temp remote - San Diego, United States - Intercare Insurance

Intercare Insurance San Diego, United States

2 weeks ago

Description

Job Description

Job DescriptionClaims AdjusterSummary

Reports directly to the unit Claims Supervisor and may be called upon to provide technical backup in the absence of the Claims Supervisor. In accordance with applicable statutes and in keeping with company rules, regulations, and established performance objectives, is responsible for effectively managing to conclusion an assigned inventory of claim files that may include cases of extreme complexity or with unique or unusual issues.

Essential Duties and Responsibilities

Perform a three-point contact on all new losses within 24 hours of receipt of the claim to include the claimant, employer, and treating physician to document relevant facts surrounding the incident itself as well as disability and treatment status.
Thoroughly and accurately document ongoing case facts and relevant information necessary for establishing compensability, the need for disability payments, the use of vendors, medical and expense payments, and what is being done to move the case toward closure.
Assure that all assigned indemnity claims have an up to date plan of action outlining activities and actions anticipated for ultimately resolving the claim.
Form a partnership with the medical case manager to maximize early return to work potential thereby reducing the need for extended disability payments, vocational rehabilitation, and other protracted claims costs.
Initiate the referral to the SIU of cases with suspected fraud.
Aggressively pursue subrogation from culpable third parties, contributions on multiple defendant cases, and apportionment when there is pre-existing disability.
Assure that the claim file is handled totally in accordance with applicable statutes as well as in-force service contracts and company guidelines.
Review and approve all vocational rehabilitation plans.
Establish, monitor, and adjust monetary case reserves when warranted and in strict accordance with assigned authority levels.
Review all medical bills for appropriateness prior to referral to InterMed for payment and posting to the claim file.
Exhibit and maintain a courteous and helpful attitude and project a professional image on behalf of the company.
Respond to telephone messages and inquiries within 24 hours of receipt and to written inquiries within one week of receipt.
Requires a working knowledge of the Labor Code of the State of California as it pertains to workers compensation claims and the legal requirements for handling them.
Litigation management - Direct, manage, and control the litigation process.
Handles other duties and tasks as deemed appropriate by the Supervisor or Manager.

Qualification Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

Bachelor's degree (B. A.) from four-year college or university; at least seven years related experience and/or training; or equivalent combination of education and experience. Requires a high degree of claims handling expertise to include a minimum of at least five years experience managing indemnity cases, many with complex or high potential subrogation, rehabilitation, medical management, and/or legal issues & possess an SIP certificate.

Certificates and Licenses

Active study for the IEA Certificate and Self-Insured Certificate, and successful completion of, or active study for the WCCP designation, or the equivalent in related studies or work experience.

mbDPMUXqA7

temp remote

2 weeks ago

Intercare Insurance Glendale, United States

Claims Adjuster · Summary · Reports directly to the unit Claims Supervisor and may be called upon to provide technical backup in the absence of the Claims Supervisor. In accordance with applicable statutes and in keeping with company rules, regulations, and established performanc ...
Experienced Bookkeeper

2 weeks ago

EduAbroad San Diego, United States

'''Duties''' · - Prepare a book to file the tax. · - Maintain accurate and up-to-date financial records for the organization · - Process accounts payable and accounts receivable transactions · - Reconcile bank statements and ensure the accuracy of financial data · - Prepare finan ...
Training Coordinator/facilitator

2 weeks ago

UC San Diego San Diego, United States

Payroll Title: · - TRAINER 2 · - Department: · - TEMPORARY EMPLOYMENT SERVICES · - Hiring Pay Scale · - $ $34.48 / hour · - Worksite: · - Campus · - Appointment Type: · - Temp · - Appointment Percent: · - 100% · - Union: · - Uncovered · - Total Openings: · - 1 · - Work Schedule: ...
Computing Services Technician

3 weeks ago

UC San Diego San Diego, United States

Payroll Title: · - COMPUTER RESC SPEC 1 · - Department: · - TEMPORARY EMPLOYMENT SERVICES · - Hiring Pay Scale · - $ $29.50 per hour · - Worksite: · - Campus · - Appointment Type: · - Temp · - Appointment Percent: · - 100% · - Union: · - TX Contract · - Total Openings: · - 1 · - ...
Anatomical Pathology Coder 3

1 week ago

UC San Diego San Diego, United States

Payroll Title: · - PAT RCDS ABSTRACTOR 3 · - Department: · - Temporary Employment Services · - Hiring Pay Scale · - $ $36.36 / Hour · - Worksite: · - Remote · - Appointment Type: · - Temp · - Appointment Percent: · - Variable% · - Union: · - EX Contract · - Total Openings: · - 1 ...
Order Fulfillment

1 day ago

High Bluff Group San Diego, United States

**Summary**: Prepare customer orders in a timely fashion meeting quality standards and customer due dates. Meet all labeling and packaging requirements set forth by the customer. · This is a temp to hire opportunity with a wonderful company in San Diego, CA. The schedule is Monda ...
Fiscal Administrative Assistant

