Claims: salario promedio en Huntington Beach, CA in 2024
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Medical Claims Research Representative
A company is looking for a Medical Claims Research Representative for a remote position. ...
Claims Specialist, Construction
We achieve this by establishing our claims team as an integral component of the underwriting process and aligning our claims professionals with each of our product lines and geographies. Claims Specialist, Construction. Sompo is committed to providing outstanding claims service that delivers:. Effic...
Workers Compensation Claims Representative
Key Responsibilities:Determine compensability and/or coverage issues for loss time workers' compensation claimsEffectively manage a caseload of loss time claims from multiple jurisdictions, including PA, MD, MA, and VANegotiate and direct settlements under management's reviewRequired Qualifications:...
Workers Compensation Claims Examiner | Orange, CA (Hybrid Schedule - 1 day per week)
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...
Claims Associate
A company is looking for a Claims Associate. ...
Consultant - Risk Consulting, CA WC indemnity and litigated claims
Experience with Self-Insured Claims/Programs: Hands-on experience in handling self-insured claims is highly desirable. Strong Technical Background in California Workers' Compensation (CA WC): Proficiency in managing workers' compensation claims, including those that are litigated. A minimum of 5 yea...
Lead Claims Specialist - Claims Processing
Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative contractual agreements. Designs, plans, dir...
Sr Claims Manager
The Senior Claims Manager will own the prepayment identification of claim adjustments, Payer Compass claims testing as well as corrections for EDPS encounters. We are looking for a Senior Claims Manager to join our growing company with many internal opportunities. The incumbent will execute pre/post...
New York Workers' Compensation TPA Claims Oversight Specialist | Remote
Our client, an A-rated Insurance Carrier, is seeking to add a New York Workers' Compensation TPA Claims Oversight Specialist. This person would be responsible for evaluating and reviewing New York Workers’ Compensation claims handled by Third Party Administrators (TPA) for adherence to company’s bes...
Claims Adjuster - Workers Compensation
PRIMARY PURPOSE: To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. Manages workers compensation claims...
Claims Administrative Analyst
Under direct supervision, Responsible for coordinating, resolving and communicating problems and issues between Medical Center physicians, Administration, Outside Providers and members in order to process and partner with the Medical Centers, Outside Providers and Claims Administration. Analyzes ref...
Independent Insurance Claims Adjuster in Laguna Beach, California
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...
Assistant Manager, Claims Investigator
Contact doctors/ hospitals or other persons/ organizations to verify information to make claims decisions. Settle minor claims within authority limit. ...
General Liability Claims Examiner | Must Reside in CA
To analyze complex or technically difficult general liability 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 require...
Workers Comp Claims Specialist -CA Remote
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...
Senior Claims Adjuster - Agribusiness
Senior Claims Adjuster in the Agribusiness department . Manage the coverage, liability and investigation of caseload of agribusiness related claims. Responsible for reserving, negotiation, strategy and resolution of claims. Work closely with legal counsel and defense to investigate, resolve and...
Claims Examiner - Workers Compensation | Long Beach, CA
To analyze high-level 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 | Long Bea...
Claims Examiner
The Claims Examiner I is in daily contact with team members, clients and providers. This position reports to the Claims Supervisor. Processes claims accurately, efficiently and within quality/quantity requirements. Has the ability to access research tools for accurate claims entry. ...
Commercial Claims Adjuster - Carrier or TPA - REMOTE
Property & Casualty (P&C) Claims Adjuster. Handle General Liability / Bodily Injury, Property, Commercial Auto Liability and/or Physical Damage, Workers Compensation, Inland Marine, Professional / Management Liability, Business Interruption, Liquor Liability, Garage/Garagekeepers Legal Liabi...
Workers Compensation Claims Adjuster | Long Beach, CA
To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. Manages workers compensation claims determining comp...
Claims Examiner- P&C Insurance
Work proactively towards claims resolution with defense counsel -Determine if coverage applies for claims reported -Evaluate damages to ascertain compensation amount -Respond to claims calls and e-mails from agents and claimants -Negotiate claim settlements -Participate in claims related audits -Pre...
Major Claims Trial Attorney
Major Claims Trial Attorney - Santa Ana/Irvine. In-house Major Claims Counsel position in Irvine office. An exceptional trial role for a seasoned attorney with strong experience in Real Estate Litigation; Commercial Litigation; Bad Faith claims; Title Insurance a plus. A nationally-recognized firm i...
Claims Member Experience Specialist (Remote)
Working under minimal supervision, the Member Experience Specialist – Claims contributes to Wawanesa’s goal of delivering an exceptional and consistent claims service experience by enhancing relationships with members through tracking and trending feedback utilizing various data sources. Works colla...
Claims Assistant Wanted - DIRECT HIRE
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. ...
Claims Specialist
The team’s focus areas include claims processing for short-term disability, long-term disability, retirement, and death claims. The Prudential Claims Specialist role is essential in handling retirement claims and processing financial transactions on behalf of clients. This position requires high mul...