Workers Compensation Claims Specialist
A company is looking for a Customer Operations (Workers Compensation Claims) specialist.Key ResponsibilitiesMake high-volume outbound calls to investigate and resolve workers' compensation claimsSubmit bills and documentation to insurance companies to maximize paymentsContribute to team efforts through denial reports, audits, and supportRequired Qualifications and TrainingDesire to grow a career in claims managementWorking knowledge of Microsoft Office (Word, Excel, Outlook)Technical proficiency to work on multiple computer screens and software applicationsAbility to maintain strong performance in a fast-paced environmentExperience with Coordination of Benefits and insurance billing is a plus
Claims Adjuster - Workers Compensation
Summary: The main function of a Workers' Compensation Claims Adjuster is to investigate, analyze, and determine the extent of insurance company's responsibility for lost wages, medical benefits, and permanent impairment. Workers Compensation handling California Claims. Knowledge of California worker...
Workers' Compensation Claims Specialist
Previous workers’ compensation experience required. Investigate, analyze, and determine the extent of company's liability concerning Claims and attempt to effect settlement with claimants. Correspond with or interview medical specialists, agents, witnesses, or claimants to compile information. Calcu...
Workers Compensation Claims Examiner | Dedicated Client | Remote to California Residents
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 req...
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...
Recovery Specialist - Workers' Compensation
The Recovery Specialist is responsible for recovering the cost of benefits paid or establishing a credit on future potential benefits on workers' compensation claims in cases where the accident was caused by a negligent third party. Manages a caseload of up to 200 – 300 claims; participates in negot...
Workers' Compensation Audit & Compliance Specialist
Workers' Compensation Audit & Compliance Specialist. Prepares information for California Workers’ Compensation Adjuster Certification Data Call. Minimum 3 years of technical Workers’ Compensation background is required. Working knowledge of Workers’ Compensation insurance principles and practices re...
Workers Compensation Claims Examiner
It is claims and administers benefits for medical treatment and medical billing. ...
Senior Workers' Compensation Claims Examiner (California)
The Senior Claims Examiner handles moderate to complex claims with a focus on providing the highest level of service for policyholders and ICW Group to independently bring claims to an equitable conclusion within Company standards and best practice guidelines. Resolves claims fairly and equitably, a...
(Hybrid & Onsite) Workers Compensation Claims Handling Positions - California Jurisdiction
To analyze California 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. Hybrid & Onsite) Workers Compensation Claims Hand...
Workers Compensation Claims Team Lead | Roseville, CA or San Diego, CA
To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; a...