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 Examiner Donation Specialist-Night Shift OneLegacyMedical Examiner Donation Specialist-Night ShiftAzusa, CA$52,325–$74,233.25 / yearThe 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 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 CompensationOrange, CARemote$47–$52 / hourSubject 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. Responsibilities: 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.
Workers Compensation Claims Examiner (California Jurisdiction) EliteWorkers Compensation Claims Examiner (California Jurisdiction)Los Angeles, CaliforniaThe 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).
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.
Plans Examiner II City of PasadenaPlans Examiner IIPasadena, CA$106,556–$133,194 / yearExample combinations include: Bachelors degree in civil, structural engineering, architecture or construction technology, and; Two years of experience in structural design, architecture design, or as a plans examiner, and; Possession of an International Code Council (ICC) Certification as a Plans Examiner is required. Performs inspections of job sites to evaluate discrepancies between plans, specifications, and work completed; consults with engineers, architects, contractors, or the public to discuss problems with initial plans and required changes; performs field inspections in assistance to other work unit inspectors, or upon request of the Building Official.
Claims Examiner Career AdvocatesClaims ExaminerLos Angeles, CaliforniaThe Claims Examiner will be responsible for researching and resolving pending claims, reviewing claim denials requiring manual review, and ensuring timely processing in compliance with policies, procedures, and regulatory guidelines. Assist in claims processing and report billing/error trends identified during reviews.
Sr Claim Examiner-WC (CA) Crawford & CoSr Claim Examiner-WC (CA)Brea, CARemoteTo determine the actual offer, Crawford considers a wide range of factors including the candidate's previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours. Work within established authority on moderate-to-difficult claims, reviewing coverages, determining liability/compensability, collecting statements and essential information, and settling claims using best practices.
Senior Claims Examiner - 4850 Athens AdministratorsSenior Claims Examiner - 4850Orange, CaliforniaATHENS 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. The Senior Claims Examiner will adjust police and fire 4850 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.
Claims Examiner - Workers Compensation IconmaClaims Examiner - Workers CompensationOrange, CA$47–$52 / hourSubject 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. Responsibilities: 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.
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 incumbent conducts reviews of the financial aspects of corporate affairs applications and filings requiring the Department's approval, to ensure compliance with the California Insurance Code, the California Code of Regulations, the Department's issued Bulletins and Notices, the NAIC Accreditation Program Manual, as well as the Financial Analysis Division's policies and procedures. The California Department of Insurance (CDI) is seeking a dynamic Senior Insurance Examiner (Supervisor) who supervises, directs and reviews the day-to-day work of staff, which encompasses performing ongoing risk-focused financial analyses of licensed entities.
NewLICENSING-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 IV 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 CalOptimaClaims ExaminerOrange, CA$47,840–$64,584 / yearAnalyzes and validates Medi-Cal pricing; researches, adjusts and adjudicates claims; reviews services for accurate charges and utilizes current billing code sets, including International Classification Diseases (ICD10) codes, Current Procedural Terminology (CPT) codes and/or authorization guidelines as reference. We are hoping you will join us as a Claims Examiner and help shape the future of healthcare where you'll be an integral part of our Claims Administration team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders.
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.
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 BPR Consulting Group LLCPlans ExaminerMonterey Park, CA$25–$65The successful candidates must have experience and success in checking building plans and specifications for compliance with established uniform building codes, zoning regulations and ordinances; coordinating plan checking activities with other departments; and preparing comprehensive plan check reports. Coordinate plan checking activities with other agency departments; transmit plans and specifications to appropriate departments and divisions; transmit other department comments to applicants as necessary.
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.
NewSenior Claims Examiner – Commercial General Liability / Public Entity Canon Recruiting GroupSenior Claims Examiner – Commercial General Liability / Public EntityLos Angeles, CA$85,000–$95,000 / yearThe ideal candidate is a confident claims professional who can independently manage a complex caseload, exercise sound judgment, communicate effectively with clients and attorneys, and develop strategies that lead to timely and cost-effective claim resolution. This is an excellent opportunity for an experienced Claims Examiner, Senior Claims Examiner, Liability Adjuster, General Liability Adjuster, or Public Entity Claims Adjuster looking to take on a challenging and rewarding claims role.