• Claims Examiner - Workers Comp…

    Sedgwick (Roseville, CA)
    …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Workers Comp (Hybird Roseville, CA) **PRIMARY PURPOSE** : ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
    Sedgwick (06/29/25)
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  • Medical Claims Examiner (Remote…

    TEKsystems (Fresno, CA)
    …CA Schedule: 7:00AM - 4:00PM PST Monday-Friday Overview Our client is seeking a Medical Claims Examiner to join their growing team. This role is ideal for ... quality assurance. The position involves adjudicating a variety of claim types, ensuring compliance with regulatory standards, and supporting...equivalent. + 2+ years of experience as a Health Claims Examiner or in a related role.… more
    TEKsystems (09/03/25)
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  • Triage Claims Examiner

    ICW Group (San Diego, CA)
    …best interest of all parties and providing benefits as prescribed by law. + Ensures claim files are properly documented and claims coding is correct. + Refers ... and further education as required. _California Only:_ California Workers' Compensation Claims Administration (WCCA) and Workers' Compensation Claim Professional… more
    ICW Group (08/26/25)
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  • Claims Examiner

    TEKsystems (Los Angeles, CA)
    Medical Claims Examiner Location: Remote (must be located in Santa Barbara or Los Angeles) Department: Claims Processing Job Summary: We are seeking a ... detail-oriented Claims Examiner to join our team. This...Key Responsibilities: + Review and process paper and electronic claims for assigned claim types. + Analyze… more
    TEKsystems (09/03/25)
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  • Claims Examiner

    ICW Group (Pleasanton, CA)
    …better everyday! Learn more about why you want to be here! **PURPOSE OF THE JOB** The Claims Examiner handles a variety of claims with a focus on providing ... conclusion within Company standards and best practice guidelines. The Claims Examiner works with a sense of...coverage concepts, and navigates the legal system with the support of counsel to drive strategic outcomes. **ESSENTIAL DUTIES… more
    ICW Group (08/08/25)
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  • Senior Examiner , Claims (Remote)

    Molina Healthcare (Long Beach, CA)
    …types of complex claims . Procures all medical records and statements that support the claim . + Meets department quality and production standards. + Meet ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of … more
    Molina Healthcare (08/27/25)
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  • Examiner , Claims (Remote)

    Molina Healthcare (Long Beach, CA)
    …a caseload of claims . Procures all medical records and statements that support the claim . + Makes recommendations for further investigation or resolution. + ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of … more
    Molina Healthcare (08/27/25)
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  • Claims Team Lead - Workers Compensation…

    Sedgwick (El Dorado Hills, CA)
    …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… more
    Sedgwick (09/05/25)
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  • Claims Team Lead, Liability

    Sedgwick (Sacramento, CA)
    …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… more
    Sedgwick (09/03/25)
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  • Workers Compensation Claims Team Lead |

    Sedgwick (West Hills, CA)
    …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… more
    Sedgwick (08/26/25)
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