Top 1521514 State 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
Utilization Review Coordinator
THREE RIVERS BEHAVIORAL HEALTH —West Columbia, SC
- Full-time
- Nursing
- Adults
- Mid-level
- Disability insurance
- Health insurance
LS – Safety/Training Manager Job – Aspen, CO
Atlantic Aviation —Aspen, CO
- $1,200 a month
- 18 years or older
- Microsoft Excel
- Microsoft Outlook
Licensed Medicare Agent
OB 1 Insurance Agency —Albany, NY
- $1,000 - $125,000 a year
- Part-time
- HIPAA
- In-person
- Communication skills
- Work from home
- Opportunities for advancement
Quick Apply
Financial Counselor
Vail Health Hospital —Vail, CO
- $22.00 - $28.39 an hour
- Full-time
- Spanish
- Hospital
- Customer service
- 403(b) matching
- Loan repayment program
8d
LCSW Sardinia area
SUBURBAN ADULT SERVICES INC. —Elma, NY
- $61,170.20 a year
- Part-time
- Customer service
- Computer literacy
- Licensed Clinical Social Worker
Quick Apply
Support Coordinator
Oregon County Targeted Case Management —Alton, MO
- From $24.09 an hour
- Full-time
- Background check
- Experience working with individuals with developmental disabilities
- Up to 50% travel
- Paid time off
- Flexible schedule
Quick Apply
8d
Field Service Rep
The Fort Miller Group —Greenwich, NY
- $60,000 - $70,000 a year
- Full-time
- Up to 50% travel
- Mid-level
- Continuous improvement
- Health savings account
- Disability insurance
Workers Compensation Claims Representative
Wisconsin Municipal Mutual Insurance Company —Wisconsin
- Full-time
- Hybrid work
- Customer service
- Mid-level
- Residential
- Health savings account
- Health insurance
Quick Apply
Occupancy Specialist
CHELMSFORD HOUSING AUTHORITY —Westford, MA
- $60,000 - $65,000 a year
- Full-time
- Spanish
- Basic math
- English
- Health insurance
- Dental insurance
Quick Apply
10d
Registered Dietitian (RD/RDN)
East Haven Nursing and Rehabilitation Center —Bronx, NY
- $45,000 - $75,000 a year
- Full-time
- Skilled nursing facility
- Mid-level
- Bachelor's degree
- Paid holidays
- Health insurance
Quick Apply
Case Manager
The Production Farm, Inc. —Sheboygan Falls, WI
- $45,000 a year
- Full-time
- Mid-level
- Master's degree
- In-person
- Health insurance
- Dental insurance
Quick Apply
Sales Representative
Maddox Industrial Transformer —Moscow, ID
- $88,800 - $92,600 a year
- Full-time
- Writing skills
- 11+ years
- Computer skills
Quick Apply
Special Agent - $40,000 Recruitment Incentive
United States Secret Service —Maryland
- $47,562 - $115,079 a year
- Full-time
- Background check
- Pass drug screening
- Surgery
- Health insurance
- Paid time off
Registered Dietitian - $3,000 Sign-On Bonus!
LIFE-NWPA —Warren, PA
- Full-time
- Background check
- Current TB test
- Pass drug screening
- Paid training
- Mileage reimbursement
Quick Apply
Licensed Counselor
Community Action Agency of Columbiana County —Columbiana County, OH
- $55,000 - $70,000 a year
- Full-time
- Background check
- Current TB test
- Ability to walk for extended periods
- Health savings account
- Health insurance
Quick Apply
Medicare Agents – Unlimited Inbound Leads!
National Insurance Group —Fort Lauderdale, FL
- From $2,000 a week
- Email
- Mid-level
- In-person
Quick Apply
Health Homes Care Manager
CCOR Home —Rochester, NY
- $22 an hour
- Full-time
- Hybrid work
- Mid-level
- Pre-employment physical examination
- 1 year
Quick Apply
1099 State Licensed Preneed Sales Funeral Director
Lakeland Preneed Planning —Tidewater, VA
- Full-time
- Mid-level
- Office
- Driver's License
- Flexible schedule
Quick Apply
2d
PET/CT Technologist Nuclear Medicine Technologist - Part-Time - 3023
Shared Medical Services —Tell City, IN
- Part-time
- Background check
- Pass drug screening
- Mid-level
- 401(k) 4% Match
- 401(k) matching

I want to receive the latest job alert for State

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

State jobs near

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

State jobs

Workers' Compensation Claims Examiner

Utilization Review Coordinator

LS – Safety/Training Manager Job – Aspen, CO

Licensed Medicare Agent

Financial Counselor

LCSW Sardinia area

Support Coordinator

Field Service Rep

Workers Compensation Claims Representative

Occupancy Specialist

Registered Dietitian (RD/RDN)

Case Manager

Sales Representative

Special Agent - $40,000 Recruitment Incentive

Registered Dietitian - $3,000 Sign-On Bonus!

Licensed Counselor

Medicare Agents – Unlimited Inbound Leads!

Health Homes Care Manager

1099 State Licensed Preneed Sales Funeral Director

PET/CT Technologist Nuclear Medicine Technologist - Part-Time - 3023

I want to receive the latest job alert for State

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected