Claims Examiner Jobs in California

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51 California Claims Examiner jobs found on Monster.

Jobs 1 to 20 of 51
SUMMARY The Claims Examiner is responsible for the analysis and management of catastrophic or extremely complex workers’ compensation claims by applying a high degree of expert judgment. The Claims Examiner must have shown progressive movement through the technical ranks, with numerous years of experience, coupled with special technical knowledge & expertise, and the ability to make appropriate ap...
GREAT OPPORTUNITY –MEDICAL BILLERS/MEDICAL ADMINISTRATIVE ASSISTANTS Irvine, CA Friendly environment and Growing Company! JOB SUMMARY: I. Position reports to Claims Supervisor in a production environment. Examiner will review, process and research all claims assigned including hospital, third party liability (TPL), health insurance payment demand (HIPD), flexible spending account (FSA), multiple s...
Claims Examiner Workers Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick...
Job Description: Well-known company has an immediate need for a Medical Claims Examiner with at least 3 years of DIRECT health care claims processing experience in a managed care environment/health care setting. JOB DUTIES: Accurate and timely processing of direct contract and delegated claims per regulatory and contractual guidelines. Processing claims for all lines of business, including complex...
Claims Examiner Workers Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick...
MID LEVEL CLAIMS EXAMINER NEEDED FOR GROWING TPA IN THE TORRANCE AREA Growing TPA in Torrance is looking for a mid level (5 - 7 years) workers comp claims examiner with City or County experience. Qualified candidate must have an SIP Certificate and have working knowledge of Municipalities. 95 Caseload and looking for someone who is very personable. Hours: 8:00 - 5:00 with a flexible schedule Quali...
Claims Examiner Workers Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick i...
Job Description: Well known Health Care Organization has immediate opening for a Medical Claims Examiner. You will be responsible for the accurate and timely processing of direct contract and delegated claims per regulatory and contractual guidelines. You will process claims for all lines of business, including complex claims, monitor itemized billings for excessive charges, duplication, unbundlin...
Required Qualifications: 5+ years of Workers' Compensation Indemnity Claims handling experience Experienced Claims Adjuster Designation (Continued Education Hours Complete) Strong computer proficiency, excellent written and verbal communication skills Must pass criminal background check and drug screen Preferred Qualifications: Bachelor's Degree Self-Insured Professional Certification (SIP) Job De...
Job Description: Medical Claims Examiner III: $46,000 About the job This is a great role for someone who is looking for a challenging career, working for a great organization. Successful managed care organization seeks a professional Medical Claims Examiner III to support a busy office. Skills/Responsibilities Working knowledge of ICD-9, CPT14 & CMS 1500 forms 2-3 Years of experience as a Medical...
SUMMARY: This position is responsible for daily claims management functions and favorable customer service. Possess technical abilities and capable of independent work on complex cases within company procedures and statutory guidelines. II. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following: Denotes "essential functions" in accordance with the guidelines of The Americans with Disabilities...
Description As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through our revenue cycle management , patient comm...
Looking to hire an Environmental Claims Examiner with hands-on experience managing from inception to completion, complex environmental claims including determining coverage, litigation management and writing Reservation of Rights letters. Involvement in negotiating cost-sharing and carrier participation agreements is required. This is your chance to join a top insurance company growing at a rapid...
Claims Examiner Job Label:MAG28AE3-2 NAS is currently looking for a dynamic Claims Examiner to handle liability and reinsurance claims. The position does not involve medical billing or health insurance. The ideal candidate will be enthusiastic, analytical, customer-service oriented and have excellent communication skills. This position will be fast-paced, challenging and diverse with hands on inst...
Our world class facilities coupled with our exceptional staff make this opportunity one that should not be passed up. Comprehensive employment packages with medical, dental, 401(k), generous vacation time, and a starting salary up to $130,000 are only parts of the complete package that comes with joining a winning company such as this. Become part of one of the country's fastest growing insurance...
Position Summary: As an experienced Property Damage Liability Claims Examiner you will play a critical role as part of our claims team that delivers an empathetic voice and provides exceptional customer service by achieving a prompt, fair and equitable settlement according to fair claims handling requirements. This includes the need to investigate, evaluate and negotiate coverage and liability cla...
As a Material Damage Claims Examiner, you will play a critical role by being part of our claims team that focus on delivering an empathetic voice and provide exceptional customer service by achieving a prompt, fair and equitable settlement according to fair claims handling requirements. In this role, your focus will be to assist our insured’s with the resolution of claims for damages to their auto...
Anchor General Insurance seeks experienced, enthusiastic professionals who take outstanding performance seriously. If you’re looking for a professional career with a company that is dedicated to innovation, customer care and their employees then apply with us today and start with a challenging and rewarding career with Anchor! Position Summary: As an experienced Bodily Injury Liability Claims Exam...
Claims Examiner Workers Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick i...
Required Qualifications: 5+ years experience handling California Workers' Compensation claims California Claims Examiner Designation or "Experienced" Claims Examiner designation Current on Continuing Education Classes SIP Preferred Qualifications: Bachelor's Degree is a plus Job Description: Our client is offering a career opportunity as a Workers’ Compensation Insurance Claims Examiner in their S...

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Business Career Tools

Claims Examiner

Salaries

$29,120.00 - $70,000.00
Typical Salary for Claims Examiner in California
(217 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
45.4%
Some College Coursework Completed
19.2%
Associates
13.8%
Master's
6.9%
High School
6.2%
Vocational
6.2%
(130 Respondents)
Source: Monster.com Careerbenchmarking Tool

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