Top 17 Claims examiner remote Jobs in Rancho Cucamonga Ca

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
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
Xcelys Medical Claims Examiner-REMOTE
NTT DATA —Ontario, CA
- $20 an hour
- Contract
- Remote
- High school diploma or GED
- Analysis skills
- Continuous improvement
Quick Apply
Workers Compensation Claims Examiner | Ontario, California
Sedgwick —Ontario, CA
- Full-time
- Hybrid work
- Customer service
- 5 years
- Office
- Health savings account
- Disability insurance
Workers Compensation - Claims Examiner | HYBRID | Riverside, CA
Sedgwick —Riverside, CA
- Full-time
- Hybrid work
- Background check
- Customer service
- 5 years
- Health savings account
- Disability insurance
Quick Apply
Workers Compensation Claims Examiner | REMOTE | Must Live in CA
Sedgwick —Brea, CA
- Full-time
- Hybrid work
- Customer service
- Mid-level
- High school diploma or GED
- Health savings account
- Disability insurance
7d
Claims Examiner- Workers Compensation | Brea, CA (Hybrid)
Sedgwick —Brea, CA
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Office
- Health savings account
- Disability insurance
Workers Compensation Claims Team Lead | Hybrid or Remote | Brea, CA
Sedgwick —Brea, CA
- Hybrid work
- Bachelor's degree
- Recruiting
- Fair chance
- Health savings account
- Disability insurance
6d
Workers Compensation Claims Examiner | HYBRID | Orange, CA
Sedgwick —Orange, CA
- Hybrid work
- Background check
- Customer service
- 5 years
- Health savings account
- Disability insurance
Quick Apply
Senior Claims Examiner, Workers' Compensation
Gallagher —Corona, CA
- $71,500 - $102,000 a year
- Remote
- 5 years
- High school diploma or GED
- Bachelor's degree
Claims Supervisor, Workers' Compensation
Gallagher —Corona, CA
- $70,500 - $137,500 a year
- Remote
- Management
- High school diploma or GED
- Analysis skills
Claims Team Lead (Supervisor) - Workers Compensation | Brea, CA
Sedgwick —Brea, CA
- Full-time
- Hybrid work
- Office
- High school diploma or GED
- Bachelor's degree
- Health savings account
- Disability insurance
Casualty Specialist II
First Acceptance Services Inc —United States
- Remote
- Microsoft Excel
- Mid-level
- High school diploma or GED

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Junior Claims Processor
Southern California Pipe Trades Administrative Corporation —Los Angeles, CA
Communicate courteously and professionally by telephone, email, letter, and in person. Review and resolve vision auto-adjudication claims, including approving…
$28.00 - $34.74 an hour
Quick Apply
8h
Refund-Return Processor II
LERETA, LLC —Pomona, CA
Tax amount data procurement method consists of telephone, e-mail, and fax communication to taxing agency jurisdictions. Data entry/computer usage experience.
$18.28 - $22.00 an hour
Quick Apply
9d

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Workers Compensation Claims Examiner | MI, KY, IN & OH Jurisdictions | MI, IN & KY Licensing Preferred
Sedgwick —Dublin, OH
Professional certification as applicable to line of business preferred. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting,…
Consultant, Corporate Compliance
Nationwide —Columbus, OH
Occasional field travel for inspections. Collaborates with business leaders to develop and implement corrective actions for identified compliance issues.
6d

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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

claims examiner remote jobs in rancho cucamonga ca

Workers' Compensation Claims Examiner

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

Xcelys Medical Claims Examiner-REMOTE

Workers Compensation Claims Examiner | Ontario, California

Workers Compensation - Claims Examiner | HYBRID | Riverside, CA

Workers Compensation Claims Examiner | REMOTE | Must Live in CA

Claims Examiner- Workers Compensation | Brea, CA (Hybrid)

Workers Compensation Claims Team Lead | Hybrid or Remote | Brea, CA

Workers Compensation Claims Examiner | HYBRID | Orange, CA

Senior Claims Examiner, Workers' Compensation

Claims Supervisor, Workers' Compensation

Claims Team Lead (Supervisor) - Workers Compensation | Brea, CA

Casualty Specialist II

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