Claims Supervisor Health Source MSOClaims SupervisorAlhambra, CAFull timeProviding expertise or general claims support to teams in reviewing, researching, investigating, negotiating, process, and adjusting claims. Responsibilities include, but not limited to: • Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including: Contractual agreement rates.
NewClaims Examiner - Workers Compensation (Hourly) IconmaClaims Examiner - Workers Compensation (Hourly)Brea, CA$43–$48 / hourResponsibilities: 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. Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
Medical Claims Resolution Specialist Kinetic Personnel GroupMedical Claims Resolution SpecialistOrange, CA$25–$31 / hourTemporaryA full time permanent position includes a pay raise, telecommute options, a CalPERS Pension and excellent government benefits including generous holiday, PTO and sick pay days off, year one! Job duties: Addresses provider inquiries, questions, and concerns in all areas including enrollment, claims submission and payment, benefit interpretation, and referrals/authorizations for medical care.
Claims Examiner - Workers Compensation IconmaClaims Examiner - Workers CompensationRancho Cucamonga, CA$45–$50 / hourResponsibilities: 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.
NewClaims Specialist PRSH Holdings Inc.Claims SpecialistRiverside, CA$85,000–$115,000 / yearThe Claims Specialist is responsible for evaluating, processing, and managing liability, property, auto, general liability claims, and employment claims in compliance with state regulations; documenting activities; conveying information regarding claims and/or benefits; and providing testimony in benefit disputes while exercising discretion, independent judgment, critical thinking skills and demonstrate exemplary customer services skills. Serve as the face of the company in providing frequent, proactive verbal communication with our claimants, customers and/or their representatives demonstrating empathy and active listening while providing clear updates, direction and explanations regarding the claim process, benefits, and other pertinent policy provisions.
NewClaim Specialist - Property Field Inspection State Farm Mutual Automobile Insurance CompanyClaim Specialist - Property Field InspectionYorba Linda, CA$69,398.62–$104,056 / yearCompetitive candidates should reside within one of the listed zip codes and will service this same territory: 92602, 92606, 92614, 92701, 92705, 92706, 92707, 92780, 92782, 92807, 92808, 92861, 92862, 92865, 92866, 92867, 92868, 92869, 92886, 92887 . Additional Details: Employees must successfully complete all required training, including applicable proficiency, licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s).
NewWorkers' Compensation Defense Attorney - Newly Barred CA Attorneys! JobotWorkers' Compensation Defense Attorney - Newly Barred CA Attorneys!Orange, CA$100,000–$105,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
NewMedical Malpractice Litigation Associate JobotMedical Malpractice Litigation AssociateIrvine, CA$145,000–$185,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. They are consistently named to the Best Lawyers “Best Law Firms” list and are a Certified Great Place to Work, emphasizing collaboration, responsiveness, and high-quality client service.
NewSr. Staff Legal Trial Attorney Zurich Insurance Company Ltd.Sr. Staff Legal Trial AttorneyIrvine, CA$180,000–$205,000 / yearThe selected candidate will perform duties encompassing all aspects of insurance defense, including initial investigation and legal analysis and advice, preparing and filing legal pleadings and documents, performing legal research, preparing for and conducting pre-trial discovery, preparing for and aggressively handling hearings and trials, and conducting post-trial activities where appropriate. Drive positive outcomes by correctly applying the law and legal trends, conducting legal analysis and research, preparing legal pleadings and documents, preparing for and managing pre-trial discovery, and participating in judicial or administrative hearings and trials.
NewChief Trial Attorney Zurich Insurance Company Ltd.Chief Trial AttorneyIrvine, CA$200,000–$225,000 / yearDesigned with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location including the ability to work from a home office, while facilitating in-person connections and collaborative activities when meaningful and valuable. Driving positive results by correctly applying the law and legal trends, conducting legal analysis and research, preparing legal pleadings and documents, preparing for and managing pre-trial discovery, and participating in judicial or administrative hearings and trials.
NewWorkers Compensation Trial Attorney or Sr. Trial Attorney Zurich Insurance Company Ltd.Workers Compensation Trial Attorney or Sr. Trial AttorneyIrvine, CA$160,000–$205,000 / yearFor Senior Trial Attorney candidates: experience handling moderate to high-complexity matters, mentoring attorneys, and serving as a subject matter resource. At Zurich North America, you'll work on significant, complex Workers' Compensation matters while enjoying the flexibility, support, and stability of a global industry leader.
Claims Adjuster II/Senior Claims Adjuster (Senior Workers' Compensation Claims Adjuster) County of Riverside, CaliforniaClaims Adjuster II/Senior Claims Adjuster (Senior Workers' Compensation Claims Adjuster)Riverside, CA$112,778.77–$159,740.22 / yearKnowledge of: State of California Labor Code, Workers Compensation Law and rules and regulations (Title 8); Applicable case law of leading decisions of the Workers Compensation Appeals Board, Court of Appeals, and Supreme Court regarding workers compensation cases; Medical terminology, anatomy and technical terminology used in medical and legal fields regarding industrial cases; Jurisdiction, functions and procedures of the Workers Compensation Appeals Board; Vocational rehabilitation and procedures as it applies to Workers Compensation; Reserving practices and procedures; in-house litigation procedures; WCAB procedures; and hearing processes. Candidates must have achieved the level of Experienced Claims Adjuster (as defined by California Code of Regulations, Title 10, Chapter 5, Subchapter 3) defined as possessing one of the following: 1) Working 5 out of the last 8 years as a California Workers Comp Claims Adjuster, 2) Has worked continuously in California adjusting claims since passing the Self-Insurance Test, or 3) Has passed the Self-Insurance test in the last 2 years.
Independent Insurance Claims Adjuster in Foothill Ranch, California MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Foothill Ranch, CaliforniaFoothill Ranch, CaliforniaHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
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