Top 19 Claims examiner, workers' compensation Jobs in Alameda Ca

Claims Examiner Trainee
Berkshire Hathaway Homestate Companies —Walnut Creek, CA
- Hybrid work
- Spanish
- Writing skills
- Basic math
- Paid holidays
- Health insurance
Quick Apply
Claims Examiner
Gallagher —Oakland, CA
- $79,500 - $113,500 a year
- Remote
- 5 years
- Writing skills
- Mid-level
Claims Examiner - Workers Compensation (HYBRID - Concord, CA)
Sedgwick —Concord, CA
- Full-time
- 5 years
- Office
- High school diploma or GED
- Health savings account
- Disability insurance
Assistant
JT2 —Oakland, CA
- Full-time
- Computer literacy
- Office
- High school diploma or GED
Claims Examiner/Senior Claims Examiner
Berkley —Walnut Creek, CA
- $65,000 - $115,000 a year
- Full-time
- Computer literacy
- Analysis skills
- Organizational skills
- Profit sharing
- Health insurance
Product SME - Workers Compensation
Assured —Palo Alto, CA
- $120,000 - $140,000 a year
- Full-time
- Remote
- Organizational skills
- Senior level
- Health savings account
- Paid holidays
Examiner
JT2 —Oakland, CA
- Full-time
- Computer literacy
- Mid-level
- Analysis skills
Claims Examiner III - Hybrid / Remote
TRISTAR RISK MANAGEMENT —Concord, CA
- $90,000 - $95,000 a year
- Full-time
- Hybrid work
- Spanish
- Microsoft Excel
- 5 years
- Paid holidays
- Health insurance
Quick Apply
Claims Supervisor
Gallagher —Oakland, CA
- $91,500 - $131,000 a year
- Remote
- High school diploma or GED
- Analysis skills
- Supervising experience
Senior Claims Examiner, Complex General Liability
Gallagher —Oakland, CA
- $88,000 - $171,500 a year
- Remote
- 7 years
- Writing skills
- High school diploma or GED
Workers Compensation Claims Examiner III (Hybrid)
TRISTAR RISK MANAGEMENT —Concord, CA
- $90,000 - $100,000 a year
- Full-time
- Spanish
- Microsoft Excel
- 5 years
Quick Apply
Supervisor
JT2 —Oakland, CA
- Full-time
- Computer literacy
- Mid-level
- Office
Medical Biller
Onelife Exam —Fremont, CA
- Part-time
- Mid-level
- Clinic
- Driver's License
- Life insurance
Paralegal
Mullen & Filippi, LLP —Walnut Creek, CA
- $38 - $48 an hour
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
1d
Dental Biller
Onelife Exam —Fremont, CA
- Part-time
- Clinic experience
- Mid-level
- Driver's License
- Life insurance

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Claims Examiner Trainee
Berkshire Hathaway Homestate Companies —Walnut Creek, CA
Conducts and directs the investigation of reported claims to determine coverage, compensability and severity and to gather all other relevant information,…
Quick Apply
Claims Examiner
Gallagher —Oakland, CA
Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements.
$79,500 - $113,500 a year

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Workers Compensation Claims Associate | Medical Only Experience | Entry Level | Hybrid Schedule - Dublin, OH
Sedgwick —Dublin, OH
Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state…
6d
Account Examiner 2 - (PN: 20067467)
State of Ohio - Workers' Compensation —Columbus, OH
There may also be possible cost of living adjustments (COLA) and longevity supplements begin after five (5) years of state service. What You’ll Be Doing:
$23.65 an hour
1d

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claims examiner, workers' compensation jobs near alameda ca

Claims Examiner Trainee

Berkshire Hathaway Homestate Companies -
Walnut Creek, CA

Quick Apply

Job Details

Benefits

Paid holidays
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Vision insurance
Opportunities for advancement

Qualifications

Customer communication
High school diploma or GED

Full Job Description

WHAT WE'RE LOOKING FOR

Are you searching for a unique opportunity that offers exceptional training and career growth with a dynamic and growing organization? Are you a Spanish speaker looking to apply those skills in a professional environment? Berkshire Hathaway Homestate Companies is searching for bright individuals looking to begin a challenging, yet rewarding career path as a Workers’ Compensation Claims Adjuster.

Upon successful completion of the Claims Training program, the Claims Adjuster Trainee will be responsible for management of a caseload of workers compensation claims from inception to resolution. Responsibilities include initial investigation and analysis, strategic planning, management of medical care and legal process, and client relations. This individual will continue to build on claims knowledge and claims will increase in number and complexity.

RESPONSIBILITIES

Completes classroom training introducing workers’ compensation claims handling strategies, medical terminology, and legal concepts.
Learns skills such as investigative and persuasive communication, negotiation, decision-making, and strategic planning. Learns to review and interpret medical records.
Conducts and directs the investigation of reported claims to determine coverage, compensability and severity and to gather all other relevant information, including making three-point contact telephone calls.
Calculates appropriate reserves for each claim and ensures that reserves are adjusted as needed per authority guidelines.
Develops and updates a plan of action for the successful resolution of each claim.
Assigns appropriate tasks to a Claims Assistant and/or Claims Clerical Assistant and ensures they are performed correctly and efficiently.
Reduces fraud through early identification and escalation.
Communicates effectively with individuals outside the company, including clients, medical providers, and injured workers.
Prepares timely and accurate settlement recommendations (within designated authority parameters) and effectively negotiates the settlement of claims.
Ensures that the actions of all other professionals involved in managing a claim, including attorneys, nurse case managers, and investigators, are coordinated to achieve a successful resolution of the claim.

WHAT YOU'D BRING TO THE ROLE

Minimum of High School Diploma or equivalent certificate required; Bachelor’s degree from four-year college or university is preferred
Ability to communicate effectively verbally and in writing; Spanish Fluency ability preferred
Exceptional interpersonal and customer service skills
Ability to manage and prioritize multiple assignments in a fast-paced environment
Strong organization skills to ensure tasks are completed within hard deadlines
Basic mathematical skills to calculate monetary reserves
To perform this job successfully, an individual should be proficient in the Microsoft Office Suite of applications and be proficient, or able to become proficient, on applicable databases, systems, and vendor software programs.

WHY YOU SHOULD APPLY

Unparalleled financial strength and stability
Fantastic growth and advancement opportunities
WFH Hybrid schedule
Free gym in building
Generous Paid Time Off and Holidays
Excellent Benefits (Medical, Dental, Vision, 401k, etc)
Health and Wellness Reimbursement
Tuition Assistance Reimbursement
Discounts across companies such as GEICO, See’s Candies, etc.

In accordance with the California Equal Pay Act, the starting hourly wage for this job is $33.6539. This hourly wage is what the employer reasonably expects to pay for the position based on potential employee qualifications, operational needs and other considerations consistent with applicable law. The pay scale applies only to this position and only if it is filled in California. The pay scale may be different for other positions or in other locations.

Quick Apply

Refine Your Search

claims examiner, workers' compensation jobs in alameda ca

Claims Examiner Trainee

Claims Examiner

Claims Examiner - Workers Compensation (HYBRID - Concord, CA)

Assistant

Claims Examiner/Senior Claims Examiner

Product SME - Workers Compensation

Examiner

Claims Examiner III - Hybrid / Remote

Claims Supervisor

Senior Claims Examiner, Complex General Liability

Workers Compensation Claims Examiner III (Hybrid)

Supervisor

Medical Biller

Paralegal

Dental Biller

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