Claims 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.
NewClaims 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.
Claims Adjuster Kinetic Personnel GroupClaims AdjusterMonrovia, CA$55,000–$75,000 / yearTemporaryThe ideal candidate has a strong understanding of coverage analysis, liability evaluation, and California insurance regulations, and is able to resolve claims efficiently and fairly. This role is responsible for providing high-quality customer service while managing a volume of property damage claims.
NewCustomer Service Representative/Order Processor Frontline Resources LLCCustomer Service Representative/Order ProcessorSanta Fe Springs, CALiaise with Customers, Customer Service Team, and Multiple Distribution Centers via phone, fax, email, chat, and mail regarding Returns. Input & process transactions obtaining such information as Customer account #, quantity, reason for return, item #, invoice research in Microsoft Great Plains.
NewSenior Claims Auditor (External Audit) Astrana Health, Inc.Senior Claims Auditor (External Audit)Monterey Park, CA$70,308–$80,000 / yearKnowledge of medical terminology combined with detail knowledge and experience with CPT, HCPCS, DRG, REV, OPS, ASC, ICD10, CRVS, RBRVS, CMS, ICE for Health Plan, DMHC and DHS fee schedules and CMS Medicare regulatory agencies, COB and Third-Party Liability recovery. Detail knowledge and understanding of Industry pricing methodologies, such as Resources-Based Relative Value Scale (RBRVS), Medicare/Medi-Cal fee schedule, All Patient Refined Diagnosis Related Groups (AP-DRG), Ambulatory Payment Classifications (APC), etc.
NewClaims Examiner - Workers Compensation (Hourly) Apidel TechnologiesClaims Examiner - Workers Compensation (Hourly)Brea, CATo 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 Examiner - Workers Compensation Apidel TechnologiesClaims Examiner - Workers CompensationOntario, CATo 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. 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.
Claims Coordinator I AxelonClaims Coordinator ITorrance, CAProficiency with computers, including email, PDF editing, and fax/eFax methods. Ability to work 40 hours per week for the next several months with minimal to no planned PTO.
NewLead - Claims Examiner Astrana Health, Inc.Lead - Claims ExaminerMonterey Park, CA$27–$32 / hourWork closely with other Company departments and specifically, the Claims QA and Training Specialist to communicate findings of recovery audits and to facilitate accurate adjudication of claims. Ensures that all legal, regulatory and policy requirements are met by keeping informed of changes and by implementing necessary controls and/or programs to meet requirements.
NewClaims Monitoring Counsel MG+M The Law FirmClaims Monitoring CounselIrvine, CARemoteThe Consulting Group is at the forefront of emerging issues facing design professionals, including the use of AI, alternative construction delivery models such as Progressive Design Build, and project specific risk and insurance frameworks. Experience in one or more of the following practice areas: complex civil litigation preferably in the construction arena, claims management, interaction with insurers, involvement in the design or construction industry.
NewWorkers Compensation Claims Examiner Mary Kraft HRWorkers Compensation Claims ExaminerLong Beach, CARemote$33.65–$45 / hourMary Kraft is seeking an experienced Workers Compensation Claims Examiner that can analyze and manage complex or technically difficult workers' compensation claims, including indemnity claims, to determine benefits due. This role involves working with high exposure claims that may include litigation and rehabilitation, ensuring timely adjudication in accordance with service expectations, industry best practices, and client requirements.
Claims Specialist PRSH Holdings Inc.Claims SpecialistRiverside, CAThe 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.
NewWorkers Compensation Claims Examiner Imagine Staffing TechnologyWorkers Compensation Claims ExaminerLong Beach, CAI 443-345-3305 Nature & Scope: Positional Overview We are seeking an experienced Workers Compensation Claims Examiner to manage complex California workers’ compensation claims, including indemnity and litigated cases. Role & Responsibility: Tasks That Will Lead to Your Success Analyze and process complex workers’ compensation claims by investigating facts, gathering documentation, and evaluating claim exposure.
