Top 929517 Resource Jobs

Workers' Compensation Claims Examiner
JT2 Integrated Resources —California
- From $90,000 a year
- Full-time
- Mid-level
- 3 years
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
EHS Manager
Novolex —Yakima, WA
- $100,000 - $120,000 a year
- Full-time
- 5 years
- Word processing
- Computer literacy
- Wellness program
- Paid parental leave
PLANNING AND ZONING ADMINISTRATOR
Town of Springfield, Vermont —Springfield, VT
- $65,811 - $75,150 a year
- Full-time
- Background check
- Clean driving record
- Microsoft Excel
- AD&D insurance
- Health insurance
Quick Apply
HBCI Specialist
Clarity Wellness Community —Wellsville, NY
- From $28.84 an hour
- Full-time
- LMFT
- Psychiatry
- Licensed Clinical Social Worker
- Health savings account
- Dental insurance
Quick Apply
12d
Pregnancy Counselor
Bethany Christian Services USA LLC —Orange City, IA
- Full-time
- Mid-level
- 3 years
- Driver's License
- Wellness program
- 403(b) matching
Energy Coordinator
Ecology Action Center —Normal, IL
- $40,000 - $42,000 a year
- Weekends as needed
- Background check
- Mid-level
- Office
- Paid parental leave
- Health insurance
Quick Apply
7d
Environmental Health & Safety Manager
Agri-Mark/Cabot Creamery Cooperative —Cabot, VT
- $93,000 - $103,000 a year
- Mid-level
- Analysis skills
- Bachelor's degree
- Tuition reimbursement
- 401(k) matching
Quick Apply
Registrar
Newport Restoration Foundation —Newport, RI
- $60,000 - $65,000 a year
- Full-time
- Mid-level
- 3 years
- Master's degree
Quick Apply
Water Resources Analyst I/II
Hidden Valley Lake Community Services District —Hidden Valley Lake, CA
- $63,689 - $99,153 a year
- Full-time
- Background check
- Microsoft Outlook
- Basic math
- Health insurance
- Dental insurance
Quick Apply
1d
Social Worker
ONEWORLD COMMUNITY HEALTH CENTERS INC —Omaha, NE
- Full-time
- Spanish
- Customer service
- Computer literacy
- Health insurance
- Dental insurance
Head of Environmental Health and Safety
MBC BioLabs —San Francisco, CA
- From $100,000 a year
- Online Application
- Customer service
- Administrative experience
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Environmental Health and Safety Manager
Lee Spring Company LLC —Brooklyn, NY
- $75,000 - $90,000 a year
- Full-time
- Ability to walk for extended periods
- 5 years
- Bachelor's degree
- Paid holidays
- Health insurance
Quick Apply
Crisis Clinician - Boston CBHC AMCI
Bay Cove Human Services —Boston, MA
- $31.87 - $35.31 an hour
- Weekends as needed
- Bilingual
- Management
- Adults
Quick Apply
Safety Specialist
A. Stucki Company —Fremont, NE
- Full-time
- CPR Certification
- Mid-level
- Bachelor's degree
- Health savings account
- Paid holidays
Quick Apply
Court Reporter
Superior Court of Calaveras County —San Andreas, CA
- $89,706.04 - $110,135.48 a year
- Full-time
- English
- Research
- Fingerprint clearance
- Health insurance
- Dental insurance
Care Manager Bilingual
Prime Care Coordination —Albany, NY
- $23.50 - $24.50 an hour
- Full-time
- Hybrid work
- Bilingual
- Spanish
- Nursing
- Wellness program
- Health savings account
Quick Apply
12d
Kinship Coordinator
Pressley Ridge —Morgantown, WV
- On call
- Hybrid work
- Clean driving record
- Mid-level
- Ability to lift 50 pounds
- Health savings account
- AD&D insurance
Quick Apply
Samaritan House Manager/Homeless Shelter Manager/Social Services Manager
Lakeside House, Inc —Saranac Lake, NY
- From $22.50 an hour
- Full-time
- Background check
- CPR Certification
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Housing Assistant
Rome Housing Authority —Rome, NY
- $27.78 - $35.33 an hour
- Full-time
- Addiction Medicine
- Writing skills
- Case management
- Mileage reimbursement
- Health insurance
Quick Apply
Service Coordinator/Case Manager (bilingual)
Community Living Case Management —The Dalles, OR
- From $31.03 an hour
- Full-time
- Background check
- Spanish
- Mid-level
- 403(b) matching
- Health savings account
Quick Apply
14d

