Top 36 Workers compensation claims assistant Jobs in Pleasanton, 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 Assistant
JT2 Integrated Resources —Oakland, CA
- $24 - $30 an hour
- Full-time
- Computer literacy
- Office
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Senior Workers Compensation Claims Assistant
Alliant Insurance Services —Walnut Creek, CA
- $30 - $38 an hour
- Email
- Mid-level
- Office
- 3 years
Quick Apply
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
Claims Examiner Trainee
Berkshire Hathaway Homestate Companies —Walnut Creek, CA
- Hybrid work
- Spanish
- Writing skills
- Basic math
- Paid holidays
- Health insurance
Quick Apply
Claims Assistant
PG&E Corporation —Oakland, CA
- $52,000 - $83,000 a year
- Full-time
- Microsoft Word
- Microsoft Excel
- Computer literacy
2d
Underwriting Assistant SCE
ICW Group —Pleasanton, CA
- $22.54 - $35.54 an hour
- Full-time
- Hybrid work
- Office
- High school diploma or GED
- Organizational skills
- Paid holidays
- Health insurance
9d
Nurse Practitioner or Physician Assistant - (PRN)
Medcor Inc —Union City, CA
- $80 - $85 an hour
- No weekends
- Urgent Care
- Mid-level
- In-person
Quick Apply
Medical Biller
Onelife Exam —Fremont, CA
- Part-time
- Mid-level
- Clinic
- Driver's License
- Life insurance
Assistant
JT2 —Oakland, CA
- Full-time
- Computer literacy
- Office
- High school diploma or GED
Temporary Mail and Operations Assistant
Internet Brands —Oakland, CA
- Full-time
- Inventory management
- Writing skills
- Administrative experience
Quick Apply
7d
Dental Biller
Onelife Exam —Fremont, CA
- Part-time
- Clinic experience
- Mid-level
- Driver's License
- Life insurance
Medical Office Assistant
ExamWorks —Oakland, CA
- $24 - $25 an hour
- Full-time
- Microsoft Excel
- High school diploma or GED
- Clinic
- Dental insurance
- 401(k)
Quick Apply
19h
Community Manager II Night Manager - Faith Tennyson, Hayward CA
EDEN HOUSING MANAGEMENT INC —Hayward, CA
- $27.91 - $32.72 an hour
- Full-time
- CPR Certification
- Sanitation
- English
Quick Apply
Community Manager II & Night Manager - Ashland Village, San Leandro CA
EDEN HOUSING MANAGEMENT INC —San Leandro, CA
- $27.91 - $32.72 an hour
- Full-time
- CPR Certification
- Sanitation
- Mid-level
Quick Apply
Examiner
JT2 —Oakland, CA
- Full-time
- Computer literacy
- Mid-level
- Analysis skills
Shelter Manager, Oakland
East Bay SPCA —Oakland, CA
- $75,000 - $85,000 a year
- Full-time
- