Current jobs related to Workers' Compensation Claims Examiner - San Diego - Insurance Company of the West
-
Claims Examiner
3 weeks ago
San Diego, United States BCforward Full timeClaims Examiner - Workers Compensation BC Forward is looking for Claims Examiner - Workers Compensation in San Diego, CA 92123 Position Title: Claims Examiner - Workers Compensation Location: San Diego, CA 92123 (Remote) Duration: 3 months of contract Pay rate: $51.00/hr. on W2 Job Description: To analyze complex or technically difficult workers'...
-
Claims Examiner
3 weeks ago
San Diego, United States BCforward Full timeClaims Examiner - Workers Compensation BC Forward is looking for Claims Examiner - Workers Compensation in San Diego, CA 92123 Position Title: Claims Examiner - Workers Compensation Location: San Diego, CA 92123 (Remote) Duration: 3 months of contract Pay rate: $51.00/hr. on W2 Job Description: To analyze complex or technically difficult workers'...
-
Claims Examiner
2 weeks ago
San Diego, California, United States BCforward Full timeJob SummaryBCforward is seeking a highly skilled Claims Examiner - Workers Compensation to join our team. As a key member of our insurance claims team, you will be responsible for analyzing complex workers' compensation claims and ensuring timely and cost-effective resolution.Key ResponsibilitiesAnalyze and process complex workers' compensation claims,...
-
Claims Examiner
1 month ago
San Diego, United States Cynet Systems Full timeJob Description: Pay Range: $45hr - $50hr Responsibilities: nalyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Negotiates settlement of claims...
-
Compensation Claims Examiner
2 weeks ago
San Diego, California, United States Sedgwick Full timeAbout the RoleWe are seeking a highly skilled Claims Adjuster Workers Compensation Specialist to join our team at Sedgwick. As a key member of our organization, you will play a critical role in analyzing and managing workers compensation claims to ensure accurate and timely benefits are provided to our clients.Key ResponsibilitiesAnalyze mid- and...
-
Workers Compensation Claims Adjuster
2 weeks ago
San Bernardino, United States Amtec Enterprise Full timeJob DescriptionJob DescriptionWe are looking for Workers' Compensation Claims Adjusters who are in charge of processing a wide variety of worker's compensation claims including those that are complex or sensitive. Job Title: Workers' Compensation Claims AdjustersPay Rate: $32.55/hourShift: 9/80 schedule (hybrid work schedule after the first...
-
Claims Examiner
4 weeks ago
San Ramon, United States Synectics Full timeDescription : Analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation To ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims...
-
Claims Adjuster Workers Compensation
2 months ago
San Diego, United States Sedgwick Full time**Claims Adjuster Workers Compensation** **Claims Adjuster Workers Compensation** **The 'Apply with SEEK' option will be utilized for International applicants, mainly Australia. If this does not apply to you please use the 'Apply' option.** Claims Adjuster Workers CompensationIF YOU CARE, THERES A PLACE FOR YOU HERE For a career path that is both challenging...
-
Workers' Compensation Claims Adjusters
6 days ago
San Bernardino, United States Amtec, LLC Full timeWe are looking for Workers'Compensation Claims Adjusters who are in charge of processing a wide variety of worker's compensation claims including those that are complex or sensitive. Job Title: Workers' Compensation Claims AdjustersPay Rate: $30.00 - 32.00/hourShift: 9/80 schedule (hybrid work schedule after the first 2 weeks)Location: San Bernardino,...
-
Claims Adjuster
3 months ago
San Diego, United States Sedgwick Full time**Claims Adjuster - Workers Compensation** **Claims Adjuster - Workers Compensation** **The 'Apply with SEEK' option will be utilized for International applicants, mainly Australia. If this does not apply to you please use the 'Apply' option.** Claims Adjuster - Workers CompensationIF YOU CARE, THERES A PLACE FOR YOU HERE For a career path that is both...
