Senior Workers'' Comp Claims Specialist CA Claims Zenith Insurance CompanySenior Workers'' Comp Claims Specialist CA ClaimsRoseville, CA$94,502.68–$127,972.38 / yearZenith is a team of Workers'' Compensation Specialists committed to helping businesses succeed by protecting against the financial and human consequences of workplace injuries, providing for the needs of injured employees and making the workplace safer. Opens new Claims, completes three-point contact, and performs needed investigations to determine compensability as well as possible subrogation or apportionment, according to state and/or Zenith's timeframes and guidelines.
Claims Processing Specialist Wollborg Michelson RecruitingClaims Processing SpecialistRancho Cordova, CAThis role includes processing special claims that may involve manual review of actual treatment compared to authorized treatment, and adjudicating claims for specific client programs. The Claims Processing Specialist identifies and provides solutions for processing unique claims, refunds, overpayments, and underpayments.
NewEnrollment Processor, Intermediate Blue Cross and Blue Shield AssociationEnrollment Processor, IntermediateRancho Cordova, CAWe are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. In this role you will review and reconcile eligibility data, support our vendor team with clarifications and work with internal and external stakeholders to ensure our IFP membership has accurate eligibility and rates.
NewMainframe COBOL Developer - Healthcare Claims Computer Task Group, IncMainframe COBOL Developer - Healthcare ClaimsSacramento, CA$55–$62 / hourAbout CTG CTG, a Cegeka company, delivers IT and business solutions that enhance clients' digital agility, empowering them to seize new opportunities and overcome any challenge. Salary offers are based on a wide range of factors including relevant skills, training, experience, education, market factors, and where applicable, licensure or certifications obtained.
NewMainframe COBOL Developer – Healthcare Claims Computer Task Group, IncMainframe COBOL Developer – Healthcare ClaimsSacramento, California$55–$62 / hourAbout Us: CTG, a Cegeka company, delivers IT and business solutions that enhance clients’ digital agility, empowering them to seize new opportunities and overcome any challenge. Backed by more than 60 years’ experience and a commitment to being a reliable, results-driven partner, we work shoulder to shoulder with clients to shape digital together.
NewClaims Adjuster - Workers Compensation (Hourly) eTeam Inc.Claims Adjuster - Workers Compensation (Hourly)El Dorado Hills, CA$35–$37.85 / hourManages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency. Skills: Working knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business.
Claims Adjuster II (Workers'' Compensation) | California Employers Holdings IncClaims Adjuster II (Workers'' Compensation) | CaliforniaSacramento, CARemote$50,000–$85,000 / yearThe Work comp Claims Adjuster II is responsible for timely and accurate management of workers' compensation claims with moderate medical and indemnity benefit exposure, including litigation. As a dynamic, fast-growing provider of workers'' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work!
Claims Supervisor II - Commercial G/L Philadelphia Insurance CompaniesClaims Supervisor II - Commercial G/LRoseville, CA$114,000–$128,000 / yearSummary: Supervises claims adjusters and technical support staff to manage the day-to-day handling and settlement of claims, the processing and tracking of documents, making payments, tracking trends and communicating with underwriting. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
NewClaims Supervisor II - Commercial Auto - BI Philadelphia Insurance CompaniesClaims Supervisor II - Commercial Auto - BIRoseville, CA$114,408–$148,058 / yearSummary: Supervises claims adjusters and technical support staff to manage the day-to-day handling and settlement of claims, the processing and tracking of documents, making payments, tracking trends and communicating with underwriting. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
Claims Customer Service Representative I Partnership HealthPlan of CaliforniaClaims Customer Service Representative IFairfield, California$29.95–$35.19 / hourFull timeTo accurately research and process paper and electronic medical, outpatient, ancillary, long term care, CHDP, encounter data and paper crossover/other coverage claims within established time frames, applying appropriate program policies related to claims processing and analysis. Overview: To research and resolve provider telephone and written inquiries within established time frames, accurately screen claims, and participate in provider meetings and projects.
CA Senior Claims Specialist CorVel Enterprise Claims, Inc.CA Senior Claims SpecialistFolsom, CARemotePart 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.
Claims Examiner - Workers Compensation IconmaClaims Examiner - Workers CompensationRoseville, CA$45–$50 / hourAnalyzes 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. Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
Litigated Claims Specialist, General Liability Zurich Insurance Group LtdLitigated Claims Specialist, General LiabilityGold River, CARemoteOur hybrid work model is thoughtfully designed around employee needs offering autonomy to complete focused work from a preferred location, while still supporting meaningful in-person collaboration when it adds value. You will follow established best practices and protocols to ensure claims are handled efficiently and effectively, while delivering a consistent, high-quality, and customer-focused claims experience.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTESacramento, CARemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
Senior Claims Representative - REMOTE Ryder System IncSenior Claims Representative - REMOTESacramento, CARemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
Workers' Compensation Claims Representative City of SacramentoWorkers' Compensation Claims RepresentativeSacramento, CA$90,881.60–$127,879.54 / yearIncumbents may not perform all the listed duties and/or may be required to perform related duties as needed: Reviews accident and injury reports and Doctors First Report of Injury forms to determine proper actions under Workers Compensation laws and regulations; obtains background information; and opens and adjusts claims; pays temporary disability, permanent disability, and life pension benefits to injured employees; or, pays death benefits to dependents; reviews and pays related medical bills; reviews and pays expenses incurred to defend the City in contested claims; and verifies mileage payment requests, pharmacy reimbursements, and other bills. Supplemental Questionnaire: (Pass/Fail) - In addition to the City of Sacramento employment application, all applicants must complete and submit online responses to the supplemental questionnaire to the City of Sacramento Employment Office by the final filing deadline or upon receipt of 150 applications, whichever occurs first; Responses to the supplemental questionnaire must be submitted online; paper questionnaire will not be accepted.
Sr. Work Comp Claims Adjuster (Rancho Cordova, CA) EliteSr. Work Comp Claims Adjuster (Rancho Cordova, CA)Rancho Cordova, CaliforniaExcellent written and verbal communication skills, including ability to convey technical details to claimants, clients and staff. Effectively manages a caseload of 130 to 150 workers’ compensation files, including very complex claims.
NewComplex Liability Adjuster Habitability Claims Berkshire Hathaway GUARD Insurance CompaniesComplex Liability Adjuster Habitability ClaimsRancho Cordova, CA$100,000–$170,000 / yearBerkshire Hathaway GUARD Insurance Companies is seeking a Habitability Claims Adjuster to manage litigated California habitability claims within the Complex Claims unit. With supportive leadership, collaborative teams, and opportunities to grow, GUARD is a place where people build meaningful, long‑term careers.
Intake Document Processor CSC GroupIntake Document ProcessorSacramento, CA$40,000–$42,000 / yearResumes submitted from other agencies either to talent acquisition, our hiring leaders, employees, or through any other mechanism other than our supplier process, will not be eligible to claim related fees and the submitted resumes will be considered property of CSC. CSC is a global business, legal, and financial services company based in Wilmington, Delaware, USA, providing knowledge-based solutions to clients worldwide.
Sr. Workers Compensation Claims Adjuster (CA Jurisdiction) EliteSr. Workers Compensation Claims Adjuster (CA Jurisdiction)Sacramento, CaliforniaThe Senior Claims Adjuster will adjust workers’ compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements. Must possess a current Experienced Indemnity Claims Adjuster Designation, provided by an insurer, as defined in California Code of Regulations, Title 10, Chapter 5, Subchapter 3, Section 2592.01(f).