Medical Assistant (Primary Care, Oncology, OB/GYN, Women's Health) JobotMedical Assistant (Primary Care, Oncology, OB/GYN, Women's Health)Glendale, CA$23–$27 / hourInformation 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. Providing clinical assistance by performing routine tasks such as taking vitals, preparing patients for examinations, administering medication under the direction of a physician, and maintaining patient records.
Medical Assistant - Mental Health California Correctional Health Care ServicesMedical Assistant - Mental HealthANAHEIM, CA$54,672–$62,100 / yearCalifornia Department of Corrections and Rehabilitation (CDCR)/California Correctional Health Care Services (CCHCS) Medical Assistants not only ensure the smooth flow of clinical operations, they’re also ensuring a better future for themselves with salary increases, secure benefits, and opportunities for growth along a well-defined nursing career ladder. All CDCR/CCHCS employees that refer a mental health clinician who is successfully hired by CCHCS may be eligible to receive a referral bonus of $5,000 per appointed referral.
NewMedical Assistant - SRS Primary Care - Rancho Bernardo - Full-Time - Day Shift SHARP HEALTHCAREMedical Assistant - SRS Primary Care - Rancho Bernardo - Full-Time - Day ShiftLos Angeles, CA$48,000–$57,600 / yearSee Sharp HealthCare Terms & Conditions at https://www.sharp.com/patient-rights-privacy/terms-of-use.cfm and Privacy Policy at https://www.sharp.com/patient-rights-privacy/privacy-practices.cfm and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.
NewMedical Assistant - Podiatry - SRS Rancho Bernardo - Full-Time - Day Shift SHARP HEALTHCAREMedical Assistant - Podiatry - SRS Rancho Bernardo - Full-Time - Day ShiftLos Angeles, CA$48,000–$57,600 / yearSee Sharp HealthCare Terms & Conditions at https://www.sharp.com/patient-rights-privacy/terms-of-use.cfm and Privacy Policy at https://www.sharp.com/patient-rights-privacy/privacy-practices.cfm and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.
Certified Medical Assistant MindlanceCertified Medical AssistantNorwalk, CA$23–$27 / hourBy serving as a key connection between patients, providers, and care teams, the Medical Assistant helps ensure smooth clinic operations and supports the overall effectiveness of the care center. This position is responsible for assisting with clinical and administrative functions that promote efficient care delivery, accurate documentation, and a positive patient experience.
Medical Examiner Donation Specialist-Night Shift OneLegacy BrandMedical Examiner Donation Specialist-Night ShiftAzusa, CaliforniaThe MEDS is also responsible for representing OneLegacy to develop those relationships that will maximize the potential for organ, eye and tissue donation as well as assisting in determining if the tissue is suitable for recovery and transplantation. Coordinates with Coroner personnel on the recovery time logistics for specimen collection, autopsy scheduling, request for Photos/X-rays, and other processing to identify potential referrals.
Medical Malpractice Claims Examiner Huntington HospitalMedical Malpractice Claims ExaminerPasadena, CA$84,240–$126,360 / yearThis role ensures timely and accurate claims handling in accordance with applicable laws, organizational policies, and insurance coverage requirements, while mitigating financial and reputational risk to the organization. Proven experience in the handling of professional liability, employment liability, and general liability claims, and interacting with medical staff, legal counsel, risk managers, and insurance carriers.
Senior Claims Examiner, Medical & Healthcare Claims Markel Group IncSenior Claims Examiner, Medical & Healthcare ClaimsWoodland Hills, CAThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.
Medical Claims Examiner Ultimate Staffing ServicesMedical Claims ExaminerPasadena, California$26–$29 / hourWe are seeking an experienced Medical Claims Examiner to review, analyze, and adjudicate medical claims for accuracy, compliance, and medical necessity. Identify coding discrepancies, overpayments, and potential fraud or abuse.
Claims Examiner - Workers Compensation ICONMA, LLCClaims Examiner - Workers CompensationLong Beach, CA$45–$50 / hourMental: 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. 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 Examiner - Workers Compensation IconmaClaims Examiner - Workers CompensationLong Beach, CA$45–$50 / hourMental: 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. 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.
