Claims Adjuster III, Workers' Compensation

Job OverviewPosition: Workers Compensation Adjuster IIISummary:This role reports directly to the Claims Supervisor and may involve providing technical support in their absence. The Adjuster is responsible for managing a portfolio of claims, including those of significant complexity or unique circumstances, in compliance with relevant regulations and company...

Job DescriptionJob DescriptionWorkers Compensation Adjuster III Summary:Reports directly to the unit Claims Supervisor and may be called upon to provide technical backup in the absence of the Claims Supervisor. In accordance with applicable statutes and in keeping with company rules, regulations, and established performance objectives, is responsible for...

Job Type Full-time Description Summary: Reports directly to the unit Claims Supervisor and may be called upon to provide technical backup in the absence of the Claims Supervisor. In accordance with applicable statutes and in keeping with company rules, regulations, and established performance objectives, is responsible for effectively managing to conclusion...

Form a partnership with the medical case manager to maximize early return to work potential thereby reducing the need for extended disability payments, vocational rehabilitation, and other protracted claims costs.Initiate the referral to the SIU of cases with suspected fraud.Aggressively pursue subrogation from culpable third parties, contributions on...

Form a partnership with the medical case manager to maximize early return to work potential thereby reducing the need for extended disability payments, vocational rehabilitation, and other protracted claims costs.Initiate the referral to the SIU of cases with suspected fraud.Aggressively pursue subrogation from culpable third parties, contributions on...

Job Type Full-time Description Summary: Reports directly to the unit Claims Supervisor but takes primary direction for the assigned Claims Specialist(s). Responsible for providing clerical operations support to assigned Claims Specialist(s). Essential Duties and Responsibilities: Prepares new claims files Calculates TTD, Wage Loss, VRMA and PD benefits...

This position offers the opportunity to engage in Zenith's flexible hybrid work model, allowing for a blend of remote and in-office work as per the established schedule by regional leadership. Essential Qualifications: Applicants must possess experience in Workers' Compensation and hold the necessary state certifications. Under general oversight, this role...

Job Type Full-time, Temporary Description Summary: Reports directly to the unit Claims Supervisor but takes primary direction for the assigned Claims Specialist(s). Responsible for providing clerical operations support to assigned Claims Specialist(s). Essential Duties and Responsibilities: Prepares new claims files Calculates TTD, Wage Loss, VRMA and PD...

This position is eligible for Zenith's hybrid work model, allowing flexibility to work remotely on designated days based on the in-office schedule set by regional leadership. Essential Qualifications: Must possess experience in Workers' Compensation and hold the necessary state certifications. Under general oversight, this role involves supervising a Claims...

Job SummaryCedars-Sinai is seeking a highly skilled Medical Claims Specialist III to join our team. As a key member of our Patient Financial Services department, you will play a critical role in ensuring accurate and timely reimbursement for medical services provided by our clinicians.Key Responsibilities:Coding and Compliance: Provide coding and educational...

Commitment to Excellence in Every InteractionPosition OverviewFlexible Work-from-Home OpportunityLooking for professionals experienced in managing California Workers Compensation claimsSIP certification is mandatoryPotential for Bonus IncentivesVarious Employee Discounts AvailableConduct thorough investigations and resolve intricate, high-value claims...

Commitment to Excellence in Every InteractionPosition OverviewFlexible Remote Work OpportunityIdeal candidates will have experience handling California Workers Compensation claimsSIP certification is mandatoryPotential for Bonus IncentivesVarious Employee Discounts AvailableConduct thorough investigations and resolve intricate, high-value claims efficiently...

PRIMARY RESPONSIBILITIESHandles all incoming inquiries related to commercial insurance claims.Collects all necessary details regarding the claim from the producer and/or client.Maintains neutrality regarding coverage decisions for claims.Identifies relevant coverage and policy details related to the claim and completes the necessary ACORD...

KEY RESPONSIBILITIESHandles all incoming inquiries related to commercial insurance claims.Collects all necessary details regarding the claim from the client or producer.Does not imply or deny any claim coverage.Identifies relevant coverage and policy details associated with the claim and completes the necessary ACORD documentation.Processes daily...

Job DescriptionJob DescriptionAlacrity SolutionsIndependent ContractorDaily Property Field AdjusterAbout Alacrity SolutionsAlacrity Solutions is a full end-to-end provider delivering streamlined insurance claims, repair, and recovery solutions. As one of the largest independent providers of insurance claims services in North America, we provide property,...

Job SummaryWe are seeking a highly skilled Medical Claims Examiner to join our team at TEKsystems. As a Medical Claims Examiner, you will be responsible for processing medical claims in a computerized environment, ensuring accurate and timely processing of claims.Key ResponsibilitiesMaintain multiple groups and process CMS-1500 and UB-04 claimsProcess...

Job SummaryWe are seeking a highly skilled Medical Claims Examiner to join our team at TEKsystems. As a Medical Claims Examiner, you will be responsible for processing medical claims in a computerized environment, ensuring accurate and timely processing of claims.Key ResponsibilitiesMaintain multiple groups and process CMS-1500, UB-04, and high dollar...

We are currently hiring a Medical Claims Examiner for one of the top insurance companies in Fresno! Posting Close Date: 9/5/2024 Description: Maintain multiple groups Process CMS-1500 claims Process UB-04 claims Process high dollar claims Process JAA / BlueCard claims Interpret individual group SPD’s and apply benefits appropriately Zero dollar...

Job DescriptionJob DescriptionWe have a position available at The Goldberg & Ibarra Law Firm.Email resumes to hurt@goldbergibarra.com.  No phone calls. Qualified candidates must have 2 years of experience, be able to handle a full caseload, as well as have extensive interaction with clients, doctors, opposing counsel and claims adjustors.Qualifications...

We are currently hiring a Medical Claims Examiner for one of the top insurance companies in Fresno! Posting Close Date: 9/5/2024 *Description:* 1. Maintain multiple groups 2. Process CMS-1500 claims 3. Process UB-04 claims 4. Process high dollar claims 5. Process JAA / BlueCard claims 6. Interpret individual group SPD's and apply benefits appropriately 7....