Sr. Workers Compensation Examiner-4850 Claims - CA (Contract - Full Remote) Johnson Service GroupSr. Workers Compensation Examiner-4850 Claims - CA (Contract - Full Remote)Pleasant Hill, CARemoteThe Senior Claims Examiner 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).
Sr. Workers' Compensation Examiner - CA (Contract - Full Remote) Johnson Service GroupSr. Workers' Compensation Examiner - CA (Contract - Full Remote)Pleasant Hill, CARemoteThe Senior Claims Examiner 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).
NewMedical Assistant - Cardiology Providence Health and ServicesMedical Assistant - CardiologyNapa, CA$27.21–$41.63 / hourSee Providence Health and Services Terms & Conditions at https://www.providence.org/utility-pages/privacy-policy#terms-of-use and Privacy Policy at https://www.providence.org/utility-pages/privacy-policy#privacy-policy and SonicJobs Privacy Policy at https://www.sonicjobs.com/privacy and Terms of Use at https://www.sonicjobs.com/terms. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
NewMedical Assistant - Urology Providence Health and ServicesMedical Assistant - UrologyNapa, CA$27.21–$41.63 / hourSee Providence Health and Services Terms & Conditions at https://www.providence.org/utility-pages/privacy-policy#terms-of-use and Privacy Policy at https://www.providence.org/utility-pages/privacy-policy#privacy-policy and SonicJobs Privacy Policy at https://www.sonicjobs.com/privacy and Terms of Use at https://www.sonicjobs.com/terms. Coursework/Training: Has completed two years of medical training in the United States Armed Forces, or Minimum one year of work experience as a medical assistant that includes the following clinical skills: obtaining vital signs, administering injections, and medication administration.
Senior Legal Medical Malpractice Examiner Kaiser PermanenteSenior Legal Medical Malpractice ExaminerOakland, CAPerforming legal risk assessment and managing risk by: promoting strict compliance with the terms and conditions of the programs policy of self- and excess liability insurance and considering the financial exposure, regulatory impact, and reputational risk; and proposing solutions to improve internal matter resolution and notifying relevant parties of significant matter developments. Job Summary: Responsible for the administration of medical malpractice and other professional and general liability claims made during the course of conducting company business across the enterprise, having a material impact on legal reserves that are listed as a separate line item on the company's financial statements.
Triage Examiner ICW GroupTriage ExaminerPleasanton, CA$53,890.79–$84,981.63 / yearWith a strong sense of urgency, the Triage Examiner drives early intervention to positively influence claim outcomes, optimize efficiency, and ensure a smooth transition to the next specialized claim examiner for ongoing management, while establishing a professional and positive tone that supports effective claim handling. Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for the twelfth consecutive year in a row and for the 20th time overall as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people.
Rep, Mobile Examiner - (P/T) - ExamOne/Walnut Creek, CA area Quest Diagnostics IncRep, Mobile Examiner - (P/T) - ExamOne/Walnut Creek, CA areaWalnut Creek, CA$13.97–$26.71 / hourEnsures facilities or work areas are neat, clean and in good repair, takes appropriate action to advise Manager or Supervisor of required repairs and maintenance; Disposes of biohazard containers when scheduled. Under the direction of the Branch Manager or Field Leader, the Mobile Examiner''s primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on time.
Building Engineering Plans Examiner (Associate Civil Engineer) City of Fairfield, CABuilding Engineering Plans Examiner (Associate Civil Engineer)Fairfield, CA$162,870–$191,290 / yearThis individual is a self-starter who can manage assignments with minimal supervision, prioritize competing deadlines, and confidently navigate complex development and infrastructure projects while building effective working relationships with internal staff, developers, consultants, and the public. The City of Fairfield offers a comprehensive benefit package that includes City contribution toward the Public Employees Retirement System and deferred savings; medical, dental and vision; life insurance; paid holidays, vacation, personal leave and sick leave.
NewSenior Claims Examiner - Workers'''' Compensation (California) ICW GroupSenior Claims Examiner - Workers'''' Compensation (California)Pleasanton, CA$68,481.25–$115,489.01 / yearHeadquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for the twelfth consecutive year in a row and for the 20th time overall as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. Bachelor's degree (or equivalent combination of education and experience) required along with a minimum of 5+ years' related claims handling experience required; complex litigated claims experience is highly preferred.