1 day ago

UC San Diego San Diego, United States

Payroll Title: · - FINANCIAL SVC ANL 2 · - Department: · - TEMPORARY EMPLOYMENT SERVICES · - Hiring Pay Scale · - $27.36 to $29.96/hour · - Worksite: · - Campus · - Appointment Type: · - Temp · - Appointment Percent: · - Variable% · - Union: · - Uncovered · - Total Openings: · - ...
Contract Attorney

3 weeks ago

LHH San Diego, United States

LHH is currently searching for a contract attorney for our client on a temp basis (short or long term) or a possible temp-to-hire. This role will mainly be supporting one partner in employment law, construction, and general commercial litigation. The salary range for this role is ...
Locum Physician Assistant

5 days ago

LocumJobsOnline San Diego, United States Full time

LocumJobsOnline is working with CompHealth to find a qualified Family Practice PA in San Francisco, California, 94103 · Pay Information · $63 to $80 per hour · About The Position · Physician Assistant needed in San Francisco, California for Adult Primary Care coverage. Must be Bo ...
Unified Communication Analyst

4 days ago

Ledgent Technology San Diego, United States

Unified Communication Analyst · Pay Rate: $25/hr -$32/hr · Location: Hybrid in San Diego, CA (2 days remote) · Duration: Temp to Hire · The UC Analyst, working in parallel with Telecom Engineer, supports the organization by providing a mix of Telecom and Network support. With the ...
Jama Connect Expert Requirement Management Tool Contractor

3 weeks ago

Pride Now San Diego, United States Freelance

Job Description · Job DescriptionJama Connect Admin/lead · Pays - $50- $54/hr W2 (depends upon experience) · REMOTE · 12 Months contract with possibility of extension · Must haves: · - Experience as a Jama admin/lead to generate and manage projects in the Jama Connect Requirement ...
Customer Service-Call Center

2 weeks ago

A-Star San Diego, United States

· Come work with some of San Diego's premier companies and receive industry-specific training from a supportive, collaborative team We offer Customer Service openings (office setting) throughout San Diego County. · HOURS: Full-time, Monday-Friday (daytime/first shift) · DURATIO ...
Payroll Supervisor

3 weeks ago

Transition Staffing Group San Diego, United States

Job Description · Job DescriptionTSG is representing a growing medical device company seeking to hire a Payroll Supervisor. Reporting to the Accounting Manager, you'll handle bi-weekly payroll processing for 200+ exempt employees, manage employee records, and assist with workers ...
Field Service Engineer

3 weeks ago

TalentBurst San Diego, United States

Title: Field Service Engineer ( Diagnostics Equipment) · Location: San Diego CA · Duration:6 month(s) · Description/Comment:Wondering what's within ? Take a closer look. · At first glance, you'll see that for more than 80 years we have been dedicated to advancing and optimizi ...
Executive Recruiter

1 week ago

Boutique Recruiting San Diego, United States

About: · Boutique Recruiting is a privately held boutique staffing firm. We provide recruiting services in the areas of Finance, Accounting, Administration, Customer Service, and all other professional services. We are a fast-growing organization, recently featured on INC 5000 a ...
Business Process Optimization Specialist

3 hours ago

MILLENNIUMSOFT San Diego, United States

Position: Business Process Optimization Specialist (Contractor) · Location : San Diego, CA · Duration : 3 month short term assignment · Client: Medical Device Company · Employment Type: Contract on W2 (Need US Citizens Or GC Holders Only) · No H1bs · Shift hours: 40 hrs./ we ...
Clinical Services Group

2 weeks ago

TalentBurst San Diego, United States

Care Manager - BH · 9-12 Months, Possible temp to hire · Standard Hours: 8:30-5 pm(PST) Mon-Friday · Lunches and Breaks are scheduled · Must have some flexibility · 100 percent remote · Required Skills: · Top 3 Must-Haves (Hard Skills) Nice-To-Haves (Hard Skills) Busines ...
Business Process Optimization Specialist

1 week ago

MILLENNIUMSOFT San Diego, United States Freelance

Position: Business Process Optimization Specialist (Contractor) · Location : San Diego, CA · Duration : 3 month short term assignment · Client: Medical Device Company · Employment Type: Contract on W2 (Need US Citizens Or GC Holders Only) · No H1b's · • Shift hours: 40 hrs./ week ...
Executive Recruiter

2 weeks ago

Boutique Recruiting San Diego, United States

About: · Boutique Recruiting is a privately held boutique staffing firm. We provide recruiting services in the areas of Finance, Accounting, Administration, Customer Service, and all other professional services. We are a fast-growing organization, recently featured on INC 5000 a ...
Strategic Sourcing Manager

3 weeks ago

Cypress HCM San Diego, United States

Job Description · Job Description · Strategic Sourcing Manager, Role:The scope of Strategic Sourcing Manager is to hit annual savings targets along with building strong relationships with their internal business units and drive enterprise-wide sourcing, category management, contr ...