-
Workers' Compensation Claims Adjusters
2 weeks ago
San Bernardino, United States Amtec Inc. Full timeWe are looking for Workers' Compensation Claims Adjusters who are in charge of processing a wide variety of worker's compensation claims including those that are complex or sensitive. Job Title: Workers' Compensation Claims AdjustersPay Rate: $30.00 - 32.00/hourShift: 9/80 schedule (hybrid work schedule after the first 2 weeks)Location: San Bernardino,...
-
Workers' Compensation Claims Adjusters
2 weeks ago
San Bernardino, United States Amtec Inc. Full timeWe are looking for Workers' Compensation Claims Adjusters who are in charge of processing a wide variety of worker's compensation claims including those that are complex or sensitive. Job Title: Workers' Compensation Claims AdjustersPay Rate: $30.00 - 32.00/hourShift: 9/80 schedule (hybrid work schedule after the first 2 weeks)Location: San Bernardino,...
-
Workers Compensation Claims Analyst
2 weeks ago
San Diego, California, United States Sedgwick Full timeJob SummaryWe are seeking a highly skilled Claims Adjuster - Risk Management Specialist to join our team at Sedgwick. As a key member of our claims management team, you will be responsible for analyzing complex workers' compensation claims and determining benefits due. Your expertise in claim management, negotiation, and cost containment will be essential in...
-
Claims Adjuster
5 days ago
San Diego, California, United States Sedgwick Full timeClaims Adjuster - Workers CompensationAbout the RoleSedgwick is seeking a skilled Claims Adjuster - Workers Compensation to join our team. As a key member of our claims team, you will be responsible for analyzing complex workers' compensation claims, determining benefits due, and ensuring timely and cost-effective claims resolution.Key...
-
San Diego, California, United States Sedgwick Full timeAbout the RoleWe are seeking a highly skilled and experienced Claims Adjuster Workers Compensation Specialist to join our team at Sedgwick. As a key member of our team, you will be responsible for analyzing and managing workers compensation claims to ensure accurate and timely benefits are provided to our clients.Key ResponsibilitiesAnalyze and manage...
-
Senior Claims Examination Specialist
3 weeks ago
San Diego, California, United States ICW Group Insurance Companies Full timeJob Category : Workers' Compensation ClaimsRequisition Number : CLAIM007236Employment Type: Full-TimeSalary Range: $65,220.24 USD to $109,989.53 USDLocation: Remote options available for qualified candidates.The Senior Claims Examination Specialist is responsible for managing a portfolio of moderate to complex claims, ensuring exceptional service delivery to...
-
Senior Claims Examination Specialist
3 weeks ago
San Diego, California, United States ICW Group Insurance Companies Full timeJob Category : Workers' Compensation ClaimsRequisition Number : CLAIM007236Employment Type: Full-TimeSalary Range: $65,220.24 USD to $109,989.53 USDLocation: Remote/Hybrid options available for qualified candidates.The Senior Claims Examination Specialist is responsible for managing a diverse portfolio of claims, ensuring exceptional service delivery to...
-
Workers' Compensation Claims Adjuster
1 week ago
San Bernardino, California, United States Amtec Inc. Full timeJob SummaryWe are seeking a highly skilled Workers' Compensation Claims Adjuster to join our team at Amtec Inc. The ideal candidate will have a strong background in adjusting workers' compensation claims, including complex litigated cases.Key ResponsibilitiesReview and process workers' compensation claims, determining compensability and authorizing payment...
-
Workers Compensation Claims Adjuster
2 weeks ago
San Bernardino, California, United States Amtec Enterprise Full timeJob Title: Workers Compensation Claims AdjusterJob Summary:Amtec Enterprise is seeking a highly skilled Workers Compensation Claims Adjuster to join our team. As a Workers Compensation Claims Adjuster, you will be responsible for processing a wide variety of worker's compensation claims, including complex or sensitive cases.Key Responsibilities:Claims...
