Canon Recruiting GroupSenior Workers' Compensation Claims Examiner Canon Recruiting GroupSenior Workers' Compensation Claims ExaminerSacramento, CA$80,000–$100,000 / yearYou'll lead claim investigations, coordinate medical care, manage litigation, and drive timely, cost-effective resolutions—all while supporting injured workers and employers. We’re looking for an experienced Workers' Compensation Claims Examiner to manage complex indemnity claims in compliance with California regulations.
Mid-Columbia Medical CenterClaims Examiner (Onsite, Roseville) Mid-Columbia Medical CenterClaims Examiner (Onsite, Roseville)roseville, CAMaintains up-to-date and accurate claims files, including summaries, action plans, and claims status in the claims data management software, coordinating with market leadership, risk managers, defense counsel, and others. Job Requirements: Education and Work Experience: Bachelor's Degree in risk management, legal studies, nursing, or closely related field or equivalent combination of education/related experience: Required.
GallagherSenior Claims Examiner - Workers' Compensation GallagherSenior Claims Examiner - Workers' CompensationRancho Cordova, CaliforniaRemote$75,000–$105,000 / yearThe 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.
GallagherSenior Claims Examiner GallagherSenior Claims ExaminerRancho Cordova, CaliforniaRemoteThe 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.
GallagherClaims Examiner - Workers' Compensation GallagherClaims Examiner - Workers' CompensationRancho Cordova, CaliforniaRemoteThe 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.
Sedgwick Claims Management Services, Inc.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.
MindlanceClaims Examiner - Workers Compensation MindlanceClaims Examiner - Workers CompensationRoseville, CA$49–$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.
Apidel TechnologiesClaims 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. 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.
Sedgwick Claims Management Services, Inc.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.
CorVel Enterprise Claims, Inc.CA Senior WC Claims Specialist CorVel Enterprise Claims, Inc.CA Senior WC Claims SpecialistFolsom, CARemote$28.69–$46.21 / hourPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.
CorVel Enterprise Claims, Inc.CA Senior Claims Specialist CorVel Enterprise Claims, Inc.CA Senior Claims SpecialistFolsom, CARemote$29.35–$47.28 / hourPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.
Liberty Mutual Holding Company IncClaims Specialist II, Workers Compensation - West Region Liberty Mutual Holding Company IncClaims Specialist II, 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. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements, and managing an inventory of commercial property/casualty claims involving bodily injury or property loss.
CorVel CorpCA Senior Claims Specialist CorVel CorpCA Senior Claims SpecialistFolsom, CARemote$29.35–$47.28 / hourPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.
CorVel CorpCA Senior WC Claims Specialist CorVel CorpCA Senior WC Claims SpecialistFolsom, CARemote$29.35–$47.28 / hourESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Receives claim, confirms policy coverage and acknowledgement of the claim • Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies • Establishes reserves and authorizes payments within reserving authority limits • Develops and manages well-documented action plans with the case manager and outcomes manager to reduce overall cost of the claim • Coordinates early return-to-work efforts with the appropriate parties • Manages subrogation and litigation of claim as it applies • Manages potential claim recoveries of all types • Reports claims to the excess carrier when applicable • Communicates claim status with the customer and claimant • Adheres to client and carrier guidelines and participates in claims review as needed • Develops and maintains professional customer relationships • Complies with rules and regulations of applicable state • Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program ("IIPP") • Additional duties as assigned. KNOWLEDGE & SKILLS: • Excellent written and verbal communication skills • Ability to assist team members to develop knowledge and understanding of claims practice • Ability to identify, analyze and solve problems • Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets • Strong interpersonal, time management and organizational skills • Ability to work both independently and within a team environment • Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers' Compensation.
Gainwell Technologies LLCAppeals Examiner - West Sacramento, CA (On-site) Gainwell Technologies LLCAppeals Examiner - West Sacramento, CA (On-site)West Sacramento, CA$37,500–$53,500 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. The pay range for this position is $37,500.00 - $53,500.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
Loyal Source Government Services LLCExaminer Nurse Practitioner Loyal Source Government Services LLCExaminer Nurse PractitionerRoseville, CA$149,572–$179,572 / yearThe role involves reviewing the claim, performing focused assessments of claimed injuries, reviewing medical records, and potentially rendering a medical opinion based on the record review and completed Compensation & Pension (C&P) exam. Job Responsibilities: • Conduct Comprehensive Medical Disability Examinations: Perform thorough and focused medical evaluations of Veterans, including reviewing their medical history, conducting physical examinations, and assessing the impact of disabilities on their daily life and functional abilities.
CorVel CorpProfessional Review Nurse CorVel CorpProfessional Review NurseFolsom, CARemote$70,304–$85,473 / yearUtilize clinical and/or technical expertise to address the provision of medical care and identify inappropriate billing practices and errors, such as: • Duplicate billing • Unbundling of charges • Services not rendered • Mathematical and data entry errors • Undocumented services • Reusable instrumentation • Unused services and supplies • Unrelated and/or separated charges • Quantity and time increment discrepancies • Inconsistencies with diagnosis • Treatment frequency and duration of care • DRG validation • Service/treatment vs. KNOWLEDGE & SKILLS: • Concise and effective verbal and written communication skills • Ability to interface with claims adjusters, attorneys, physicians and their representatives, advisors/clients, and co-workers • Ability to effectively promote all Professional Review products with attorneys, claims examiners, customers and management • Strong ability to effectively negotiate provider fees • Must be proficient with Microsoft Office applications • Knowledge of workers compensation claims preferred.
CorVel Healthcare CorporationProfessional Review Nurse CorVel Healthcare CorporationProfessional Review NurseFolsom, CARemote$70,304–$85,473 / yearPart timeUtilize clinical and/or technical expertise to address the provision of medical care and identify inappropriate billing practices and errors, such as: duplicate billing, unbundling of charges, services not rendered, mathematical and data entry errors, undocumented services, reusable instrumentation, unused services and supplies, unrelated and/or separated charges, quantity and time increment discrepancies, inconsistencies with diagnosis, treatment frequency and duration of care, DRG validation, service/treatment vs. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
CorVel Healthcare CorporationProfessional Review Specialist I CorVel Healthcare CorporationProfessional Review Specialist IFolsom, CARemote$18.80–$30.34 / hourPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.
Sacramento County CouncilSenior Accountant Sacramento County CouncilSenior AccountantSacramento, CA$91,955.52–$111,770.64 / yearNone Certified Management Accountant (CMA) Certified Fraud Examiner (CFE) Certified Internal Auditor (CIA) Certified Public Finance Officer (CPFO) Certified Financial Manager (CFM) On-the-job training External Accounting/Auditor Training (i.e., Macias, Gini, and O'Connell (MGO) training; etc.) Government Finance Officers Association (GFOA) events (i.e., training, webinars, conferences, etc.) Other applicable training, licensure, certification or continuing education not indicated above 05 Select the one box that best describes your professional experience performing a wide variety of accounting, auditing, budgeting, and/or fiscal duties such as establishing and maintain accounting records, participating in budget preparation and control, reviewing and analyzing accounting financial transaction records, and preparing financial statements and reports. None Bachelor degree in Accounting or Bachelor degree in Business Administration with a concentration in Accountancy from an accredited college or university Master's Degree in Accountancy from an accredited college or university Certified Public Accountant (CPA) from the State of California Board of Accountancy Bachelor degree or higher in Accounting or Bachelor degree or higher in Business with a concentration in Accountancy from an accredited college or university AND a Certified Public Accountant (CPA) from the State of California Board of Accountancy 03 Education Requirement InformationA copy of your Bachelor degree in Accounting, Bachelor degree in Business Administration with a concentration in Accountancy, and/or a copy of your valid Certified Public Accountant (CPA) license from the State of California Board of Accountancy must be submitted with your application, unofficial transcripts are acceptable.