A company is looking for a Claims Examiner - Claims Specialist. ...
Remote CA - Must be in California** Position Purpose: The Delegation Oversight Compliance Auditor - Medical Claims is responsible for scheduling, coordinating, and conducting delegated entity audits using established audit tools for assigned lines of business. Responsible for managing the audit pro...
Key Responsibilities:Investigate, evaluate, settle, and process casualty claims primarily over the phoneHandle various types of claims including injury and property damage claims under different coveragesComply with claims organization policies, best practices, and jurisdictional guidelinesRequired ...
Remote CA - Must be in California** Position Purpose: The Delegation Oversight Compliance Auditor - Medical Claims is responsible for scheduling, coordinating, and conducting delegated entity audits using established audit tools for assigned lines of business. Responsible for managing the audit pro...
Experience in partnering with Legal and Insurers for effective claims litigation management. Demonstrated knowledge of best practices in risk, insurance, and claims management (to include Worker's Compensation). A minimum of 2 years' experience handling and managing moderate, severe, and complex inj...
Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients...
The Workers Compensation Claims Manager is responsible to supervise activities within the worker compensation lost time claims department. This may encompass supervision of administrative tasks and staff or oversight of the investigation of insurance claims involving workers compensation, property o...
To analyze Liability 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. Apply your examiner knowledge and experience to adjudicate complex cust...
Independent responsibility for managing workers compensation claims of assigned customers. Manages workers’ compensation claims for assigned clients;. Conducts quarterly claims review meetings with employer representatives;. Obtains loss runs and claim status; discusses claims finalization plans wit...
Come join our amazing team and work remote from home!The Sr Claims Recovery & Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans. Take on department projects from start to completion that falls within the scope of the Claims Recovery & Analysis Department...
Our client, an A-rated Insurance Carrier, is seeking to add a Workers' Compensation Claims TPA Oversight Specialist This person would be responsible for promptly evaluating and reviewing New Jersey and Pennsylvania Workers’ Compensation claims handled by Third Party Administrators (TPA) for adherenc...
The Medical Claims Processor is primarily responsible for accurately and thoroughly processing claims and referrals in a timely manner in accordance with specific plan benefits provisions and guidelines, exclusions and limitations. Identifies any issues or concerns regarding any claims and refers th...
The Claims Administrator provides administrative support to the claims team through the new claims process. Input new claims information into Claims System. Assist with review and intake of new claims received by telephone, mail or email. Manage assignment of new claims. ...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
The Claims Examiner II accurately reviews, researches and analyzes professional, ancillary and institutional inpatient and outpatient claims. Process all types of claims, such as, HCFA 1500, outpatient/inpatient UB92, high dollar claims, COB and DRG claim. Comprehensive knowledge of DMHC and CMS gui...
Claims Examiner - Workers Compensation. BCForward is currently looking for Claims Examiner - Workers Compensation in Brea, CA 92821. Job Title: Claims Examiner - Workers Compensation. Certainly! Here's a refined job description for a Workers' Compensation Claims Analyst position:. ...
Claims Analyst - Hybrid - Orange County, CA. We have a great opportunity for an experienced Claims Analyst/Specialist in the Orange County area. ...
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 | Orange, CA (Hybrid Sc...
Company is looking for a customer service representative ( Claims Assistant) to help handle insurance claims on behalf of several insurance carriers. Several claims' assistants have advanced into claims adjusting position. ...
Major Claims Trial Attorney - Santa Ana/Irvine. A nationally-recognized firm is seeking a seasoned Trial Attorney to manage the disposition of Major Claims, investigate and analyze; attending settlement conference and mediations; will require some travel; must have strong writing skills and ability ...
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...
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 d...
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague.A career at Sedgwick means experiencing our culture of caring.It means having flexibility and time for all the things that are important to you.It's an opportunity to do something mean...
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...