Top 1574 Claims Jobs in Richmond, 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
Payroll Specialist
BBSI —Concord, CA
- $32 - $39 an hour
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Commuter assistance
- Health savings account
Quick Apply
Workers' Compensation Claims Assistant
JT2 Integrated Resources —Oakland, CA
- $24 - $30 an hour
- Full-time
- Computer literacy
- Office
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Workers Compensation Claims Assistant
King's Insurance Staffing LLC —Walnut Creek, CA
- $25 - $32 an hour
- Temporary
- Hybrid work
- Mid-level
- Office
- Administrative experience
- Health savings account
- Health insurance
Quick Apply
14h
Senior Epic Applications Analyst - Professional Billing and Claims
Delta Dental —Oakland, CA
- $80,500 - $174,300 a year
- Full-time
- Hybrid work
- Background check
- Clinic experience
- Research
- Paid holidays
- Health insurance
Claims Adjuster Trainee
Progressive —Concord, CA
- $31.01 - $33.17 an hour
- Monday to Friday
- Hybrid work
- Office
- US work authorization
- Associate's degree
- Health savings account
- Disability insurance
Claims Assistant
PG&E Corporation —Oakland, CA
- $52,000 - $83,000 a year
- Full-time
- Microsoft Word
- Microsoft Excel
- Computer literacy
1d
Claims Customer Service Representative I
Partnership HealthPlan of California —Fairfield, CA
- $29.95 - $35.19 an hour
- Full-time
- Computer literacy
- Research
- High school diploma or GED
Claims Representative (IAP): Workers Compensation Training Program | Concord, CA
Sedgwick —Concord, CA
- Full-time
- Customer service
- No experience needed
- Office
- Health savings account
- Disability insurance
Property Claims Specialist Field I - Tracy, Livermore, San Jose, Pleasanton
Mercury Insurance Services, LLC —Concord, CA
- $63,410 - $117,348 a year
- Overtime
- Bilingual
- Military
- Writing skills
- Paid holidays
- Health insurance
Claims Examiner Trainee
Berkshire Hathaway Homestate Companies —Walnut Creek, CA
- Hybrid work
- Spanish
- Writing skills
- Basic math
- Paid holidays
- Health insurance
Quick Apply
Claims Resolution Coordinator
Partnership HealthPlan of California —Fairfield, CA
- $37.22 - $46.53 an hour
- Full-time
- Computer literacy
- Mid-level
- Office
Claims Adjuster Trainee
Berkshire Hathaway Homestate Companies —San Francisco, CA
- Hybrid work
- Bilingual
- Microsoft Excel
- Microsoft Outlook
- Free parking
- AD&D insurance
Quick Apply
Claims Examiner II
Partnership HealthPlan of California —Fairfield, CA
- $31.45 - $37.74 an hour
- Full-time
- Research
- Mid-level
- Office
Claims Resolution Specialist
Integrated Pain Management Medical Group, Inc. —Walnut Creek, CA
- $28 - $35 an hour
- Full-time
- HIPAA
- Research
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Customer Operations Claims Analyst
Kinder's —Walnut Creek, CA
- $105,000 - $115,000 a year
- ERP systems
- Research
- Mid-level
- Health insurance
- 401(k)
Quick Apply
Referral Specialist - Patient Access and Revenue Cycle Admin - Per Diem - 8 Hour - Days
John Muir Health —Walnut Creek, CA
- $27.03 - $36.50 an hour
- 8 hour shift
- Anatomy knowledge
- Microsoft Excel
- Microsoft Outlook
Claims Processor 1
Zenith-American —San Francisco, CA
- $25.75 an hour
- Full-time
- Computer literacy
- Writing skills
- Basic math
- AD&D insurance
- Health insurance
Electronic Data Interchange (EDI) Claims Assistant
University of California San Francisco —Emeryville, CA
- HIPAA
- Mid-level
- Office
Liability Claims Clerk, Professional Liability
BETA HEALTHCARE GROUP RISK MANAGEMENT —Alamo, CA
- $34.36 - $38.46 an hour
- Full-time
- Hybrid work
- Office
- High school diploma or GED
- Data entry
- Work from home
Quick Apply

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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 jobs in richmond, ca

Workers' Compensation Claims Examiner

Payroll Specialist

Workers' Compensation Claims Assistant

Workers Compensation Claims Assistant

Senior Epic Applications Analyst - Professional Billing and Claims

Claims Adjuster Trainee

Claims Assistant

Claims Customer Service Representative I

Claims Representative (IAP): Workers Compensation Training Program | Concord, CA

Property Claims Specialist Field I - Tracy, Livermore, San Jose, Pleasanton

Claims Examiner Trainee

Claims Resolution Coordinator

Claims Adjuster Trainee

Claims Examiner II

Claims Resolution Specialist

Customer Operations Claims Analyst

Referral Specialist - Patient Access and Revenue Cycle Admin - Per Diem - 8 Hour - Days

Claims Processor 1

Electronic Data Interchange (EDI) Claims Assistant

Liability Claims Clerk, Professional Liability

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