Workers Compensation Claims Examiner Level III
1 week ago
Our client, the largest privately held third party claims administrator in the United States, is seeking a Workers Compensation Claims Examiner Level III. The ideal candidate will have a minimum of 5 years of experience in Texas Workers' Compensation Claims and hold a Texas Workers' Compensation Adjuster's license. The candidate will be responsible for managing all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines. Candidates must reside in Texas to be considered.
(Workers Compensation Claims Examiner Level III) Job Details
The candidate will be required to effectively manage a caseload of 110 to 160 workers' compensation files, including very complex claims. They will initiate and conduct investigations in a timely manner, determine the compensability of claims and administer benefits, manage medical treatment and billing, and communicate with claimants, providers, and vendors regarding claim issues.
(Workers Compensation Claims Examiner Level III) Mandatory Skills
The candidate should possess technical knowledge of statutory regulations and medical terminology, have strong analytical skills, and excellent written and verbal communication skills. They should be able to interact with persons at all levels in the business environment and independently manage very complex claims.
(Workers Compensation Claims Examiner Level III) Desired Skills
Proficiency in Word and Excel is preferred.
(Workers Compensation Claims Examiner Level III) Start Date
The start date will be determined upon the selection of the suitable candidate.
(Workers Compensation Claims Examiner Level III) Location
The position can be filled in the office in Houston, TX or remotely from any location within the state of Texas. Travel may be required on rare occasions if a remote worker's attendance is required in the office.
-
Claims Examiner
Found in: Appcast US C2 - 1 week ago
Long Beach, United States CMJobPoster Full timeJob Title: Claims Examiner - Workers Compensation Location (On-site, Remote, or Hybrid?): Long Beach, CA (Remote) Contract Duration: Contract until 10/31/2024 Work Hours: 08:00 AM - 04:30 PM
-
Worker's Compensation Claims Assistant
Found in: beBee jobs US - 2 weeks ago
Long Beach, California, United States TheBest Claims Solutions Full timeOur client is looking for a temporary Workers Compensation Claims Assistant to work out of their Long Beach office.Required Qualifications:1+ years of Workers Compensation Claims Assistant experienceMaintain active file diaries to ensure delegated tasks are completedDevelop an understanding of jurisdictional benefit rates and payment deadlines to ensure...
-
Claims Examiner
21 hours ago
Long Beach, United States Cynet Systems Full timeJob Description: Pay Range $44hr - $49hr To 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;...
-
Worker's Compensation Claims Assistant
Found in: beBee S US - 1 week ago
Long Beach, United States TheBest Claims Solutions Full timeOur client is looking for a temporary Workers Compensation Claims Assistant to work out of their Long Beach office.Required Qualifications:1+ years of Workers Compensation Claims Assistant experienceMaintain active file diaries to ensure delegated tasks are completedDevelop an understanding of jurisdictional benefit rates and payment deadlines to ensure...
-
Workers Compensation Supervisor
Found in: beBee jobs US - 2 days ago
Long Beach, California, United States TheBest Claims Solutions Full timeOur client, a National Third Party Administrator, is looking for a Temporary Workers' Compensation Supervisor for their temporary remote opportunity.Required Qualifications:3 years of Supervising California Workers Compensation AdjustersMonitor colleagues' workloads, provide training, and monitor individual claim activitiesSIPPreferred Qualifications:College...
-
Specialist, Claims Recovery
1 week ago
Long Beach, United States Molina Healthcare Full timeJob Summary Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider compliance. Interacts with health plans and vendors regarding recovery outstanding overpayments. Job...
-
Specialist, Claims Recovery
8 hours ago
Long Beach, United States Molina Healthcare Full time**JOB DESCRIPTION** **Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider compliance. Interacts with health plans and vendors regarding recovery outstanding...
-
Program Analyst
Found in: Talent US 2 C2 - 1 week ago
Long Beach, United States Office of Workers' Compensation Programs Full timeSummary This position is located in the department of Labor (DOL), Office of Workers' Compensation Programs (OWCP), Executive Office. This position is inside the bargaining unit. Duties Major Duties: Execute activities in accomplishment of the OWCP DEIA Strategic Plan and Agency Management Plan. Develop, manage, and implement DEIA program...
-
Associate Attorney | Workers Compensation
Found in: Talent US 2 C2 - 3 days ago
Long Beach, United States OnPoint Search Consultants Full timeWhat you will find ... CA-based GL defense firm 35+ attorneys statewide What you will do ... Workers Comp defense Workers Comp cases Represent 3rd party admins, insurance carriers, & employers Defend suits against large exposure cases Wish list ... REQUIRED CA bar 1-10 years' experience in Workers Compensation Exceptional writing and...