Senior Manager, Dealer Credit Examiner Hyundai Capital America, Inc.Senior Manager, Dealer Credit ExaminerIrvine, CAThe posted salary range for this job takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; geographic location, and other business and organizational needs. Your work will support both new loan originations and existing credit relationships by providing clear, objective financial insight to Commercial Risk and Credit leadership-while remaining independent of underwriting and approval decisions.
Claims Examiner Welbe Health LLCClaims ExaminerCA$55,930.55–$73,828.33 / yearOur Health Plan Services team helps ensure excellent care delivery for our participants, and the Claims Examiner plays a pivotal role in ensuring timely and efficient processing of claims for our contracted specialty provider partners. Understanding of Industry pricing methodologies, such as Medicare/Medi-Cal fee schedule, Diagnosis Related Groups (DRG), Multiple Procedure Payment Reduction (MPPR) and benefit interpretation and administration .
3rd Party Claims Adjuster/Examiner - HYBRID DB Insurance Co.3rd Party Claims Adjuster/Examiner - HYBRIDAnaheim, CaliforniaIn this role, you will handle claims involving third-party liability, specifically in commercial trucking and business policies, working to resolve them efficiently while ensuring fair settlements. Key Responsibilities: Investigate, evaluate, and resolve third-party claims including bodily injury, property damage, and liability claims including ones in litigation for commercial trucking and business policies.
Claims Examiner (Hawaii) - HYBRID DB Insurance Co.Claims Examiner (Hawaii) - HYBRIDAnaheim, CaliforniaThe ideal candidate will excel at collaborating with third-party adjusters, vendors, and industry experts to ensure claims are handled efficiently and accurately while delivering exceptional service to agents and claimants. This role involves overseeing and managing complex property and casualty claims, including those related to building and structural damage, auto, and workers’ compensation.
MEP Plans Examiner Willdan Group IncMEP Plans ExaminerAnaheim, 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. Review mechanical (HVAC, ventilation, ductwork), electrical (load calculations, wiring, service panels) and plumbing/gas system plans for commercial and possibly multi-family residential projects.
Plans Examiner Willdan Group IncPlans ExaminerLos Angeles, CAAdvises and assists architects, contractors, builders, and the general public with interpretation and application of pertinent building regulations, state laws, and local ordinances. Coordinates the review of plans with other public agencies whose approval is necessary; itemizes the required corrections and modifications and explains them to permit applicants.
LICENSING-REGISTRATION EXAMINER, DEPARTMENT OF MOTOR VEHICLES State Of CaliforniaLICENSING-REGISTRATION EXAMINER, DEPARTMENT OF MOTOR VEHICLESLos Angeles, CA$4,810–$5,899Under general direction of the manager in a Grade V field office, with minimal day-to-day supervision, the Licensing-Registration Examiner performs the most difficult and sensitive work in an environment which routinely requires a calm, courteous, and tactful approach in providing customer service. Using the online application system as specified in this announcement is the preferred method of applying for civil service job opportunities; however, applicants may instead apply by way of U.S. mail, parcel delivery or courier service, or in person, as set forth in this announcement.
Claims Examiner (Hawaii) - HYBRID DB Insurance Co., Ltd.Claims Examiner (Hawaii) - HYBRIDAnaheim, CAFull timeThe ideal candidate will excel at collaborating with third-party adjusters, vendors, and industry experts to ensure claims are handled efficiently and accurately while delivering exceptional service to agents and claimants. This role involves overseeing and managing complex property and casualty claims, including those related to building and structural damage, auto, and workers’ compensation.
3rd Party Claims Adjuster/Examiner - HYBRID DB Insurance Co., Ltd.3rd Party Claims Adjuster/Examiner - HYBRIDAnaheim, CAFull timeIn this role, you will handle claims involving third-party liability, specifically in commercial trucking and business policies, working to resolve them efficiently while ensuring fair settlements. Key Responsibilities: Investigate, evaluate, and resolve third-party claims including bodily injury, property damage, and liability claims including ones in litigation for commercial trucking and business policies.
Workers' Compensation Senior Claims Examiner ICW GroupWorkers' Compensation Senior Claims ExaminerWoodland Hills, 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 ten consecutive years 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. If hired at ICW Group, your final base salary compensation will be determined by factors unique to each candidate, including experience, education and the location of the role and considers employees performing substantially similar work.
