NewMedical 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.
NewMedical Assistant - Mental Health California Correctional Health Care ServicesMedical Assistant - Mental HealthCANOGA PARK, 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.
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.
NewMEDICAL ASSISTANT (BILINGUAL IN ENGLISH AND SPANISH/ARMENIAN) Comprehensive Community Health Centers Inc.MEDICAL ASSISTANT (BILINGUAL IN ENGLISH AND SPANISH/ARMENIAN)GLENDALE, CA$22–$25 / hourTakes vital signs, visions PAMS, assists with treatments, maintains equipment, visual fields and inventory supplies, including EMR, patient scheduling, charge slips and routine patient instruction and knowledge of CPR. Under the direction of the provider an MA may administer injections of scheduled drugs, including narcotic medications, only if the dosage is verified by the provider prior and the injection is intradermal, subcutaneous, or intramuscular.
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.
NewMedical Assistant - FT Days - Specialty Clinic Huntington HospitalMedical Assistant - FT Days - Specialty ClinicPasadena, CA$24–$36 / hourWhen you join the Huntington family, you’ll be empowered to enact change that continuously improves our ability to deliver world-class care, with kindness and dignity, to all who need it.** Internal Workers – Please log into your Workday account to apply **. • Other - Demonstrated ability to prepare the patients for examination by performing preliminary physical tests, taking blood pressure, weight, and temperature, and reporting patient history summary.
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 ClaimsCAThis 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 / hourstrong>Why Should You Apply?Health Benefits. Referral Program.
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.
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 .
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.
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.
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.
SENIOR FINANCIAL INSTITUTIONS EXAMINER State Of CaliforniaSENIOR FINANCIAL INSTITUTIONS EXAMINERLos Angeles, CA$8,825–$11,598 / yearExperience in California state service applied toward this requirement must include two years performing the duties of a class at a level of responsibility equivalent to that of a Financial Institutions Examiner, Range C); And Education: Equivalent to graduation from college with a specialization in accounting, business administration, economics, finance, or a related business/management specialization. To be admitted into the SFIE exam/assessment, applicants must meet the minimum qualifications of 1.) One year of experience in California state service performing the duties of a class at a level of responsibility equivalent to that of a Financial Institutions Examiner, Range C or 2.) Four years of increasingly responsible experience in professional auditing or examination of financial institutions, business firms, or services.
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.
NewExecutive Claims Examiner Markel Group IncExecutive Claims ExaminerWoodland Hills, CA$97,520–$134,090 / 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 Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.
Triage Examiner ICW GroupTriage ExaminerCA$53,890.79–$84,981.63 / yearp>Headquartered 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.
Workers' Compensation Senior Claims Examiner ICW GroupWorkers' Compensation Senior Claims ExaminerCA$68,481.25–$115,489.01 / yearp>Headquartered 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.
Property Claims Examiner II Wind/Hail Mercury Insurance CompanyProperty Claims Examiner II Wind/HailCA$98,568–$120,473 / yearli>Be able to seamlessly transition between various methods of inspection, including video, or photo, to write a damage estimate: Possess strong organizational, time management, and prioritization skills to handle varying workloads due to seasonal volume changes and catastrophes. Knowledge and Skills: As a Property Claims Examiner 2, you will: Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims.
Claims Examiner - Workers Compensation MindlanceClaims Examiner - Workers CompensationLong Beach, 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. 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 - 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.
Non-Clinical - Finance/Accounting/Claims Examiner # 26-06718 US Tech Solutions, Inc.Non-Clinical - Finance/Accounting/Claims Examiner # 26-06718Whittier, CA$29–$31 / hourTo know more about US Tech Solutions, please visit www.ustechsolutions.com. They 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.
Claims Examiner - Workers Compensation eTeam Inc.Claims Examiner - Workers CompensationLong Beach, CA$45–$50 / hourp>PRIMARY 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.
Mobile Phlebotomist/Paramedical Examiner Quest DiagnosticsMobile Phlebotomist/Paramedical ExaminerGlendale, California$20–$22With 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.
Plans Examiner Bureau Veritas SAPlans ExaminerMalibu, CABureau Veritas is a global leader in Testing, Inspection, and Certification services, helping clients to manage risk and enhance their performance in the fields of quality, health and safety, environment, and social responsibility. Guaranteeing quality, ensuring health and safety, mitigating risks, and improving performance as well as environmental protection and social responsibility… This is what Bureau Veritas is about, truly believing that it contributes to bettering society.
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.
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.
Senior Claims Examiner GallagherSenior Claims ExaminerTorrance, CaliforniaRemote$75,000–$105,000 / yearThe 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.
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.
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.
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.
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 (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 | 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, Auto | Bodily Injury Sedgwick Claims Management Services, Inc.Claims Examiner, Auto | Bodily InjuryMSEducation & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverages, principles, and laws. Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly.
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 | 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 / yearp>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. 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.
Claims Examiner - Workers Compensation | Glendale, CA - Hybrid Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation | Glendale, CA - HybridGlendale, CA$72,914–$85,000 / yearp>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. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
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 | 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 / yearp>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. 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.
Claims Examiner - Workers Compensation Sedgwick Claims Management Services, Inc.Claims Examiner - Workers CompensationLong Beach, CA$72,914–$90,000 / yearp>• 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; • 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.
NewClaims Examiner Workers Compensation I NV experience required Sedgwick Claims Management Services, Inc.Claims Examiner Workers Compensation I NV experience requiredNV$60,234–$90,000 / 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.
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 RequiredCARemote$85,000–$95,000 / yearul>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. 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.
Claims Examiner - Workers Compensation (HYBRID- West Hills, CA/3 Days Remote) Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation (HYBRID- West Hills, CA/3 Days Remote)West Hills, CARemote$80,000–$90,000 / yearp>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. 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.
Non-Clinical - Finance/Accounting - Claims Examiner BesticaNon-Clinical - Finance/Accounting - Claims ExaminerWhittier, CAMinimum of 2 years claims ADJUDICATION related experience in ambulatory, acute care hospital, HMO, or IPA environment Knowledge of payment methodologies for: Professional (MD), Hospital, Skilled Nursing Facilities, and Ancillary Services * Knowledge and understanding of timeliness and payment accuracy guidelines for commercial, senior and Medi-Cal claims * Knowledge of compliance issues as they relate to claims processing Experience in interpreting provider contract reimbursement terms desirable Ability to identify non-contracted providers for Letter of Agreement consideration Data entry experience Training on basic office automation and managed care computer systems RTO MUST BE SUBMITTED AT TIME OF SUBMITTAL, NO EXCEPTIONS They 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.