Sr Claim Examiner- WC CA
1 day ago
Sr Claim Examiner- WC
Location : 675 Placentia Avenue, Suite 350, Brea CA 92821
Hybrid role & California required License and Spanish is a Plus ( Speak, Read )
Duration : 3 Months
Description :
Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted
- Manages all aspects of investigative activity on complex claims
Directs the discovery and litigation strategy with legal counsel
- Analyzes claims activity and prepares reports for clients/carriers and management
- Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements
- Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits
- Develops subrogation and third party recovery potential and follows reclaim procedures
- Analyzes claims activities and prepares reports for clients, carriers and/or management
Participates in claim reviews.
Skills: Ability to work independently while assimilating various technical subjects
- Strong written and oral communication, negotiation and presentation skills
- Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.
Education: Bachelor's degree or equivalent experience
- Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization
Workers Compensation (WC) Adjuster License required according to jurisdictional requirements
Preferred: - Industry designations such as IIA, AIC, AEI and/or CPCU
-
Sr Claim Examiner- WC
2 weeks ago
Brea, United States TalentBurst Full time33897371 Sr Claim Examiner- WC Location : 675 Placentia Avenue, Suite 350, Brea CA 92821 Hybrid role & California required License and Spanish is a Plus ( Speak, Read ) Duration : 3 Months Description : Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims...
-
Senior Claims Examiner
3 weeks ago
Brea, California, United States Crawford & Company Full timeJob Summary:Crawford & Company is seeking a highly skilled Senior Claims Examiner to join our team. As a Senior Claims Examiner, you will be responsible for investigating and settling complex claims, working with clients and carriers to resolve disputes, and analyzing claims activity to prepare reports for management.Key Responsibilities:Investigate and...
-
Senior Claim Examiner
2 weeks ago
Brea, California, United States Crawford & Company Full timeAbout the Role:Crawford & Company is seeking a highly skilled Senior Claim Examiner to join our team. As a key member of our claims team, you will be responsible for investigating and settling advanced, large loss, and complex claims promptly and equitably.Key Responsibilities:Interpret and make decisions using independent judgment on more complex and...
-
Senior Claim Examiner
3 weeks ago
Brea, United States Crawford & Company Full timePosition Summary GREAT CAREER OPPORTUNITY! Seeking candidates with experience managing California Workers Compensation claims! SIP is a requirement! Bonus Opportunities! Multiple Employee Discounts! Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established...
-
Sr Project Manager
1 month ago
Brea, United States Lawrence Ash Full timeUrgent Opportunity |Sr. Project Manager | Brea CA (Hybrid-2/3 Days Per week onsite) only local in CA or Brea would be better| Up to USD 50 to 60 per hourWe are urgently recruiting for an Sr. Project Manager Search to work for our Global Client in USA.Job Details:Title- Sr. Project Manager Location- Brea CA (Hybrid-2/3 Days Per week onsite) Position: Contract...
-
Medical Claims Specialist
3 weeks ago
Brea, California, United States MediQuest Full timeJob OpportunityMediQuest is seeking a highly experienced Medical Biller to join our team in Brea, CA.Job Summary:We are looking for a skilled Medical Biller with 5+ years of experience to manage patient accounts, review claims, and process payments. The ideal candidate will have a strong understanding of MediCare and Medi-Cal...
-
Medical Biller
1 month ago
Brea, United States MediQuest Full timeJob DescriptionJob DescriptionPay Rate: $25/hr-$27/hrShift: M-F - 8AM-5PMLocation: Brea, CAJob Duties for Medical Biller:2+ years' of experienceReview of Patient Accounts and Claims Management, Payment Processing/Posting, Appeals/Denials, and MediCare/Medi-Cal knowledgeHigh School Diploma is requiredReferral Bonus:Referrals really pay off! Do you know...
-
Medical Biller
4 weeks ago
Brea, United States MediQuest Full timeJob DescriptionJob DescriptionDirect Hire! Full Benefits! Medical Biller needed in Brea!Pay Rate: $27/hr-$30/hrShift: M-F - 8AM-5PMLocation: Brea, CAJob Duties for Medical Biller:5+ years' of experienceReview of Patient Accounts and Claims Management, Payment Processing/Posting, Appeals/Denials, and MediCare/Medi-Cal knowledgeHigh School Diploma is...
-
Analyst I, Proposals
1 week ago
Brea, United States Beckman Coulter Full timeWondering what's within Beckman Coulter Diagnostics? Take a closer look. At first glance, you'll see that for more than 80 years we've been dedicated to advancing and optimizing the laboratory to move science and healthcare forward. Join a team where you can be heard, be supported, and always be yourself. We're building a culture that celebrates backgrounds,...
