- Must be based in California. Can work in a hybrid or remote setup
- Minimum of 6 years of experience
- College degree
- 6+ years of experience in workers' compensation claims
- SIP certificate from CA
- Administer workers' compensation claims, decide on compensability and benefits owed for long-term indemnity claims, oversee the accuracy of reserves, and submit essential paperwork to state entities.
- Formulate and execute strategies for workers' compensation claims until resolution, manage efforts for return to work, and authorize claim payments.
- Validate and process designated claims, establish benefits owed, and design strategies in line with the claim or client agreement.
- Manage subrogation of claims and negotiate settlements.
- Keep claimants and clients informed about claim actions.
- Ensure accurate documentation of claim files and proper coding of claims.
- Handle intricate lifetime medical and/or specified period medical claims, which include submissions to state agencies and physicians, and decide on appropriate treatments as advised by utilization review.
- Sustain professional relationships with clients.
- Execute other tasks as delegated.
- Support the company's quality initiatives.
- Willingness to travel when necessary.
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Rose International Long Beach, United States**Only those lawfully authorized to work in the designated country associated with the position will be considered.** · **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client's business needs and requirements.* ...
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BCforward Signal Hill, United StatesClaims Examiner - Workers Compensation · BC Forward is looking for Claims Examiner - Workers Compensation Located at Long Beach, CA Remote) · Position Title: Claims Examiner - Workers Compensation · Locations: Long Beach, CA Remote) · Anticipated Start Date: 05/06 · Expected D ...
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BCforward Signal Hill, United StatesClaims Examiner - Workers Compensation · BCForward is looking for Claims Examiner- Workers Compensation at CA (Remote) · Position Title:Claims Examiner - Workers Compensation · Location: Long Beach, CA Remote) · Anticipated Start Date: ASAP · Expected Duration: 4+ Months Contra ...
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Innovative Management Systems, Inc. La Puente, United StatesJob Type · Full-time · Description · The Position. · We are looking for a detail-oriented individual that can accurately review, research, and analyze professional claims to determine and calculate the type and level of benefits based on established criteria and provider contr ...
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Innovative Management Systems Incorporated City of Industry, CA, United States Full time: The Position. · We are looking for a detail-oriented individual that can accurately review, research, and analyze professional claims to determine and calculate the type and level of benefits based on established criteria and provider contracts. Experience in adjudication of ...
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Claims Examiner I
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L.A. Care Health Plan Los Angeles, United StatesThe Claims Examiner is responsible for the accurate and timely processing of direct contract and delegated claims per regulatory and contractual guidelines, which includes: - Processing claims for all lines of business, including complex claims - Mon Claims, Examiner, Processing, ...
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Kaiser Permanente Pasadena, United States: Remote from Southern, CA only. Candidates must reside in SCAL. · Job Summary: · Responsible for the administration of medical malpractice and other professional and general liabilty claims made during the course of conducting company business across the enterprise, having a ma ...
Claims Examiner - Pasadena, United States - Experis
Description
Job Title:
Workers Compensation Claims Examiner
$47.85 per hour
5-month contract with potential for extension
Essential Requirements:
Overview of the Role:
Evaluate mid- to high-level workers' compensation claims to ascertain rightful benefits, ensure continuous adjudication within company guidelines and industry standards, and pinpoint subrogation possibilities while bargaining settlements.
Key Responsibilities:
Additional Responsibilities:
do not hesitate to apply, and a recruiter will reach out to you to discuss this incredible opportunity. We are eager to connect with you!
About ManpowerGroup, the Parent Company of:
Manpower, Experis, Talent Solutions, and Jefferson Wells
ManpowerGroup (
NYSE:
MAN), the prominent global workforce solutions firm, aids organizations in adapting to the fast-evolving world of work by identifying, evaluating, nurturing, and overseeing talent crucial for their success.
We devise inventive solutions for hundreds of thousands of companies annually, offering them adept talent and facilitating the discovery of rewarding, enduring employment for millions of individuals across various sectors and skill sets.
Our esteemed group of brands –Manpower, Experis, Talent Solutions, and Jefferson Wells
–
serves as a significant asset for candidates and clients in over 75 countries and regions and has been doing so for more than seven decades.
We are consistently lauded for our commitment to diversity - being recognized as a premier workplace for Women, Inclusion, Equality, and Disability. In 2022, ManpowerGroup achieved the distinction of being named one of the World's Most Ethical Companies for the 13th consecutive year - solidifying our status as the preferred brand for sought-after talent.