-
Associate Attorney | Workers Compensation
Found in: Appcast US C2 - 5 days ago
Long Beach, United States OnPoint Search Consultants Full timeWhat you will find ...CA-based GL defense firm35+ attorneys statewide What you will do ...Workers Comp defenseWorkers Comp casesRepresent 3rd party admins, insurance carriers, & employersDefend suits against large exposure cases Wish list ...REQUIRED CA bar1-10 years' experience in Workers CompensationExceptional writing and communication skills
-
Associate Attorney | Workers Compensation
4 days ago
Long Beach, United States OnPoint Search Consultants Full timeWhat you will find ...CA-based GL defense firm35+ attorneys statewide What you will do ...Workers Comp defenseWorkers Comp casesRepresent 3rd party admins, insurance carriers, & employersDefend suits against large exposure cases Wish list ...REQUIRED CA bar1-10 years' experience in Workers CompensationExceptional writing and communication skills
-
Associate Attorney | Workers Compensation
Found in: Appcast Linkedin GBL C2 - 4 days ago
Long Beach, United States OnPoint Search Consultants Full timeWhat you will find ...CA-based GL defense firm35+ attorneys statewide What you will do ...Workers Comp defenseWorkers Comp casesRepresent 3rd party admins, insurance carriers, & employersDefend suits against large exposure cases Wish list ...REQUIRED CA bar1-10 years' experience in Workers CompensationExceptional writing and communication skills
-
Worker's Compensation Attorney
Found in: Talent US 2 C2 - 2 weeks ago
Long Beach, United States Ascendion Full timeAbout Us: We are a reputable law firm located in the vibrant city of Long Beach, CA. We are dedicated to providing top-notch legal services to clients in a wide range of practice areas. Our firm is known for its commitment to excellence, integrity, and client advocacy. Qualifications: Juris Doctor (JD) degree from an accredited law school. Active...
-
Supervisor, Medical Claims
1 week ago
Long Beach, United States CareerBuilder Full timeJob DescriptionJob Description This position is located in Cypress, CA The Need: We are seeking a Claims Supervisor to join our growing team. In this role, you will be responsible for providing leadership and oversight to the Claims team. Accountable for ensuring the team adheres to standard work and meets department key performance indicators. ESSENTIAL...
-
Supervisor, Medical Claims
1 week ago
Long Beach, United States SCUFCW Trust Fund Full timeJob DescriptionJob Description This position is located in Cypress, CA The Need: We are seeking a Claims Supervisor to join our growing team. In this role, you will be responsible for providing leadership and oversight to the Claims team. Accountable for ensuring the team adheres to standard work and meets department key performance indicators. ESSENTIAL...
-
Worker's Compensation Attorney
Found in: Appcast US C2 - 2 weeks ago
Long Beach, United States Ascendion Full timeAbout Us: We are a reputable law firm located in the vibrant city of Long Beach, CA. We are dedicated to providing top-notch legal services to clients in a wide range of practice areas. Our firm is known for its commitment to excellence, integrity, and client advocacy.Qualifications:Juris Doctor (JD) degree from an accredited law school.Active membership in...
-
Worker's Compensation Attorney
2 weeks ago
Long Beach, United States Ascendion Full timeAbout Us: We are a reputable law firm located in the vibrant city of Long Beach, CA. We are dedicated to providing top-notch legal services to clients in a wide range of practice areas. Our firm is known for its commitment to excellence, integrity, and client advocacy.Qualifications:Juris Doctor (JD) degree from an accredited law school.Active membership in...
-
Worker's Compensation Attorney
Found in: Appcast Linkedin GBL C2 - 2 weeks ago
Long Beach, United States Ascendion Full timeAbout Us: We are a reputable law firm located in the vibrant city of Long Beach, CA. We are dedicated to providing top-notch legal services to clients in a wide range of practice areas. Our firm is known for its commitment to excellence, integrity, and client advocacy.Qualifications:Juris Doctor (JD) degree from an accredited law school.Active membership in...
-
Specialist, Claims
2 days ago
Long Beach, United States Molina Healthcare Full timeJob Description Job Summary Thorough knowledge of processing professional, outpatient facility, and inpatient facility claims for Medicare, Medicaid, and Marketplace plans. Assists Molina departments with reviewing and conducting analysis of claims to ensure regulatory requirements are appropriately applied. Clearly documents claims research results and...
-
Field Examiners Senior/and/or/Entry Level
1 week ago
Long Beach, United States Insight Examination Services Inc Full timeJob DescriptionJob DescriptionWe are seeking hire a Staff Auditor who will be responsible for performing asset-based lending (ABL) audits, pre-loan surveys & recurring field examinations. Our clients include Banks and Finance companies interested in secured, asset-based lending. Candidates are expected to have thorough accounting knowledge and any work...