southern CA)

    American Family InsuranceSan Bernardino, CA, United States
    Full-time
    Lead level role that investigates and maintains highly complex property claims.Determine liability, secure information, reviews coverages, arrange appraisals, and settles claims.Demonstrate experie...Show moreLast updated: 19 days ago
    • Promoted
    Remote Online Survey Taker – Earn Up to $25 Per Survey

    Remote Online Survey Taker – Earn Up to $25 Per Survey

    Earn HausGlendora, CA, US
    Remote
    Full-time +1
    We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...Show moreLast updated: 6 days ago