Claims Examiner Jobs in California
Our client is a large third party administrator. They are looking for a temporary Sr. Workers Compensation examiner to start on Monday, 4/22 for a 4-6 week assignment. Requirements: A minimum of 5-7 years of recent Workers Compensation examiner experience. Provide documentation of possessing the California Experienced Claims Adjuster Designation and being current on education hours. Self-Insured C...
Job_Other_Compensation: Up to $20.00 Job Description: Immediate need for a CLAIMS EXAMINER for the processing of medical claims, for an established and prestigious entertainment company. Primary Responsibility: ? Processing participant and dependent medical claims for the company's health and benefits department. MUST have the following qualifications: ? Minimum 2 years of current, verifiable, str...
Our client is a national insurer, and they are looking for a Worker's Compensation Claims Examiner for their Rancho Cordova office. We need an Examiner who is skilled at working with a client. Requirements: Excellent client service skills Self-Insured Certificate required 5+ years of claims handling experience required Experienced Claims Adjuster Designation required Healthcare claims handling exp...
Claims Examiner I Kern Health Systems is the largest health plan in Kern County serving over 124,000 local members. We’re located in Bakersfield, California…and Bakersfield was rated #9 by Forbes magazine as the Best city for jobs this spring 2013. We aren’t a big town but we do have that small town feel … this provides an awesome atmosphere of comfort in that we don’t have those heavy 5:00pm traf...
Job_Other_Compensation: Up to $25.00 Job Description: This Claims Examiner/Processor Position Features: ? Great Pay: Between $16-$25/hr Well known and stable company has an immediate need for a personable Medical Claims Examiner/Processor. Requirements: *Minimum 2 years experience as a Medical Claims Examiner/Processor. *Knowledge of I-CD9 and CPT coding *Strong work ethic If this sounds like you,...
Company Confidential Canoga Park, CA
Medical Claims Examiner M-F, 40/hr/week Able to meet production standards At Least 5+ Years Recent Experience Experience with HMO, Managed Care, Medicare, Medi-Cal, Commercial, Professional, Institutional, Senior, DRG/RCC rates, ICD-9, anesthesia claims, in-patient claims, SNF, DME, dialysis, chemo, stop loss or case rates, COB, outpatient surgeries, ER and all other claim types...
Senior Claims Examiner California 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 possib...
The Northern California Division’s Workers’ Compensation Department, located in Pleasanton, California, has an opening for a Claims Examiner II. Qualifications: -4-year college degree or equivalent professional experience. -3 years Claims Examiner experience with knowledge of Workers’ Compensation Statutes, medical terminology, medical treatment protocol, rating system, and litigation. Familiarity...
Workers Compensation Claims Examiner (Valencia, CA) Investigates claims to determine an injured worker’s entitlement to Workers’ Compensation benefits; Administers indemnity and medical benefits for valid Workers’ Compensation claims; Manages a caseload of claims from inception to closing or settlement. · Completes 3-point contact on new claims within 24 hours in order to obtain information necess...
Workers Compensation Claims Examiner (Roseville, CA) Investigates claims to determine an injured worker’s entitlement to Workers’ Compensation benefits; Administers indemnity and medical benefits for valid Workers’ Compensation claims; Manages a caseload of claims from inception to closing or settlement. · Completes 3-point contact on new claims within 24 hours in order to obtain information neces...
Yoh has multiple openings for Claims Examiners to join our client in Richmond, CA. Job Overview: We are currently seeking qualified candidates to work in the capacity of Claims Examiners in a health plan setting. These are full-time, temp-to-hire opportunities. Job Responsibilities: - Independently review, adjudicate and finalize Provider Dispute Resolution (PDR) requests. - Processing claims adju...
Job Summary Claims Processing of complex claims (stop loss, etc.) and adjudication and claims research when necessary. Must meet and/or exceed qualitative and quantitative production standards. Provides informational resource for employees, assist in training new staff, handle difficult claims. Essential Functions • Quality Standard - Meet and Maintain quality standard for position. • Claims Adjud...
POSITION SUMMARY Claims Processing and adjudication of more complex CMS 1500 claims as well as processing of UB claims for specific services. Assists with claims research when necessary. Must meet and/or exceed qualitative production standards. ESSENTIAL FUNCTIONS Duties and Responsibilities • Quality Standard - Meet and Maintain the quality rate. • Claims Adjudication - Meet and consistently main...
JOB DESCRIPTION DATE: May 1, 2013 SUBJECT: Medical/Dental/Vision Claims Processor Position Job Location: 444 Irving Drive #202, Burbank, CA 91504 Availability: IMMEDIATE Please apply only if you possess the requirements below Position Summary and Experience This position is a senior level position for individuals with a minimum of three years experience processing medical, dental and vision claims...
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 required Job Duties: Responsible for claims management of assigned case load of medium/high complexity and/or moderate exposure claims, within the guidelines of published perform...
Length of Assignment: Temporary Compensation: $75,000-$85,000/Annually, DOE Required Qualifications: - 5+ years experience handling California Workers' Compensation claims - California Claims Examiner Designation or "Experienced" Claims Examiner designation - SIP - Bachelor's degree is a plus ##...
Length of Assignment: Temporary Compensation: $70,000-$80,000/Annually, DOE 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 - Bachelor's Degree is a plus ##...
Length of Assignment: Direct Hire Compensation: $55k to $75k annually, DOE Required Qualifications: - Must have current/recent Workers' Compensation Claims handling experience - 5+ years experience hanlding California Workers' Compensation claims - California Claims Examiner Designation or Experienced Claims Examiner designation Preferred Qualifications: - SIP is a plus - Bachelor's Degree is a pl...
Based in Atlanta, Ga., Crawford & Company (www.crawfordandcompany.com) is the world's largest independent provider of claims management solutions to the risk management and insurance industry as well as self-insured entities, with an expansive global network serving clients in more than 70 countries. The Crawford System of Claims SolutionsSM offers comprehensive, integrated claims services, busine...
Duties include handling future medical files, monitoring awards and re-evaluating permanent disability. Knowledge of utilization review is also necessary. California Designation and recent experience handling Future Medical claims is preferred....
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Any jobs that start with letter I?
My sister want to know 15 jobs that start with letter I. Because it is her homework.
What is the salary range for a field claims examiner for an insurance company?
What is a typical salary? What are the responsibilities?
What ways do employee collect unemployment if they quit?
I am doing a report on government for my Poly Sci course and I need some directions. I understand that if you can quit your job for specific reasons and obtain unemployment coverage. What I want to as...
How could a president love a country that he wants to fundamentally change?
I'd like to get some of your opinions. First, I like to state some facts. If anyone knows anything about history, it is common knowledge that America became the worlds most powerful country after we c...
Are there any Veterans Claims Examiners out there that work in the education department?
I have a few questions for you.
Business Career Tools
$29,120.00 - $70,000.00
Typical Salary for Claims Examiner in California
Source: Monster.com Careerbenchmarking Tool
Education / Training
Some College Coursework Completed
Source: Monster.com Careerbenchmarking Tool
Serves customers by resolving claims; ensuring legal compliance.
Rate of Growth
Size of Industry in 2006:
Source: Bureau of Labor Statistics, May 2006
Prepares reports by collecting, analyzing, and summarizing information.
Establishes proof of loss by studying documentation submitted; assembling additional information as required from outside sources such as account, claimant, physician, employer, hospital, and other insurance companies; initiating or conducting investigation of questionable claims.
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