- Zurich NA (Woodland Hills, CA)
- Workers Compensation Claims Recovery Senior Specialist 127715 At Zurich North America Claims we acknowledge that work life-balance and flexibility ... your next career move. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct… more
- ADP (San Dimas, CA)
- …programs. **TO SUCCEED IN THIS ROLE:** **_Required Qualifications_** + 7-10 years of workers compensation claims experience working in a client ... programs. + Possesses experience evaluating and recommending approval of claims reserves and settlements, designated expenditures and recovery...case laws. + Understands the ins and outs of workers compensation claims within a… more
- ICW Group (Sacramento, CA)
- …Workers ' Compensation insurance industry, required. Advanced understanding of Workers ' Compensation Claims principles and application. Strong ... The purpose of this job is to oversee payment recovery efforts arising out of claims payments...If hired at ICW Group, your final base salary compensation will be determined by factors unique to each… more
- GuideOne Insurance (San Francisco, CA)
- …as defined. Qualifications: + Bachelor's degree preferred + 5-8 years in the handling of Workers Compensation Claims . + Knowledge of Workers ... Adjuster is responsible for managing moderate to complex workers ' compensation claims from initial...timely disposition of the claim. + Recognizes and pursues recovery opportunities and prepares submissions to SIU when indicated.… more
- Sedgwick (Sacramento, CA)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker , attorney and supervisor. + Identifies ... considered. **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker , employer, and medical providers, create a case management strategy to… more
- Sedgwick (Sacramento, CA)
- …Field Case Managers! Required to have a minimum of** **1.5 years of prior Workers Compensation experience in order to be considered.** **PRIMARY PURPOSE OF THE ... , families and caregivers as they navigate through the recovery process. + Assist injured workers in...required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions… more
- Elevance Health (Costa Mesa, CA)
- …Time The **Subrogation Analyst** is responsible for handling complex Third Party Liability, Workers Compensation and other healthcare recovery cases. **How ... + Reviews and evaluates accident or incident reports, individual claims , medical, legal or other documents relating to subrogation....2 years of experience in Third Party Liability or Workers Compensation subrogation or related field; or… more
- CDM Smith (San Diego, CA)
- …estimate lost profits, continuing expenses, and extra costs incurred during the recovery period. * Investigating Fraudulent Claims : Detect red flags, investigate ... a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing...active part in shaping your career journey. Where your co- workers are invested in you and your success. Where… more
- Lincoln Financial (Sacramento, CA)
- …preferred * Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation , Utilization Review and/or nurse case management ... be responsible for reviewing, analyzing, and interpreting medical information available for disability claims . In this role you will act as a clinical resource for… more
- Stanford Health Care (Palo Alto, CA)
- …and medical terminology + Knowledge of payer landscape, including Medicare, Medicaid, Workers ' Compensation , Managed Care, or other Commercial insurance **These ... the timely and accurate processing of insurance balance patient claims in accordance with contracts and policies. The PAR...patients and families to focus on health, healing and recovery ._ _You will do this by executing against our… more
- CDM Smith (Rancho Cucamonga, CA)
- …gather information from applicants, and understands each applicants' projects and recovery priorities. * Supports the communication process with the applicant about ... needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes...active part in shaping your career journey. Where your co- workers are invested in you and your success. Where… more
- The County of Los Angeles (Los Angeles, CA)
- …paternity and support litigation heard in the Superior Court. Handles routine workers compensation and unemployment insurance proceedings for purposes of ... asserting liens or claims for the recovery of support debts. Initiates and responds to motions, discovery requests and other legal actions and proceedings… more
- Highmark Health (Sacramento, CA)
- …internal audit and regulatory requirements. Audits consist of contract, commissions, surveillance, workers ' compensation and IME. In addition, this position will ... waste and abuse case, conducting the initial investigations and coordinating the recovery /savings of money related to fraud, waste and abuse. The incumbent must… more
- Stanford Health Care (Palo Alto, CA)
- …and the Leave Team to resolve leave issues; provide follow-up with teammembers on claims , payments and related worker 's compensation issues. In collaboration ... Department on all team member leaves of absence (Disability, Workers ' Compensation , Paid/Unpaid, Personal, etc.) actions, to ensure...patients and families to focus on health, healing and recovery ._ _You will do this by executing against our… more