Sr. Medical Claims Processor Ultimate Staffing ServicesSr. Medical Claims ProcessorPasadena, California$24–$29 / hourEnsure accuracy of claim details, including patient information, coding (ICD-10, CPT, HCPCS), and billing data prior to submission. Investigate and resolve denied, rejected, or pending claims by working with providers, payers, and internal departments.
NewPI Case Manager- Bilingual CASEPEER Experience Preferred Trauma Law PCPI Case Manager- Bilingual CASEPEER Experience PreferredTorrance, CADay to day tasks include frequent client contact, medical records collection, review, and analysis, assisting clients with medical providers, appointments, liability investigations, insurance claims processing, resolving property damage and loss of use, preparing files to submit to our demand department, and providing superior client service. A fantastic and rare opportunity to be an integral part of a reputable, and rapidly growing law firm that handles significant TBI and catastrophic cases in a positive team focused environment while working along side two "superstars" in the personal injury field.
New**Pharmacy Technician positions available Immediately***** Grand Specialty Pharmacy**Pharmacy Technician positions available Immediately*****Los Angeles, CA$33,000–$52,000 / yearHelp with all types of pharmacy related works, as far as cleaning, cashiering, organizing and ordering Over The Counter medications, foods and snacks and etc. Pharmacy Technician Qualifications and Duties include: -Readily accepts new responsibilities and takes ownership of their roles.
NewRestoration Estimator (Xactimate) IKON BUILDERS, INC.Restoration Estimator (Xactimate)San Clemente, CAThe Restoration Estimator is responsible for creating accurate and profitable estimates, managing scopes of work, and working directly with insurance adjusters and internal teams to ensure successful project outcomes. Xactimate, Symbility, restoration estimating, insurance claims, water damage, fire damage, reconstruction, supplements, mitigation, property damage, adjuster negotiation, scope writing, job costing, residential construction, estimating software.
NewPractice Lead/Supervisor (20/20 Vision Associate) VSP Ventures Optometric Solutions LLCPractice Lead/Supervisor (20/20 Vision Associate)Riverside, CAOversee the work of the practice staff and the daily workflow including patient care and retention through effective accurate scheduling, communication with patients in person and over the phone using professional etiquette and delivery of the highest patient experience. Applicants who live in the following jurisdictions should not respond to the race or gender self-identification request, so please select “Prefer not to say, I Don’t Wish to Answer, I decline to self-identify, or I decline to identify my race and ethnicity” for the questions: • Washington D.C. • Hawaii.
NewGeneral Manager, Foodservice Sales (Hybrid) Kewpie Americas Q&B FoodsGeneral Manager, Foodservice Sales (Hybrid) Kewpie AmericasIrwindale, CAOver 60 years of fine food, products and service.\r\nAs a division of Kewpie Corporation, Japan's leading manufacturer of mayonnaise, salad dressings, sauces, marinades and related products, California-based Q&B Foods, Inc. is uniquely qualified to produce the highest quality and tastiest products in the US marketplace.\r\n\r\nOur highly qualified management teams and representatives are dedicated to maintaining our exceptional reputation, which has made Q&B Foods one of the premiere suppliers to leading businesses around the world. As a division of Kewpie Corporation, Japan's leading manufacturer of mayonnaise, salad dressings, sauces, marinades and related products, California-based Q&B Foods, Inc. is uniquely qualified to produce the highest quality and tastiest products in the US marketplace.
NewParalegal, Employment Single Action (FEHA) Wilshire Law FirmParalegal, Employment Single Action (FEHA)Irvine, CA$36.50–$52.89 / hourDraft Meet & Confers, complaints, witness statements, correspondence and regular communication with clients, experts, and defense counsel in an effective and courteous manner. Experience drafting and propounding discovery, initial complaints, meet and confer responses, witness statements, disclosures, designation of experts, objections letters, etc.