- Sedgwick (Brea, CA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner Workers Compensation - Brea, CA (Hybrid) Are you looking ... some of the world's best brands? + Apply your examiner knowledge and experience to adjudicate complex customer ...examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
- WelbeHealth (Los Angeles, CA)
- …Plan Services team helps ensure excellent care delivery for our participants, and the Claims Examiner plays a pivotal role in ensuring timely and efficient ... processing of claims for our contracted specialty provider partners. **This is...Duties:** . Assess appropriateness of returned, denied, or paid claims by reviewing and following contractual obligations, federal and… more
- Sedgwick (West Hills, CA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | West Hills, CA (Hybrid) **PRIMARY PURPOSE** : ... To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and… more
- ManpowerGroup (Pasadena, CA)
- **Job Title: Workers Compensation Claims Examiner ** + $47.85hr + 5 Month contract with opportunity for extension + **Must Have Requirements:** - Must Reside in ... 6 years plus Experience - College degree- 6+ yrs workers' compensation claims experience.- SIP certificate from CA **PRIMARY PURPOSE:** Analyze mid- and higher-level… more
- Sedgwick (West Hills, CA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | West Hills, CA Are you looking for an ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high… more
- Sedgwick (Long Beach, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | Roseville or Long Beach, CA California workers' ... compensation claims handling experience required **PRIMARY PURPOSE** : To analyze...: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high… more
- Sedgwick (Long Beach, CA)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner **PRIMARY PURPOSE** **:** To analyze higher-level workers ... compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify… more
- Sedgwick (Los Angeles, CA)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Auto Liability **PRIMARY PURPOSE** : To analyze and ... process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of… more
- Insight Global (Los Angeles, CA)
- …Plan based in Los Angeles is in the immediate need of a Medical Claims Representative. The Medical Claims Representative will be responsible for speaking with ... the phone and troubleshooting any of the participants bills or claims . The Medical Claims Representative will be tasked with answering inquiries regarding EOBs… more
- UCLA Health (Los Angeles, CA)
- …and the review and adjudication of professional, ancillary, and institutional claims for services rendered in our inpatient, ambulatory and outpatient settings. ... complex claim issues as well as train others on claims processes and workflows. Salary Range: $28.23 - $40.44...or equivalent + Four or more years of medical claims payment experience in an HMO setting + Expertise… more
- Health Advocates Network (Whittier, CA)
- Benefits We Offer: + Comprehensive health, prescription, dental, vision, life, and disability plans + Competitive pay rates + Referral opportunities ? Refer a friend ... & Cash in! + Travel reimbursement and per diem allowances + Employee discounts + Educational opportunities Health Advocates Network was founded based on a shared aspiration to improve the way healthcare staffing is done. We are a company founded by healthcare… more
- Sedgwick (West Hills, CA)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and… more
- Sedgwick (Long Beach, CA)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead, Professional Liability (Hybrid) ) **PRIMARY PURPOSE** **:** To… more
- Sedgwick (Los Angeles, CA)
- …Most Loved Workplace(R) Forbes Best-in-State Employer No-Fault/PIP/NJ SAIP Injury Examiner **PRIMARY PURPOSE** **:** Investigates, negotiates, and resolves personal ... injury protection (PIP) and medical payments (Med Pay) claims in accordance with policy provisions, best practices, and jurisdictional requirements. Responsible for… more
- Crawford & Company (Brea, CA)
- …CAREER OPPORTUNITY! + Seeking candidates with experience managing California Workers Compensation claims ! + SIP is a requirement! + Bonus Opportunities! + Multiple ... Employee Discounts! Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority… more
- LA Care Health Plan (Los Angeles, CA)
- Manager, Claims Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11073 Salary ... required to achieve that purpose. Job Summary The Manager, Claims directs the efforts of others in the achievement...to track and trend the metrics associated with the examiner and auditor production and prepare and present written… more
- The County of Los Angeles (Los Angeles, CA)
- …valid California Ambulance Driver Certificate including a valid Medical Examiner 's Certificate, and a valid California Emergency Medical Technician Certificate. ... valid California Ambulance Driver Certificate INCLUDING a valid Medical Examiner 's Certificate? If so, please provide a copy with...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- WTW (Los Angeles, CA)
- …leadership to the overall development of the Disability, Leave and Life Claims Audit practice. The Requirements: + First-hand experience managing disability and ... leave claims for a major carrier for 5+ years. Roles as a Senior Examiner , Team Leader, or Auditor are preferred + Ability to manage multiple projects and… more