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.
Claims Examiner/Senior Claims Examiner W. R. Berkley CorpClaims Examiner/Senior Claims ExaminerWalnut Creek, CA$65,000–$115,000 / yearIn these roles, you will be responsible for the analysis and management of moderate to complex workers' compensation claims, including reviewing, investigating, and making determinations around coverage, compensability, and claim appropriateness. Success in this role requires strong judgment, consistent performance, and a high level of competency in negotiating settlements, managing subrogation, and delivering sound, compliant outcomes.
NewClaims Examiner/Senior Claims Examiner BerkleyClaims Examiner/Senior Claims ExaminerWalnut Creek, California$80,000–$125,000 / yearIn these roles, you will be responsible for the analysis and management of moderate to complex workers’ compensation claims, including reviewing, investigating, and making determinations around coverage, compensability, and claim appropriateness. Success in this role requires strong judgment, consistent performance, and a high level of competency in negotiating settlements, managing subrogation, and delivering sound, compliant outcomes.
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.
NewTriage 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.
NewRep, 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.
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) .
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).
CLAIMS EXAMINER I MSO North East Medical ServiceCLAIMS EXAMINER I MSOBurlingame, CAESSENTIAL JOB FUNCTIONS: Perform the daily examination, auditing and adjudication activities to submitted 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. Working knowledge of managed care and/or healthcare claim reimbursement or medical billing in Medi-Cal and Medicare Advantage program preferred.
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.
Claims Examiner I MSO North East Medical ServiceClaims Examiner I MSOBurlingame, CAESSENTIAL JOB FUNCTIONS: Perform the daily examination, auditing and adjudication activities to submitted 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. Identify claims payment errors and/or system configuration flaws during day-to-day operation, report to department manager/supervisor and MSO System Configuration team to correct/resolve them.
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 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.
Senior Claims Examiner, Workers' Compensation GallagherSenior Claims Examiner, Workers' CompensationPleasanton, CaliforniaRemote$75,000–$105,000 / yearFull timeThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Behaviors: Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
Litigation Examiner - General Liability | Must Reside in CA Sedgwick Claims Management Services, Inc.Litigation Examiner - General Liability | Must Reside in CAConcord, 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.
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.
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.
Mobile Phlebotomy/Paramedical Examiner Quest DiagnosticsMobile Phlebotomy/Paramedical ExaminerVacaville, 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.
NewSouth Bay Float - Medical Assistant/PSR - Medical Arts UCSF Health Medical FoundationSouth Bay Float - Medical Assistant/PSR - Medical ArtsSan Mateo, CA$29–$34Performs Medical Assistant and Patient Services Representative duties to promote safe, efficient patient care and smooth clinic workflows. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs.