Top 145 Claims specialist, workers compensation Jobs in Fresno Ca

Workers' Compensation Claims Adjuster - III
Professional Search —California
- Up to $60 an hour
- Temporary
- Remote
- 5 years
- Conflict management
- Senior level
- Health savings account
- Health insurance
Quick Apply
Claims Specialist, Workers Compensation
Trucordia —Fresno, CA
- $85,000 - $120,000 a year
- Full-time
- Remote
- 7 years
- Bachelor's degree
- Senior level
- Health savings account
- AD&D insurance
Quick Apply
2d
Claims Receivables and Recovery Specialist
WESTERN GROWERS GROUP —Fresno, CA
- $46,669.19 - $60,668.60 a year
- Full-time
- Remote
- Writing skills
- HIPAA
- Research
- Dental insurance
Quick Apply
9d
Billing Specialist
United Health Centers of the San Joaquin Valley —Fresno, CA
- From $24.20 an hour
- Full-time
- Bilingual
- Computer literacy
- Mid-level
- Paid holidays
- Health insurance
Eligibility Specialist
INNOVATIVE INTEGRATED HEALTH —Fresno, CA
- $20 - $24 an hour
- Full-time
- Spanish
- Microsoft Outlook
- Writing skills
- Health savings account
- Health insurance
Payroll Specialist
BBSI —Fresno, CA
- $27 - $32 an hour
- Full-time
- Background check
- Microsoft Outlook
- Up to 50% travel
- Commuter assistance
- Health savings account
Quick Apply
Workers' Compensation Defense Attorneys
Employer Defense Group, LLP —California
- $100,000 - $250,000 a year
- Full-time
- Remote
- Mid-level
- 3 years
- Travel
- Health savings account
- AD&D insurance
Quick Apply
Workers Compensation Claims Examiner | Bonus Eligible | Roseville or Long Beach, CA
Sedgwick —California
- Full-time
- Hybrid work
- Background check
- Customer service
- 5 years
- Health savings account
- Disability insurance
Quick Apply
Senior Associate Attorney, Workers' Compensation (Remote - Fresno, California)
Abramson Labor Group —Fresno, CA
- $110,000 - $220,000 a year
- Full-time
- Remote
- Writing skills
- Mid-level
- Organizational skills
- Paid holidays
- Health insurance
Quick Apply
Remote California Labor & Employment Attorney (2+ Years Experience)
Law Office of Stephanie F. Dominguez —California
- $110,000 - $140,000 a year
- Full-time
- Spanish
- Writing skills
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
4d
Workers' Compensation Defense Attorney
The Law Offices of Hirschl Mullen —California
- $160,000 - $200,000 a year
- Full-time
- Remote
- Analysis skills
- 1 year
- Communication skills
- Health insurance
- Dental insurance
Quick Apply
9d
Athletic Trainer, Onsite
Concentra Inc —Fresno, CA
- $82,000 - $86,000 a year
- Full-time
- CPR Certification
- BLS Certification
- HIPAA
Workers' Compensation Nurse Field Case Manager
Professional Search —Fresno, CA
- $100,000 - $120,000 a year
- Full-time
- Spanish
- RN License
- Entry level
- Free parking
- Wellness program
Quick Apply
Consulting Actuary
Martin and Company —California
- $120,000 - $150,000 a year
- Full-time
- Microsoft Word
- Microsoft Outlook
- 5 years
- Health savings account
- Paid holidays
8d
Qualified Medical Evaluator (QME) - Neurology - Part Time
MDpanel —California
- Up to $500,000 a year
- Choose your own hours
- Remote
- BC/BE
- Analysis skills
- Neurology
- Professional development assistance
- Flexible schedule
Quick Apply
Qualified Medical Evaluator (QME) - Psychology - Part Time
MDpanel —California
- Up to $500,000 a year
- Choose your own hours
- Remote
- BC/BE
- Analysis skills
- Psychology
- Professional development assistance
- Flexible schedule
Quick Apply
Qualified Medical Evaluator (QME) - Orthopedic Physician - Part Time
MDpanel —California
- Up to $500,000 a year
- Choose your own hours
- Remote
- BC/BE
- Analysis skills
- Senior level
- Professional development assistance
- Flexible schedule
Quick Apply
Workers' Compensation Legal Assistant
Llarena, Murdock, Lopez & Azizad —California
- $25 - $40 an hour
- Urgently hiring
- Remote
- Writing skills
- Mid-level
- Microsoft Office
- Health insurance
- Dental insurance
Quick Apply
22h
Workers' Comp Administrator
Valley Children's Healthcare —Madera, CA
- $36.23 - $52.65 an hour
- Email
- Microsoft Word
- Mid-level
- Children
2d
Claims Specialist
Perinatal Associates of Central California Medical Group —Fresno, CA
- $18 - $19 an hour
- Full-time
- Mid-level
- Analysis skills
- Continuous improvement
- Health insurance
- Dental insurance
Quick Apply
9d

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claims specialist, workers compensation jobs near fresno ca

Workers' Compensation Claims Adjuster - III

Professional Search -
California

Quick Apply

Job Details

Temporary | Temp-to-hire | Full-time | Contract
Up to $60 an hour

Benefits

Health savings account
Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Family leave
Work from home
Parental leave
Vision insurance
401(k) matching
Professional development assistance
Flexible schedule
Life insurance
Referral program
Retirement plan

Qualifications

Teamwork
Workers' compensation insurance knowledge
Litigation
Conflict management
Medical management
Fraud prevention and detection
Bachelor of Arts
California labor law

Full Job Description

Summary:

Reports directly to the unit Claims Supervisor and may be called upon to provide technical backup in the absence of the Claims Supervisor. In accordance with applicable statutes and in keeping with company rules, regulations, and established performance objectives, is responsible for effectively managing to conclusion an assigned inventory of claim files that may include cases of extreme complexity or with unique or unusual issues.

Essential Duties and Responsibilities:

Perform a three-point contact on all new losses within 24 hours of receipt of the claim to include the claimant, employer, and treating physician to document relevant facts surrounding the incident itself as well as disability and treatment status.
Thoroughly and accurately document ongoing case facts and relevant information necessary for establishing compensability, the need for disability payments, the use of vendors, medical and expense payments, and what is being done to move the case toward closure.
Assure that all assigned indemnity claims have an up to date plan of action outlining activities and actions anticipated for ultimately resolving the claim.
Form a partnership with the medical case manager to maximize early return to work potential thereby reducing the need for extended disability payments, vocational rehabilitation, and other protracted claims costs.
Initiate the referral to the SIU of cases with suspected fraud.
Aggressively pursue subrogation from culpable third parties, contributions on multiple defendant cases, and apportionment when there is pre-existing disability.
Assure that the claim file is handled totally in accordance with applicable statutes as well as in-force service contracts and company guidelines.
Review and approve all vocational rehabilitation plans.
Establish, monitor, and adjust monetary case reserves when warranted and in strict accordance with assigned authority levels.
Review all medical bills for appropriateness prior to referral to InterMed for payment and posting to the claim file.
Exhibit and maintain a courteous and helpful attitude and project a professional image on behalf of the company.
Respond to telephone messages and inquiries within 24 hours of receipt and to written inquiries within one week of receipt.
Requires a working knowledge of the Labor Code of the State of California as it pertains to workers compensation claims and the legal requirements for handling them.
Litigation management - Direct, manage, and control the litigation process.
Handles other duties and tasks as deemed appropriate by the Supervisor or Manager.

Requirements

Competency:

To perform the job successfully, an individual should demonstrate the following competencies:

Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Uses reason even when dealing with emotional topics.
Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Responds to requests for service and assistance; Meets commitments.
Interpersonal - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
Team Work - Supports everyone's efforts to succeed.

Qualification Requirements:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience:

Bachelor's degree (B. A.) from four-year college or university; at least seven years related experience and/or training; or equivalent combination of education and experience. Requires a high degree of claims handling expertise to include a minimum of at least five years experience managing indemnity cases, many with complex or high potential subrogation, rehabilitation, medical management, and/or legal issues & possess an SIP certificate.

Pay: Up to $60.00 per hour

Benefits:

401(k)
401(k) matching
Dental insurance
Family leave
Flexible schedule
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Parental leave
Professional development assistance
Referral program
Retirement plan
Tuition reimbursement
Vision insurance
Work from home

Experience:

workers compensation claims adjusting : 2 years (Required)

Work Location: Remote

Quick Apply

Refine Your Search

claims specialist, workers compensation jobs in fresno ca

Workers' Compensation Claims Adjuster - III

Claims Specialist, Workers Compensation

Claims Receivables and Recovery Specialist

Billing Specialist

Eligibility Specialist

Payroll Specialist

Workers' Compensation Defense Attorneys

Workers Compensation Claims Examiner | Bonus Eligible | Roseville or Long Beach, CA

Senior Associate Attorney, Workers' Compensation (Remote - Fresno, California)

Remote California Labor & Employment Attorney (2+ Years Experience)

Workers' Compensation Defense Attorney

Athletic Trainer, Onsite

Workers' Compensation Nurse Field Case Manager

Consulting Actuary

Qualified Medical Evaluator (QME) - Neurology - Part Time

Qualified Medical Evaluator (QME) - Psychology - Part Time

Qualified Medical Evaluator (QME) - Orthopedic Physician - Part Time

Workers' Compensation Legal Assistant

Workers' Comp Administrator

Claims Specialist

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