Senior Workers Compensation Claims Adjuster

Job OverviewPosition: Workers Compensation Adjuster IIISummary:This role reports directly to the Claims Supervisor and may provide technical support in their absence. The Adjuster is responsible for managing a portfolio of claim files, which may involve complex cases or unique challenges, in compliance with relevant laws and company policies.Key...

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...

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...

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...

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...

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...

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...

Job SummaryZenith is seeking a highly skilled Claims Management Supervisor to oversee the supervision and management of a Claims unit. The ideal candidate will have extensive experience in workers' compensation indemnity claims, including settlement negotiation of litigated claims.Key ResponsibilitiesDirect and control the Claims unit, providing technical...

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 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...

Job Summary:We are seeking a highly skilled and detail-oriented Insurance Claims Service Representative Assistant to join our team at DiBuduo & DeFendis Insurance Brokers, LLC. As a key member of our claims team, you will be responsible for providing exceptional customer service and ensuring seamless claims processing.Key Responsibilities:Claims Processing:...

Position OverviewAs a Senior Labor Relations Officer, you will operate under the guidance of the Deputy Labor Commissioner IV, overseeing the management, organization, and evaluation of team activities. This role emphasizes continuous training and development for team members while fostering collaboration with various programs and stakeholders to enhance...

Flexible Hybrid Work EnvironmentPreferred Locations: Fresno, Dublin, or Roseville, CAAs a Senior Underwriter at The Zenith, you will engage in the solicitation, assessment, and pricing of business in alignment with our Underwriting Philosophy. Your responsibilities will include: Overseeing a designated portfolio of Agencies, aiding in the formulation and...

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...

Are you seeking a fulfilling role in a supportive environment? Denham Resources, a reputable family-owned business, is dedicated to making a positive impact in the community, and your contributions will play a vital role in this mission.We are currently in search of a skilled Payroll Specialist with expertise in certified and union payroll processes.Key...

SummaryThis position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five...

Job OverviewSante Health System is seeking a dedicated full-time Accounts Receivable / Insurance Follow-Up / Medical Collections Agent. This role is pivotal in managing insurance claims and patient balance inquiries, generating aging reports, and delivering exceptional customer service.REQUIREMENTSHigh school diploma or equivalent required.Preferred two...

Job OverviewSante Health System is seeking a dedicated full-time Accounts Receivable / Insurance Follow-Up / Medical Collections Agent to manage patient and insurance follow-ups, oversee aging reports, and provide exceptional customer service.REQUIREMENTSHigh school diploma or equivalent required.Preferred two years of experience in medical billing, with...

SummaryThis position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five...