Current jobs related to California Work Comp Claims Examiner - San Francisco - Western International Staff


  • San Francisco, United States Western International Staff Full time

    Direct Hire California Workers Compensation Examiner /  Adjuster remote opportunity in state of California .   Must reside in California and have experience handling CA Workers Comp indemnity claims In this position you will : Investigate high exposure indemnity California Arizona workers comp claims/ Hire outside vendors if necessary Analyze applicable...

  • Claims Examiner

    4 weeks ago


    San Francisco, United States San Francisco Health Plan Full time

    You can make a difference in the San Francisco community. San Francisco Health Plan is seeking a full-time Claims Examiner. The Claims Examiner is responsible for claims processing, adjudication, and research. In addition, this position keeps current on claim processing procedures, produces a quality and timely work product, and assists Claims Management...


  • San Diego, United States ICW Group Insurance Companies Full time

    Job Category : Work Comp Claims Requisition Number : CLAIM007236 Apply now Posted: July 3, 2024 Full-Time Salary Range: $65,220.24 USD to $109,989.53 USD Locations Showing 1 location: Carmel Point 15030 Avenue of Science, Suite 100 San Diego, CA 92128, USA The Senior Claims Examiner handles moderate to complex claims with a focus on providing the...

  • Claims Examiner

    2 months ago


    San Francisco, United States San Francisco Health Plan Full time

    You can make a difference in the San Francisco community. San Francisco Health Plan is seeking a full-time Claims Examiner. The Claims Examiner is responsible for claims processing, adjudication, and research. In addition, this position keeps current on claim processing procedures, produces a quality and timely work product, and assists Claims Management...

  • Claims Examiner

    2 months ago


    San Francisco, United States San Francisco Health Plan Full time

    Job DescriptionJob DescriptionYou can make a difference in the San Francisco community. San Francisco Health Plan is seeking a full-time Claims Examiner.The Claims Examiner is responsible for claims processing, adjudication, and research. In addition, this position keeps current on claim processing procedures, produces a quality and timely work product, and...

  • Claims Examiner

    3 months ago


    San Francisco, United States San Francisco Health Plan Full time

    Job DescriptionJob DescriptionYou can make a difference in the San Francisco community. San Francisco Health Plan is seeking a full-time Claims Examiner. The Claims Examiner is responsible for claims processing, adjudication, and research. In addition, this position keeps current on claim processing procedures, produces a quality and timely work product, and...

  • Claim Examiner

    4 weeks ago


    San Francisco, United States Collabera Full time

    Job DescriptionJob DescriptionIndustry: ITTitle: Claim Examiner/AdjusterLocation: RemoteRates: $19/hr. - $20/hr. without benefitsDuration: 7 months Contract with higher extension possibilities. JOB DESCRIPTIONThis is a Claims Examiner for Travel Insurance ClaimsMust-Have Active New York Adjusters LicenseResponsibilities:• Investigate, evaluate, and settle...


  • San Diego, United States ICW Group Insurance Companies Full time

    Job Category : Work Comp Claims Requisition Number : CLAIM007236 Apply now Posted : July 3, 2024 Full-Time Salary Range : $65,220.24 USD to $109,989.53 USD Locations Showing 1 location Carmel Point 15030 Avenue of Science, Suite 100 San Diego, CA 92128, USA Carmel Point 15030 Avenue of Science, Suite 100 San Diego, CA 92128, USA Are you looking for more...


  • San Jose, United States AssuredPartners Full time

    Overview: Administer indemnity claims and handle complex claim issues. Use strong litigation management experience, lien resolution abilities, and customer service skills to resolve routine claims without legal representation. Keenan, an Accretive company, is an insurance brokerage and consulting firm meeting the insurance needs of hospitals, public...

  • Claims Examiner

    3 days ago


    San Antonio, United States University Health System Full time

    Performs adjudication of medical (HCFA) or hospital (UB 92) claims for Medicaid, Commercial, and CHIP (Children s Health Insurance Program) according to departmental and regulatory requirements. Maintains audit standards as defined by the Department. Claims, Examiner, Healthcare

  • Claims Examiner

    2 weeks ago


    San Antonio, United States Florida Blue Full time

    Get To Know Us! WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans. Key position details: This is a fully in office position: 19100 Ridgewood Pkwy San Antonio, TX 78259 Training schedule: 8:00am - 4:30pm Monday - Friday What is your...

  • Claims Examiner

    2 weeks ago


    San Antonio, United States GuideWell Full time

    Job DescriptionGet To Know Us! WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans. Key position details: This is a fully in office position: 19100 Ridgewood Pkwy San Antonio, TX 78259 Training schedule: 8:00am - 4:30pm Monday -...


  • San Antonio, United States Sedgwick Claims Management Services Full time

    To analyze high-level commercial general liability / bodily injury claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific clie General Liability, Claims, Examiner, Liability, Insurance


  • San Antonio, Texas, United States University Health Full time

    Claims Examiner RoleAs a Claims Examiner at University Health, you will play a critical role in ensuring the accuracy and efficiency of our claims processing system.Key Responsibilities:Conduct thorough reviews and analyses of various claim types, including coordination of benefits and DME claims.Analyze provider appeals and document outcome determinations...

  • Claims Examiner I

    3 days ago


    San Leandro, United States Community Health Center Network Inc Full time $23 - $27

    Job DescriptionJob DescriptionOrganizational DescriptionThe Community Health Center Network (CHCN), sister organization to the Alameda Health Consortium, is made up of the eight federally qualified community health centers in Alameda County. CHCN functions as the managed care MSO for our health centers, contracting with Alameda Alliance for Health. To help...


  • San Antonio, United States VbkNg8OOEMfz4g Full time

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...

  • Claims Examiner II

    4 days ago


    San Antonio, Texas, United States 052 SLIC Insurance Agency, LLC Full time

    At 052 SLIC Insurance Agency, LLC, we are seeking a skilled Claims Examiner II to join our team. As a Claims Examiner II, you will play a critical role in assessing and reviewing incoming claims for payment or denial, serving as a liaison between the carrier and the financial institution.This role provides the opportunity to make a meaningful impact on...

  • Claims Examiner

    1 month ago


    San Diego, United States Insight Global Full time

    Location: Onsite in Mission ValleyDuration: 3-6 month contract with potential to extend or convertJob Summary Administer self-insured Workers’ Compensation claims. Provide informal training and guidance to less senior employees. Ensure proactive and cost-effective claims management. Occasionally lead department process improvement initiatives. Reports to...

  • Claims Examiner

    2 days ago


    San Antonio, Texas, United States University Health System Full time

    Job SummaryUniversity Health System is seeking a highly detail-oriented and analytical Claims Examiner to play a critical role in ensuring the accuracy and fairness of medical and hospital claims for Medicaid, Commercial, and CHIP programs.Key ResponsibilitiesAdjudicate medical (HCFA) and hospital (UB 92) claims in accordance with departmental and regulatory...


  • San Diego, California, United States CorVel Enterprise Comp, Inc. Full time

    Job OverviewThe Vice President of Claims Operations will lead the execution of the strategic objectives and vision of CorVel Enterprise Comp, Inc. This position encompasses the oversight and development of personnel and revenue streams. A high degree of analytical, interpersonal, and organizational capabilities is essential for success in this role....

California Work Comp Claims Examiner

2 months ago


San Francisco, United States Western International Staff Full time

Direct Hire California Workers Compensation Examiner / Adjuster remote opportunity in state of California .

Must reside in California and have experience handling CA Workers Comp indemnity claims

In this position you will :

Investigate high exposure indemnity California Arizona workers comp claims/ Hire outside vendors if necessary

Analyze applicable coverage and determine compensability / benefits

Establish initial reserves and continue to keep reserves current update them as necessary

Maintain contact with insureds and claimants

Complete large loss reports

Responsible to settle claims / Work with defense attorneys as necessary / Attend Settlement conferences as necessary

We are seeking the following qualifications:

A minimum of 10 years experience handling high exposure California work comp claims

CA Certification

Highly skilled at developing strategies to resolve claims

Exceptional communicator

Industry designations are a plus

Carrier experience is a plus

Excellent company, salary and benefits