- 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 (Orange, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation | Claims Examiner | Dedicated Account | Remote 3 days per week Are ... 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)
- …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 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
- 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 (Orange, 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