- Kelly Services (Orange, CA)
- …lifestyle isn't always easy** . That's where Kelly(R) comes in. We're seeking a ** Claims Examiner - Workers Compensation** to work remotely. Sound good? Take a ... **Pay Rate:** $51.03 per hour **Why you should apply to be a** ** Claims Examiner - Workers Compensation** **:** + Competitive pay rate. + Opportunity to work… more
- ICW Group (Woodland Hills, CA)
- …Learn more about why you want to be here! **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims with a focus on providing ... conclusion within Company standards and best practice guidelines. The Senior Claims Examiner works with a sense of urgency, understands insurance coverage… more
- NTT DATA North America (Ontario, CA)
- **Senior Claims Examiner (Xcelys System)** **NTT DATA Services currently seeks a Senior Claims Examiner to join our team working 100% Remote and work on ... **Job Description** To serve as a senior-level adjudicator and SME for medical claims within the Xcelys environment. Provide subject-matter expertise on claims … more
- Sedgwick (Brea, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | CA Jurisdiction Knowledge Required | Brea, CA Are ... 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 (Brea, CA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation - Brea, 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
- Sedgwick (Brea, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation, Claims Examiner | Hybrid - Brea, CA Are you looking for an ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...**PRIMARY PURPOSE OF THE ROLE:** To analyze workers' compensation claims on behalf of our valued clients to determine… more
- Sedgwick (Brea, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Liability Claims Examiner | Must Reside in CA Are you looking for an ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- ADP (San Dimas, CA)
- ADP is hiring a ** Claims Lead Examiner ** . **_RESPONSIBILITIES:_** + Assist Claims Manager in monitoring the workers compensation program within the ... that could be problematic and take steps along with Claims Manager to take steps to develop processes to...data specific dashboards to orchestrate evaluation and analysis of claims to meet department and company goals. + Monitor… more
- US Tech Solutions (Whittier, CA)
- …3+ months contract** **Responsibilities:** + Review, adjudicate, and process medical claims for HMO patients + Work closely with affiliated medical groups ... Evaluate provider reimbursement terms and flag non-contracted providers + Ensure claims are processed accurately and timely per policy guidelines **Experience:** 2+… more
- NTT DATA North America (Ontario, CA)
- …part of an overall sourcing strategy. NTT DATA Services currently seeks Xcelys Medical Claims Examiners to join our team remotely for a 3 month contract role. **MUST ... HAVE XCELYS EXPERIENCE** To serve as a Medical Claims Processor within the Xcelys environment. Provide subject-matter expertise on claims workflows and be a key… more
- Sedgwick (Brea, 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
- ICW Group (Woodland Hills, CA)
- …service delivery. + Communicates effectively with medical providers, the assigned claims examiner , injured worker and policyholder and/or handling attorneys ... clinical assessment and evaluate needs for treatment in worker's compensation claims . The Telephonic Nurse Case Manager will negotiate and coordinate appropriate… more
- CDM Smith (Irvine, CA)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...such as CPA (Certified Public Accountant), CFE (Certified Fraud Examiner ), or CFF (Certified in Financial Forensics). **EEO Statement:**… more
- City of Long Beach (Long Beach, CA)
- …and consultant contracts, including analyzing and negotiating contract changes, evaluating claims and reviewing and processing progress payments; and performs other ... Technologist Certification from the California Water Environment Association; Plans Examiner certification from the International Code Council (ICC), Certified… more