Claims Examiner
3 weeks ago
Title: Claims Examiner - Workers Compensation Location: Must be located in California (Remote Work in CA) Duration: 4 months Pay Range : $45/hr (On W2) We are looking for a “ Claims Examiner - Workers Compensation “to join one of our Fortune 500 clients. Job Summary: To analyze complex workers' compensation claims, determine benefits, manage high-exposure and litigated cases, ensure timely adjudication, and identify subrogation opportunities while negotiating settlements Requirements: 3+ years of California Workers' Compensation experience required Remote work location in California SIP Certification mandatory Job Responsibilities: Investigate and analyze complex workers' compensation claims Develop action plans for timely claim resolution Negotiate settlements within designated authority Calculate and assign appropriate reserves Process benefit payments and claim adjustments Prepare state filings within statutory limits Ensure proper claim file documentation and coding Report claims to excess carriers and respond to inquiries Manage the litigation process for timely, cost-effective resolution Coordinate vendor referrals for investigations and litigation management Implement cost containment techniques and strategic partnerships Handle claim recoveries, including subrogation and excess recoveries Manage Social Security and Medicare offsets Communicate claim activity with claimants and clients Maintain professional client relationships Additional Responsibilities Perform other duties as assigned Support organizational quality programs Travel as required Education and Licensing Bachelor's degree preferred Professional certification in relevant line of business preferred Experience 5+ years of claims management experience or equivalent Skills and Knowledge Expert knowledge of insurance principles and laws Proficient in recoveries, offsets, and cost containment practices Excellent communication and presentation skills Proficient in Microsoft Office We are looking for the candidate who are eligible to work with any employers without sponsorship. If you’re interested, please click “Apply” button. If you are not available or this job is not a good fit at present, please share the job details with your friends/colleagues and let me know if anyone is interested ManpowerGroup is committed to providing equal employment opportunities in a professional, high quality work environment. It is the policy of ManpowerGroup and all of its subsidiaries to recruit, train, promote, transfer, pay and take all employment actions without regard to an employee's race, color, national origin, ancestry, sex, sexual orientation, gender identity, genetic information, religion, age, disability, protected veteran status, or any other basis protected by applicable law.
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Claims Examiner
3 days ago
Orange, California, United States BCForward Full timeJob OpportunityWe are seeking a highly motivated Claims Examiner - Workers Compensation to join our team at BCForward.Job Summary:As a Claims Examiner - Workers Compensation, you will be responsible for examining and processing workers' compensation claims in a timely and efficient manner. You will work closely with our clients to understand their needs and...
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Claims Examiner
1 month ago
Orange, United States Experis Full timeTitle: Claims Examiner - Workers Compensation Location: Must be located in California (Remote Work in CA) Duration: 4 months Pay Range : $45/hr (On W2) We are looking for a "Claims Examiner - Workers Compensation "to join one of our Fortune 500 clients. Job Summary: To analyze complex workers' compensation claims, determine benefits, manage...
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Claims Examiner
3 weeks ago
Orange, United States TAJ Technologies Inc Full timeDescription: Min 3 years of experience Remote in CA - Candidate has to be in CA PRIMARY PURPOSE: 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...
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Claims Review Specialist
2 weeks ago
Orange, California, United States Astiva Health, Inc Full timeJob Title: Claims Auditor/RecoveryTarget Compensation Range: $90,000 - $120,000/year, depending on the level of relevant qualifications and experience.About Us:Astiva Health, Inc. is a leading healthcare organization focused on Medicare and HMO services. We are dedicated to providing comprehensive care that meets the diverse needs of our community,...
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Indemnity Claims Specialist
2 weeks ago
Orange, California, United States Experis Full timeJob Title:Indemnity Claims SpecialistLocation:Remote position available for candidates located in CaliforniaContract Duration:4+ months on W2Pay Rate:$38 per hour_________________________________________________________Primary Purpose:Evaluate mid- to advanced-level indemnity claims, ascertain entitlements, and ensure continuous adjudication in alignment...
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Claims Research Quality Analyst
4 days ago
Orange, United States Elite Workforce Full timeJob DescriptionJob DescriptionThe Claims Research Quality Analyst will be responsible to ensure that Daily, Weekly, Monthly and Quarterly Claims Reports are submitted accurately and in a timely manner, while also being responsible for analyzing reports and identifying process improvements.Please note that while this position is being advertised through our...
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Cash Posting Specialist
3 days ago
Orange, California, United States BMR Partners Inc. Full timeJob SummaryBMR Partners Inc. is seeking a highly skilled Cash Posting Clerk to join our team. As a Cash Posting Clerk, you will be responsible for assisting the Reimbursement Supervisor in all areas of Collections, Billing, and Cash application.Key ResponsibilitiesAccurate and Timely Cash Posting: Ensure the accurate and timely posting of all cash payments...
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Optometric Technician
3 months ago
Orange Park, United States Pearle Vision - Orange Park Full timeJob DescriptionJob DescriptionThe below Job Description is intended to describe the general nature and level of work being performed by associates assigned to this job. It is not an exhaustive list of responsibilities, and is subject to changes and exceptions at the discretion of senior management. JOB TITLE: Optometric...
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Patient Financial Services Coordinator
7 days ago
Orange, California, United States Community Dental Partners Full timePosition Title: Patient Finance Coordinator Reports to: Practice ManagerKey Collaborations: Billing, Clinical, OperationsDepartment: OperationsCompensation: $15-17/hr (based on experience)Classification: Non-ExemptEmployment Status: Full Time Role Overview: Are you a team player eager to support patients in achieving optimal oral health? Join our dynamic...
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Cash Posting Clerk
1 month ago
Orange, United States Specialty Care Rx Full timeJob DescriptionJob DescriptionDescription:The Cash Posting Clerk is responsible for assisting the Reimbursement Supervisor in all areas of Collections, Billing and Cash application.Please note this is not a remote position.Roles and Responsibilities:· Accurate and timely posting of all cash payments for all businesses.· Review of payments received via live...
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Cash Posting Clerk
1 month ago
Orange, United States BMR Partners Inc. Full timeJob DescriptionJob DescriptionDescription:The Cash Posting Clerk is responsible for assisting the Reimbursement Supervisor in all areas of Collections, Billing and Cash application.Please note this is not a remote position.Roles and Responsibilities:· Accurate and timely posting of all cash payments for all businesses.· Review of payments received via live...
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Patient Financial Services Specialist
7 days ago
Orange, California, United States Community Dental Partners Full timePosition Title: Financial Advisor/Treatment Coordinator Reports to: Practice ManagerKey Collaborations: Billing, Clinical, OperationsDepartment: OperationsCompensation: $15-17/hr (commensurate with experience)Classification: Non-ExemptEmployment Status: Full Time Role Overview: If you are a collaborative individual eager to support patients in our community...
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Lead Legal Counsel
2 weeks ago
Orange, California, United States Chapman University Full timePosition OverviewSummaryOversee the legal transactional operations, ensuring thorough examination of agreements pertinent to the institution. Provide comprehensive legal research, documentation, and analytical assistance to the Associate Vice President and the institution on a diverse array of legal issues. Support litigation efforts and manage oversight of...
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Senior Attorney Lawyer
1 month ago
Orange County, United States Litigation Law Firm Full timeJob DescriptionJob Description*** $5,000 signing bonus *** We are currently hiring experienced senior litigators/litigation attorneys for our Irvine, CA locations. This is a hybrid or remote position working with some top notch trial attorneys. Colman Perkins offers all of the big firm perks without of any of the big firm drama. If you want to be a trial...