- Philadelphia Insurance Companies (Pasadena, CA)
- Description Marketing Statement: TM Claims Service (TMCS) is an independent global claims management firm established in 1987 to provide clients with a broad ... range of claims related services in the areas of transportation, product...part of the Tokio Marine Group of companies TM Claims Service provides claims handling services throughout… more
- Ryder System (Sacramento, CA)
- …**SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling ... complex and high exposure bodily injury and property damage claims . **Maintain an active inventory of claims ,...damage claims . **Maintain an active inventory of claims , ensuring appropriate follow-up, timely resolution, and adherence to… more
- Sedgwick (West Hills, CA)
- …and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; ... coordinates investigative efforts, thoroughly reviews contested claims , negotiates return to work with or without job accommodations, and evaluates and arranges… more
- Sedgwick (Sacramento, CA)
- …**PRIMARY 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… more
- City and County of San Francisco (San Francisco, CA)
- …the Worker's Compensation Supervisor assists and provides first-line oversight of claims adjusting and processing teams for the Workers' Compensation Division. ... supervising the review, analysis, investigation and disposition of workers' compensation claims and reports. Provides claims supervision of confidential complex… more
- University of Southern California (Alhambra, CA)
- …Denials Management Specialist" analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM, ... the denial management process for coding-related denials, triage denied claims to distinguish coding-related denials versus clinical-related denials, evaluating … more
- Ventura County (Ventura, CA)
- …candidate must possess extensive experience in workers' compensation claims administration, rating permanent disability, developing case settlement recommendations, ... THE IDEAL CANDIDATE The ideal candidate will have proven expertise in claims and benefit administration for self-insured entities and hold a valid self-insurance… more
- Travelers Insurance Company (Sacramento, CA)
- …reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims by completing essential… more
- Travelers Insurance Company (Irvine, CA)
- …Bar or Irvine, CA locations. Under general supervision, manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate ... to resolve claims . Coordinate medical and indemnity position of the claim...claim with a Medical Case Manager. Independently handles assigned claims of low to moderate complexity where Wage loss… more
- Sedgwick (Sacramento, CA)
- …Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on medical condition, client ... and RESPONSIBILITIES** + Performs standard clinical reviews of referred medical claims based on client requirements to ensure accurate and sufficient information… more