Senior Claims Examiner, Management Liability, Markel Group IncSenior Claims Examiner, Management Liability,Woodland Hills, CA$78,000–$107,250 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Manage litigation filed nationwide against insureds; appoint, direct, and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist internal claims vendor management, disbursement and legal collections teams with defense counsel, bill payment, and collection issues.
Claims Examiner - Workers Compensation Apidel TechnologiesClaims Examiner - Workers CompensationPasadena, CARemoteContractorPrimary 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. 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 Examiner - Workers Compensation MindlanceClaims Examiner - Workers CompensationOrange, CARemote$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. 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 Examiner - Managed Care Cedars-Sinai Medical CenterClaims Examiner - Managed CareLos Angeles, CAExperience: Three (3) years of medical claims processing for Medicare and Commercial products and provider dispute resolution processing in an IPA, HMO and Hospital related setting required. Acquires and adjudicates medical claims for processing; reviews scanned, EDI, or manual documents for pertinent data on claim for complete and accurate information.
Rep, Mobile Examiner - (P/T) - ExamOne/Orange, CA area Quest Diagnostics IncRep, Mobile Examiner - (P/T) - ExamOne/Orange, CA areaOrange, 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.
Rep, Mobile Examiner - (P/T) - ExamOne/Glendale, CA area Quest Diagnostics IncRep, Mobile Examiner - (P/T) - ExamOne/Glendale, CA areaGlendale, 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.
Claim Examiner- WC job in Brea/Fulsome/Fresno CA TalentBurst, Inc.Claim Examiner- WC job in Brea/Fulsome/Fresno CABrea, CAInvestigates, evaluates, negotiates and adjudicates first and third party claims to determine validity and verify extent of damage by telephone contact with clients, claimants, witnesses or other parties as required. - Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements.
Non-Clinical - Finance/Accounting/Claims Examiner # 26-06718 US Tech Solutions, Inc.Non-Clinical - Finance/Accounting/Claims Examiner # 26-06718Whittier, CA$29–$31 / hourThey are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups and hospitals for HMO patients. US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.
Senior Manager, Dealer Credit Examiner Hyundai Capital AmericaSenior Manager, Dealer Credit ExaminerIrvine, CaliforniaYour work will support both new loan originations and existing credit relationships by providing clear, objective financial insight to Commercial Risk and Credit leadership-while remaining independent of underwriting and approval decisions. In this role, you'll travel extensively across the U.S. to assess dealer cash flow, liquidity, working capital, and overall financial condition through hands on reviews of books, records, and bank activity.
Workers Compensation Claims Examiner TEEMA GroupWorkers Compensation Claims ExaminerChino, CA$93,000–$104,000This role requires strong technical expertise, sound judgment, and the ability to handle highly complex indemnity claims within established authority limits. This is a highly interactive role requiring regular communication with clients, claimants, attorneys, medical providers, and internal stakeholders.
Claims Examiner - Workers Compensation eTeam Inc.Claims Examiner - Workers CompensationLong Beach, CA$45–$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. 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 Examiner - Workers Compensation w/CALI Experience Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation w/CALI ExperienceTelecommuter, CA$72,914–$95,000 / 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. 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.
Senior Claims Examiner VenbrookSenior Claims ExaminerLos Angeles, MontanaVenbrook works across the claims lifecycle with services that include Third Party Administration (TPA), Complex Claims Management, Catastrophe, Independent Adjusting, subrogation recovery, litigation management, investigative, and special investigations unit (SIU) services. Venbrook's team of experts and industry specialists partners with their clients to manage their risks, create security, promote growth, and add value by delivering best-in-class commercial property & casualty, employee benefits, and personal risk insurance products and programs.
Claims Examiner Workers Compensation I CA experienced required I Remote Sedgwick Claims Management Services, Inc.Claims Examiner Workers Compensation I CA experienced required I RemoteCARemote$63,404–$95,000 / 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. 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.
Examiner Physician Assistant - Travel Loyal Source Government Services LLCExaminer Physician Assistant - TravelCA$133,120–$163,120 / 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.
Examiner Physician Assistant Loyal Source Government Services LLCExaminer Physician AssistantIrvine, CA$150,425.60–$180,425.60 / 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.