-
Workers' Compensation Attorney
7 days ago
brea, United States Ascendion Full timeJob Title: Workers' Compensation AttorneyLocation: Brea, CA (Mostly remote - candidate needs to come into Brea office 2x/month)Base Salary: $130k - $210kWe are partnering with a leading law firm renowned for its expertise in defending businesses and insurance carriers in Workers’ Compensation cases. The firm is seeking a dedicated Workers' Compensation...
-
Workers' Compensation Attorney
1 day ago
Brea, United States Ascendion Full timeJob Title: Workers' Compensation AttorneyLocation: Brea, CA (Mostly remote - candidate needs to come into Brea office 2x/month)Base Salary: $130k - $210kWe are partnering with a leading law firm renowned for its expertise in defending businesses and insurance carriers in Workers’ Compensation cases. The firm is seeking a dedicated Workers' Compensation...
-
Workers' Compensation Attorney
7 days ago
Brea, United States Ascendion Full timeJob Title: Workers' Compensation AttorneyLocation: Brea, CA (Mostly remote - candidate needs to come into Brea office 2x/month)Base Salary: $130k - $210kWe are partnering with a leading law firm renowned for its expertise in defending businesses and insurance carriers in Workers’ Compensation cases. The firm is seeking a dedicated Workers' Compensation...
-
Call Center Customer Service Representative
4 months ago
Brea, United States Meduit Full timeWHAT WE DO: Meduit is seeking a Call Center representative at our Brea California office. If you are goal driven, hard-working, and have excellent communication or customer service skills, we invite you to apply with us today! This is an exciting opportunity for someone seeking experience in medical billing and complex claims investigation. Ideal candidates...
-
Workers' Compensation Associate Staff Attorney
2 weeks ago
Brea, California, United States The Hartford Full timeJob SummaryWe are seeking a highly skilled and motivated Staff Attorney to join our Workers' Compensation team. As a Staff Attorney, you will be responsible for handling a designated caseload of approximately 95-105 cases appearances before the CA State Workers' Compensation Boards in Los Angeles and Ventura counties.Key ResponsibilitiesAnalyze legal and...
-
Supervisor Clinic LPN LVN
1 month ago
Brea, United States Providence Service Full timeDescription Working under the direction of the Sr. Nurse Manager and/or Site Manager/Director, this position has direct responsibility for the supervision of staff in the clinical department. Ensures staff is providing patient care within the scope of practice outlined by the California Board of Nursing. Providence caregivers are not simply valued –...
-
Senior Regulatory Affairs Specialist
7 days ago
brea, United States Kelly Science, Engineering, Technology & Telecom Full timePosition Overview: The Senior Regulatory Affairs Specialist creates, evaluates, and completes regulatory tasks related to the following: worldwide product registration submissions, facility registrations, technical files, FDA submissions, special projects, and strategy to drive market growth worldwide. This individual is responsible for obtaining global...
-
Senior Regulatory Affairs Specialist
1 day ago
Brea, United States Kelly Science, Engineering, Technology & Telecom Full timePosition Overview: The Senior Regulatory Affairs Specialist creates, evaluates, and completes regulatory tasks related to the following: worldwide product registration submissions, facility registrations, technical files, FDA submissions, special projects, and strategy to drive market growth worldwide. This individual is responsible for obtaining global...
-
Senior Regulatory Affairs Specialist
5 days ago
brea, United States Kelly Science, Engineering, Technology & Telecom Full timePosition Overview: The Senior Regulatory Affairs Specialist creates, evaluates, and completes regulatory tasks related to the following: worldwide product registration submissions, facility registrations, technical files, FDA submissions, special projects, and strategy to drive market growth worldwide. This individual is responsible for obtaining global...
-
Senior Regulatory Affairs Specialist
7 days ago
Brea, United States Kelly Science, Engineering, Technology & Telecom Full timePosition Overview: The Senior Regulatory Affairs Specialist creates, evaluates, and completes regulatory tasks related to the following: worldwide product registration submissions, facility registrations, technical files, FDA submissions, special projects, and strategy to drive market growth worldwide. This individual is responsible for obtaining global...
-
Senior Business Development Manager Dairy
4 weeks ago
Brea, California, United States Burns & McDonnell Full timeAbout the RoleWe are seeking a highly skilled Senior Business Development Manager to lead the growth of our Dairy submarket. As a key member of our Food & Beverage business line, you will be responsible for managing and implementing business development, recruiting, and marketing activities for engineering, procurement, and construction (EPC) services.Key...