- ICW Group (Woodland Hills, CA)
- …to have California Code of Regulations, Title 10, Chapter 5, Sub Chapter 3, requires Medical Only Examiner Certification. + Medical Only Examiner must ... prior to employment start date. If no certification is provided, Medical Only Examiner must complete required hours within 12-month period and/or pass the… more
- The Walt Disney Company (Anaheim, CA)
- …way! As part of the Risk Management Services team, a Workers' Compensation Examiner , in collaboration with all the resources available, ensures access to any and ... the effects of an occupational injury or illness. The Workers' Compensation Examiner administers these benefits as required by the California Labor Code. Effectively… more
- ICW Group (Woodland Hills, CA)
- …to contribute, develop, and belong. **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims with a focus on providing the highest ... conclusion within Company standards and best practice guidelines. The Senior Claims Examiner works with a sense of urgency, understands insurance coverage concepts,… more
- Adecco US, Inc. (Ontario, CA)
- …a local client in their search to fill a **Remote Worker's Compensation Claims Examiner ** job opportunity but **_MUST LIVE IN STATE OF CALIFORNIA._** **Pay rate: $** ... deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures… more
- Sedgwick (Ontario, CA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Workers Compensation **PRIMARY PURPOSE** **:** To analyze mid- and ... and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions… more
- ICW Group (Woodland Hills, CA)
- …for processing claims. + Contacts and/or interviews injured workers, doctors, medical specialists, attorneys, and employers to get additional information. + ... diaries, in preparation for assigning the file to an examiner for permanent handling. **SUPERVISORY RESPONSIBILITIES** This role does...* We offer a competitive benefits package, with generous medical , dental, and vision plans as well as 401K… more
- Sedgwick (Brea, CA)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Senior Workers Compensation Examiner - (Hybrid Schedule) **HYBRID ROLE:** Must be able to go into ... deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures… more
- Adecco US, Inc. (Pasadena, CA)
- **Workers' Comp Claims Examiner - $50/hour in Pasadena, CA** Temp-to-Hire | Benefits & 401k. **Subject matter expert of appropriate insurance principles and laws for ... deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures… more
- ADP (San Dimas, CA)
- ADP is hiring a Claims Lead Examiner . _RESPONSIBILITIES:_ + Assist Claims Manager in monitoring the workers compensation program within the ADPTS/PEO structure. + ... of bonus, equity or commissions. We offer the following benefits: Medical , Dental, Vision, Life Insurance, Matched Retirement Savings, Wellness Program, Short-and… more
- ICW Group (Woodland Hills, CA)
- …required; ensures quality and appropriate service delivery. + Communicates effectively with medical providers, the assigned claims examiner , injured worker and ... claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate medical treatment and length of disability with providers and employers while… more
- Sedgwick (Brea, CA)
- …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and analyzes… more
- Sedgwick (Brea, CA)
- …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and analyzes… more
- Kelly Services (Pasadena, CA)
- …that works for you. How about this one? We're seeking a Workers' Compensation Claims Examiner to work at a premier client in Pasadena, CA. With us, it's all about ... $50 per hour **Why you should apply to be a Workers' Compensation Claims Examiner :** * Join a dynamic team with a strong commitment to employee development and… more
- Crawford & Company (Brea, CA)
- …+ Reviews, analyzes, and assigns losses to the appropriate claim examiner with directives. Ensures all directives are executed appropriately. Ensures workloads ... with reserve recommendations and approvals. Coaches personnel on investigations, damage/ medical evaluations, trains on reserving evaluations and settlement techniques.… more
- ICW Group (Pasadena, CA)
- …at various stages of the litigation phase with recommendations to the Claims Examiner (Adjustor) as well as provide a strategic plan of action. **Provides subject ... Underwriting and Risk Management Services. + Partners with Claims Examiner to determine solutions. + Researches legal issues and...* We offer a competitive benefits package, with generous medical , dental, and vision plans as well as 401K… more
- Banc of California (Santa Ana, CA)
- …preferred. + Certified Anti-Money Laundering Specialist (CAMS), Certified Fraud Examiner (CFE) certification, Certified Financial Crime Specialist (CFCS), or other ... + **Health & Well-Being:** We offer comprehensive insurance options including medical , dental, vision, AD&D, supplemental life, long-term disability, pre-tax Health… more
- Banc of California (Santa Ana, CA)
- …experience. + Certified Anti-Money Laundering Specialist (CAMS), Certified Fraud Examiner (CFE) certification, Certified Financial Crime Specialist (CFCS), or other ... + **Health & Well-Being:** We offer comprehensive insurance options including medical , dental, vision, AD&D, supplemental life, long-term disability, pre-tax Health… more
- Kemper (Cerritos, CA)
- …investigation experience involving economic or insurance related matters; or an authorized medical professional to evaluate medical related claims. + College ... and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are preferred. + A valid driver's...job is also eligible for our Kemper benefits package ( Medical , Dental, Vision, PTO, 401k, etc.) _Kemper is proud… more
- Southern California Edison (Rosemead, CA)
- …properly accessing and managing private customer data, proprietary information, confidential medical records, and other types of highly sensitive information and ... fraud audits, forensic audits and/or investigations. + Certified Fraud Examiner (CFE) certification. + Experience using software including TeamMate+, Supplier… more
- Jet Propulsion Laboratory (Pasadena, CA)
- …**The following qualifications are preferred:** + Current ICC Electrical Plans Examiner certificate + Construction experience working on large and small government ... citizenship, ancestry, age, marital status, physical or mental disability, medical condition, genetic information, pregnancy or perceived pregnancy, gender, gender… more