-
Worker's Compensation Claims Adjuster
2 weeks ago
San Bernardino, United States Staffmark Full timeAre you looking for an exciting opportunity for you to thrive, with an encouraging team that empowers you every step of the way? Staffmark is hiring a Worker's Compensation Claims Adjuster to work for a company specializing in risk management in San Bernardino, CA. Your success is our focus, so join the team that values you and embark on a phenomenal career...
Workers' Compensation Claims Examiner
4 months ago
Are you looking for more than just a job? Do you want to have a voice and feel a sense of belonging? At ICW Group, we hire innovative people who consistently adapt, grow and deliver. We believe in hard work, a fun work environment, and embracing creativity that only comes about when talented people collaborate to develop solutions. Our mission is to create the best insurance experience possible.
Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for seven consecutive years as a Top 50 performing P&C company offering the stability of a large, profitable and growing company combined with a small-company entrepreneurial spirit. Our purpose-driven ethos provides team members with opportunities to contribute, develop, and belong.
The **Triage Examine**r will administer benefits to injured workers in accordance with statutory and case law as well as pertinent regulations. This job investigates, reserves, and assesses Workers’ Compensation claims within the Company standards and best practices guidelines. This job exists to manage Workers’ Compensation losses for the first 10 days of the life of the claim.
**WHAT YOU WILL DO**
Administers benefits to injured workers in accordance with statutory case law as well as pertinent regulations for the first 10 days of the claim.
- Represents the Workers’ Compensation Department and ICW Group when interacting with injured workers.
- Communicates with insureds to obtain information necessary for processing claims.
- Contacts and/or interviews injured workers, doctors, medical specialists, attorneys, and employers to get additional information.
- Communicates claim activity and processing with the injured worker and insured.
- Maintains professional client relationships.
- Communicates effectively with other Company departments.
- Creates reserves in a timely manner to ensure reserving activities are consistent with company standards and best practices guidelines.
- Manages and approves payment of benefits within designated authority level.
- Assesses claims fairly and equitably, acting in the best interest of all parties and providing benefits as prescribed by law.
- Ensures claim files are properly documented and claims coding is correct.
- Refers cases as appropriate to supervisor and management.
- Prepares an action plan and set diaries, in preparation for assigning the file to an examiner for permanent handling.
**WHAT YOU BRING TO THE ROLE**
- High school diploma or general education degree (GED) required.
- Bachelor’s degree from four-year college or university preferred.
- Minimum 1 year of insurance or claims related experience; or equivalent combination of education and experience required.
**CERTIFICATES, LICENSES, REGISTRATIONS**
- California Only_: All examiners must receive certification that meets the minimum standards of training, experience, skill, and further education as required.
- California Only:_ California Workers’ Compensation Claims Administration (WCCA) and Workers’ Compensation Claim Professional (WCCP) certifications preferred.
- All other jurisdictions:_ State Workers’ Compensation License as required.
**KNOWLEDGE AND SKILLS**
- Basic understanding of laws and jurisdictional restraints to manage injuries.
- Excellent verbal and written communication skills, time management and organizational skills.
- Requires a high level of attention to detail.
- Team oriented and a sense of urgency for execution.
- Able to resolve conflicts fairly and equitably.
- Problem solving and decision-making ability.
**WHY JOIN ICW GROUP?**
- Challenging work and the ability to make a difference
- You will have a voice and feel a sense of belonging
- We offer a competitive benefits package, with generous medical, dental, and vision plans as well as 401K retirement plans and company match
- Bonus potential for all positions
- Paid Time Off with an accrual rate of 5.23 hours per pay period (equal to 17 days per year)
- 10 paid holidays throughout the calendar year
- Want to continue learning? We’ll support you 100%
ICW Group is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. ICW Group will not discriminate against an applicant or employee on the basis of race, color, religion, national origin, ancestry, sex/gender, age, physical or mental disability, military or veteran status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state or local law.
LI-ET1 #LI-Hybrid