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Workers' Compensation Claims Examiner

JT2 Integrated Resources -
California

Quick Apply

Job Details

Full-time
From $90,000 a year

Benefits

Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Vision insurance

Qualifications

Customer communication
Caseload management

Full Job Description

Claims Examiner - Workers Compensation, JT2 Integrated Resources

JT2 has over two decades of experience in claims administration and has delivered consistent cost savings to clients while providing quality care to claimants. We partner with our clients to provide fully customized and innovative solutions that integrate claims administration with risk control solutions.

We are searching for a highly motivated Claims Examiner to join our team! Under supervision of the Claims Supervisor, the Claims Examiner will manage claims from inception to conclusion. The position requires an individual that adheres to best practices and State of California statutes to work directly with clients, injured workers, agents, vendors, and attorneys to resolve workers compensation claims.

Minimum Requirements

Three (3) years of claims management experience
Bachelor's degree from an accredited college or university preferred.
Possession of a current Self-Insurance Plan (SIP) Certificate and insurance-related course work: CPCU, WCCA, WCCP, ARM.
Must be able to administer any type of indemnity claim within the assigned caseload including those involving lost time, those likely to involve permanent disability residuals, and future medical claims.

Duties and Responsibilities

Ensure proper handling of claims from inception to conclusion per client service agreements and JT2 service standards.
Prepare accurate and timely issuance of benefits notices and required reports within statutory limits.
Reserve files in compliance with injury type, identify potential costs of medical care investigation and indemnity benefits.
Ensure timely payment of benefits, bills and appropriate caseload and performance goals.
Negotiate and prepare claims for settlement, provide manager/supervisor with complete and accurate settlement data.
Monitor, report, and assign claims for fraud potential and subrogation possibilities.
Monitor claims for pre-established criteria for case-management and vocational rehabilitation in accordance with State laws.
Prepare and present claims summaries to clients during file reviews.
Train and direct Claims Assistants to meet goals and deadlines.
Review and approve priority payments and other documents from Claims Assistants.
Performs other duties as assigned.

Knowledge, Skills, and Abilities

Strong knowledge of workers" compensation policy, concepts and terminology and benefit provisions.
Strong knowledge of adjusting workers" compensation claims for municipalities and administering LC 4850 benefits.
Strong skills with use of general office administration technology, including Microsoft Office Suite and related software.
Excellent verbal and written communication skills.
Excellent interpersonal and conflict resolution skills.
Excellent organizational skills and attention to detail.
Excellent interpersonal, negotiation, and conflict resolution skills.
Strong analytical and problem-solving skills.
Ability to act with integrity, professionalism, and confidentiality, at all times.
Remote work is acceptable.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

JT2 Integrated Resources provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Job Type: Full-time

Pay: From $90,000.00 per year

Benefits:

401(k)
Dental insurance
Flexible spending account
Health insurance
Paid time off
Vision insurance

Work Location: Remote

Quick Apply

Refine Your Search

Resource jobs

Workers' Compensation Claims Examiner

EHS Manager

PLANNING AND ZONING ADMINISTRATOR

HBCI Specialist

Pregnancy Counselor

Energy Coordinator

Environmental Health & Safety Manager

Registrar

Water Resources Analyst I/II

Social Worker

Head of Environmental Health and Safety

Environmental Health and Safety Manager

Crisis Clinician - Boston CBHC AMCI

Safety Specialist

Court Reporter

Care Manager Bilingual

Kinship Coordinator

Samaritan House Manager/Homeless Shelter Manager/Social Services Manager

Housing Assistant

Service Coordinator/Case Manager (bilingual)

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