SENIOR INSURANCE EXAMINER (SUPERVISOR) State Of CaliforniaSENIOR INSURANCE EXAMINER (SUPERVISOR)Los Angeles, CA$8,312–$13,123 / yearUnder general direction of the Supervising Insurance Examiner, the Senior Insurance Examiner (Supervisor) supervises, plans, and directs the work of a staff of insurance examiners in conducting examinations of insurance companies to determine their financial status, solvency and the legality and propriety of their operations; plans, directs and conducts the examinations of the largest and most complex insurance companies; trains field examiners in performing examinations and Electronic Data Processing (EDP) audit tasks; and performs required administrative tasks. Ability to review examination work papers, account write-ups, and examination reports to ensure they are completed in accordance with the Field Examination Division's policies and procedures, and the NAIC's Financial Condition Examiners' Handbook.
Auto & Bodily Injury Litigation Claims Examiner | Commercial Auto | Dedicated Client & Capped Caseload License Required Sedgwick Claims Management Services, Inc.Auto & Bodily Injury Litigation Claims Examiner | Commercial Auto | Dedicated Client & Capped Caseload License RequiredTelecommuter, CARemote$85,000–$95,000 / 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 OF THE ROLE To analyze Auto Bodily Injury Litigation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Workers Compensation Claims Examiner | HYBRID | Brea, CA Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | HYBRID | Brea, CABrea, 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 OF THE ROLE To analyze Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Litigation Examiner - General Liability | Must Reside in CA Sedgwick Claims Management Services, Inc.Litigation Examiner - General Liability | Must Reside in CALong Beach, CA$85,000–$105,000 / yearNewsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Litigation Examiner - General Liability | Must Reside in CA Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? 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 Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking TAKING CARE OF YOU Flexible work schedule.
Workers Compensation Claims Examiner | Bonus Eligible | Long Beach or Roseville, CA Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | Bonus Eligible | Long Beach or Roseville, CALong Beach, CA$80,000–$100,000 / yearPRIMARY PURPOSE OF THE ROLE: To analyze workers' compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Claims Examiner - Workers Compensation Sedgwick Claims Management Services, Inc.Claims Examiner - Workers CompensationLong Beach, CA$72,914–$90,000 / yearAnalyzes 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; • Negotiates settlement of claims within designated authority; • Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim; • Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level; • Prepares necessary state filings within statutory limits; • Manages the litigation process; ensures timely and cost-effective claims resolution; • Coordinates vendor referrals for additional investigation and/or litigation management; • Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients; • Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets; • Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner; • Communicates claim activity and processing with the claimant and the client; maintains professional client relationships; • Ensures claim files are properly documented and claims coding is correct; • Refers cases as appropriate to supervisor and management; • Performs other duties as assigned; • Supports the organizations quality program(s); • Travels as required. 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.
Claims Examiner Workers'''' Compensation Sedgwick Claims Management Services, Inc.Claims Examiner Workers'''' CompensationCA$60,234–$85,000 / yearTo analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
Workers Compensation Claims Examiner | Roseville or Long Beach, CA Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | Roseville or Long Beach, CALong Beach, CA$80,000–$98,000 / 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 OF THE ROLE: To analyze workers' compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Workers Compensation Claims Examiner | West Hills, CA (Remote 3 Days) Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | West Hills, CA (Remote 3 Days)West Hills, CARemote$80,000–$98,000 / 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. 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.
Workers Compensation Claims Examiner (Dedicated) | West Hill, CA Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner (Dedicated) | West Hill, CAWest Hills, CARemote$80,000–$105,000 / 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.
Claims Examiner- Workers Compensation | Brea, CA (Hybrid) Sedgwick Claims Management Services, Inc.Claims Examiner- Workers Compensation | Brea, CA (Hybrid)Brea, CARemote$85,000–$105,000 / 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. 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.
Claims Examiner - Workers Compensation (West Hills,CA/Remote 3 days) Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation (West Hills,CA/Remote 3 days)West Hills, CARemote$80,000–$98,000 / yearPRIMARY PURPOSE OF THE ROLE: To analyze Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Workers Compensation Claims Examiner | Long Beach or Roseville, CA Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | Long Beach or Roseville, CALong Beach, CA$85,000–$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 OF THE ROLE: To analyze workers' compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.