Top 67 Medical claims manager Jobs in Marina, 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
HR/Safety Specialist- 1 year of experience required
Central West Produce —Salinas, CA
- $21 - $26 an hour
- Weekends as needed
- Microsoft Word
- Spanish
- Ability to walk for extended periods
- Health insurance
- Dental insurance
Quick Apply
5d
Field Reimbursement Manager
McKesson —California
- $92,300 - $153,900 a year
- Remote
- Clean driving record
- Computer literacy
- Research
Seasonal Staffing Coordinator
FullSteam —Salinas, CA
- $20 an hour
- Overtime
- Background check
- Computer literacy
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
3d
RN, Case Manager
ISYS SOLUTIONS INC —Monterey, CA
- $120,000 - $180,000 a year
- Full-time
- Research
- Mid-level
- Driving
- Disability insurance
- Health insurance
Quick Apply
MANAGEMENT ANALYST III
County of Monterey, CA —Salinas, CA
- $8,831 - $12,061 a month
- Weekends as needed
- Background check
- Spanish
- English
11d
Risk Adjustment Director
Central California Alliance for Health —Monterey, CA
- $200,000 - $250,000 a year
- Email
- Hybrid work
- Finance
- Master's degree
- SQL
- Wellness program
- Paid holidays
Quick Apply
Billing Specialist
Santa Cruz Community Health —Santa Cruz, CA
- $32.36 - $40.85 an hour
- Full-time
- Spanish
- English
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Senior Claims Examiner (Auto/General Liability Focus)
Alliance Member Servic —Santa Cruz, CA
- $85,000 - $170,000 a year
- Microsoft Outlook
- Computer literacy
- Writing skills
Quick Apply
Payroll Specialist
Quanta Services —Monterey, CA
- $28 - $32 an hour
- Full-time
- Hybrid work
- Word processing
- Research
- Mid-level
- Travel reimbursement
- Paid holidays
3d
Payroll Specialist
Ampacity, LLC. —Monterey, CA
- $28 - $32 an hour
- Full-time
- Hybrid work
- Research
- Mid-level
- Office
- Travel reimbursement
- Paid holidays
3d
Underwriter - Personal Lines
Capital Insurance Group —Monterey, CA
- $55,012 - $91,687 a year
- Full-time
- Hybrid work
- Mid-level
- US work authorization
- Profit sharing
- Commuter assistance
Fiscal Assistant II
Superior Court of California, County of Monterey —Salinas, CA
- $61,838.40 - $78,894.40 a year
- 8 hour shift
- Microsoft Word
- Management
- Customer service
- Health insurance
- Dental insurance
11d
Pharmacy Manager
Walgreens —Monterey, CA
- $74.10 - $90.55 an hour
- Bachelor of Science
- Mid-level
- Patient care
- Continuing education credits
Billing Manager - Full Time/Exempt - Coastal Healthcare
Watsonville Community Hospital —Watsonville, CA
- $70,000 - $100,000 a year
- Full-time
- Spanish
- English
- Mid-level
Certified Pharmacy Technician
Walgreens —Marina, CA
- $20.50 - $24.00 an hour
- Part-time
- Computer literacy
- English
- Fair chance
- Continuing education credits
- Health insurance
12d
Registered Respiratory Therapist (Pulmonary)
US Veterans Health Administration —Monterey, CA
- $50,925 - $121,371 a year
- Temporary
- Hybrid work
- Background check
- Pass drug screening
- Inpatient
2d
Billing Clerk (Limited Term)
Salud Para La Gente —Watsonville, CA
- $22.22 - $31.84 an hour
- Spanish
- Microsoft Outlook
- Basic math
- Paid holidays
- Dental insurance
Quick Apply
Application Services Director
Central California Alliance for Health —Santa Cruz, CA
- $205,000 - $265,000 a year
- Email
- Hybrid work
- Computer science
- Computer Science
- System design
- Wellness program
- Paid holidays
Quick Apply
Samples Manager
Fireclay Tile —Aromas, CA
- $55,000 - $90,000 a year
- Full-time
- Spanish
- English
- Mid-level
- Health insurance
- Dental insurance
Quick Apply

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medical claims manager jobs near marina, ca

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

medical claims manager jobs in marina, ca

Workers' Compensation Claims Examiner

HR/Safety Specialist- 1 year of experience required

Field Reimbursement Manager

Seasonal Staffing Coordinator

RN, Case Manager

MANAGEMENT ANALYST III

Risk Adjustment Director

Billing Specialist

Senior Claims Examiner (Auto/General Liability Focus)

Payroll Specialist

Payroll Specialist

Underwriter - Personal Lines

Fiscal Assistant II

Pharmacy Manager

Billing Manager - Full Time/Exempt - Coastal Healthcare

Certified Pharmacy Technician

Registered Respiratory Therapist (Pulmonary)

Billing Clerk (Limited Term)

Application Services Director

Samples Manager

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