Workers Compensation Claims Specialist

Job SummaryAs a Workers Compensation Adjuster III at Intercare Insurance, you will play a critical role in managing an assigned inventory of claim files, including cases of extreme complexity or with unique or unusual issues. Your primary responsibility will be to effectively manage claims to conclusion, ensuring compliance with applicable statutes and...

{"Job Title": "Workers Compensation Claims Adjuster III", "Job Summary": "We are seeking a highly skilled Workers Compensation Claims Adjuster III to join our team at Intercare Holdings Insurance Services, Inc.", "Responsibilities": "Perform a three-point contact on all new losses within 24 hours of receipt of the claim to document relevant facts surrounding...

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...

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...

About the OpportunityJob Summary:We are seeking a skilled and experienced Attorney to join our legal team in the workers' compensation defense industry. As a Permanent Attorney, you will be responsible for providing legal representation to clients in California Workers' Comp cases.ResponsibilitiesRepresent clients in California Workers' Comp casesConduct...

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 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...

Job SummaryZenith Insurance Company 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 ResponsibilitiesClaims Management: Direct, control, and...

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...

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...

Job SummaryWe are seeking a highly motivated and detail-oriented Health Insurance Specialist to join our team at Ultimate Staffing. As a Health Insurance Specialist, you will be responsible for assisting clients with health insurance inquiries and issues, processing and managing health insurance claims and billing, and maintaining accurate records and...

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 SummaryThis role is eligible to participate in Zenith's hybrid work schedule, which provides the flexibility to work from home on select days of the week according to the in-office schedule established by regional executive leadership.Preferred Location: Fresno, with consideration for Dublin, CA or Roseville, CAKey ResponsibilitiesSolicit, Underwrite,...

Remote Full Time Denial Specialist **Key Responsibilities** Review denied claims and determine appropriate actions for resolution. Interact with payers to understand denial reasons and necessary corrections. Create appeals cases outlining deficiencies and resolutions. **Required Qualifications, Training, and Education** Minimum of 2 years' experience in...

Job Title: On-Site Medical Treatment ProviderWe are seeking a skilled Medical Response Specialist to deliver medical care for work-related injuries or illnesses.Key ResponsibilitiesProvide Medical CareAid team members with work-related injuriesTransport injured team members to medical facilitiesInstruct on proper injury careCommunicate with medical...

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...

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...