Mobile Phlebotomist/Paramedical Examiner Quest DiagnosticsMobile Phlebotomist/Paramedical ExaminerUnion City, California$24–$26With customized statistical reports, an electronic voice response system, and a team of solution experts dedicated to solving your business’s challenges, we are focused on helping underwriters achieve maximum efficiency. With customized statistical reports, an electronic voice response system and a team of solution experts dedicated to solving your business’s challenges, we are focused on helping underwriters achieve maximum efficiency.
Senior Workers' Compensation Claims Examiner (FULL Remote - Perm) - CA Johnson Service GroupSenior Workers' Compensation Claims Examiner (FULL Remote - Perm) - CAConcord, CARemote$98,000–$109,000 / yearThe Senior Claims Examiner 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).
Senior Workers' Compensation Claims Examiner (FULL Remote - Contract) - CA Johnson Service GroupSenior Workers' Compensation Claims Examiner (FULL Remote - Contract) - CAConcord, CARemote$50.25–$55.89 / hourThe Senior Claims Examiner 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) .
NewSenior Claims Examiner - Remote/Hybrid California Athens AdministratorsSenior Claims Examiner - Remote/Hybrid CaliforniaConcord, CaliforniaRemoteATHENS POSITION DETAILS Position Title: Senior Claims Examiner Department: Workers’ Compensation California Reports To: Claims Supervisor FLSA Status: Non-Exempt Job Grade: 12 Career Ladder: Next step in progression could include Lead Senior Claims Examiner or Claims Supervisor ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. POSITION SUMMARY Athens Administrators has an immediate need for a full-time Senior Claims Examiner to support our workers compensation offices and can be located anywhere in the state of California, however, employees who live less than 26 miles from the Concord, CA or Orange, CA offices are required to work once a week in the office on a day determined by their supervisor between Tuesday – Thursday.
Plans Examiner Willdan Group IncPlans ExaminerSan Anselmo, CAThrough our subsidiary Public Agency Resources (PARS), we are proud to be "Envisioning the Future" of Building & Safety-partnering with cities, buildings, and transportation projects to create safer, more sustainable communities. As a Plans Examiner, you'll play a key role in ensuring building safety and compliance while working closely with public agencies, architects, contractors, and the community.
Claims Examiner II North East Medical ServiceClaims Examiner IIBurlingame, CAESSENTIAL JOB FUNCTIONS: Perform the daily examination, auditing and adjudication activities to submitted hospital and professional claims based on established utilization criteria, Medi-Cal and/or Medicare guidelines, member's Evidence of Benefit, and policies and procedures outlined in the MSO Claims Manual. Responsible to prepare files and documents for the annual health plan delegation oversight audits, assist Claims Supervisor with MSO management reports, and other special projects as needed.
Senior Claims Examiner - Multi-Client Athens AdministratorsSenior Claims Examiner - Multi-ClientConcord, CaliforniaATHENS POSITION DETAILS Position Title: Senior Claims Examiner - Flex Department: Workers’ Compensation California Reports To: Claims Supervisor FLSA Status: Non-Exempt Job Grade: 12 Career Ladder: Next step in progression could include Lead Senior Claims Examiner or Claims Supervisor ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. POSITION SUMMARY Athens Administrators has an immediate need for a full-time Senior Claims Examiner - Flex to support our workers compensation offices and can be located anywhere in the state of California, however, employees who live less than 26 miles from the Concord, CA or Orange, CA offices are required to work once a week in the office on a day determined by their supervisor between Tuesday – Thursday.
Senior Claims Examiner, Professional Liability Arch Capital Group LtdSenior Claims Examiner, Professional LiabilitySan Francisco, CARemote$111,100–$172,465 / yearTotal individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines.
Claims Examiner II Partnership HealthPlan of CaliforniaClaims Examiner IIFairfield, California$31.45–$37.74 / hourFull timeReviews, researches, and resolves pended claims for Medi-Cal types: medical, ancillary, long term care, CHDP, encounter data, other coverage, and batch claims within established. The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform.
General Liability Claims Examiner - Public Entity Sedgwick Claims Management Services, Inc.General Liability Claims Examiner - Public EntityConcord, CARemote$80,000–$105,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. PRIMARY PURPOSE: To address and handle high end Public Entity General Liability cases with serious injuries, complex coverage scenarios and legal inquiries or disputes; to develop a strategy to bring a case to satisfactory resolution.
NewRemote Workers Compensation Claims Examiner | CA Jurisdiction Sedgwick Claims Management Services, Inc.Remote Workers Compensation Claims Examiner | CA JurisdictionPleasant Hill, CARemote$80,000–$105,000 / yearPRIMARY PURPOSE OF THE ROLE To analyze complex or technically difficult California 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. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.