- CalOptima (Orange, CA)
- Claims Examiner Sr CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community‐based organization that serves member ... More About the Opportunity We are hoping you will join us as a Claims Examiner Sr and help shape the future of healthcare where you'll be an integral part… more
- University of Southern California (Los Angeles, CA)
- USC Risk Management and Insurance is seeking a Senior Claims Examiner to join our team! The Opportunity: The Senior Claims Examiner conducts, ... and/or coordinates insurance claim management to the point of conclusion. The Senior Claims Examiner also engages with third-party administrators as needed,… more
- ICW Group (CA)
- …better everyday! Learn more about why you want to be here! **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims with a ... an equitable conclusion within Company standards and best practice guidelines. The Senior Claims Examiner works with a sense of urgency, understands… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and ... claims processing, coding, and regulatory compliance. The Claims Examiner III will handle the most... processing, with at least 2 years in a senior or advanced role + Expert knowledge of CPT,… more
- US Tech Solutions (Whittier, CA)
- …UB-92 and HCFA-1500 forms + Understanding of provider contracts, Medi-Cal, commercial, and senior plan claims + Strong knowledge of timeliness, payment accuracy, ... 3+ months contract** **Responsibilities:** + Review, adjudicate, and process medical claims for HMO patients + Work closely with affiliated medical groups… more
- Ventura County (Ventura, CA)
- …DESIRED: + Four (4) or more years' experience as a workers' compensation claims examiner or adjustor for an insurance carrier, third-party administrator, or ... The candidate must possess extensive experience in workers' compensation claims administration, rating permanent disability, developing case settlement recommendations,… more
- UCLA Health (Los Angeles, CA)
- …reviewing treatment progress, recommending medical treatment interventions to the third-party claims examiner , and ensuring compliance with applicable workers' ... Compensation Analyst and department manager, you will manage workers' compensation claims by supporting employees who have experienced work-related injuries or… more
- ICW Group (Pleasanton, CA)
- …the file, all in preparation for assigning the file to an examiner for permanent handling. **ESSENTIAL DUTIES AND RESPONIBILITIES** Administers benefits to injured ... + Communicates with insureds to obtain information necessary for processing claims . + Contacts and/or interviews injured workers, doctors, medical specialists,… more
- Kelly Services (Los Angeles, CA)
- …easy. That's where Kelly comes in. We're seeking a **Workers Compensation** **Lost Time Senior Claim Examiner ** to work at a premier client in **Los Angeles ... Client is currently seeking a Workers' Compensation Lost Time Senior Claim Examiner for our West Coast/Pacific...Coast/Pacific region. l The successful applicant will be handling claims from California. l The position will report and… more
- Sedgwick (Sacramento, CA)
- …strong background in insurance coverage analysis? We're seeking an experienced attorney or senior level examiner with a strong background in insurance coverage ... Fortune Best Workplaces in Financial Services & Insurance Complex Claims Advisor | Commercial GL and Auto | Remote...analysis to support insurance carriers by evaluating claims and loss complaints, interpreting policy language, and drafting… more
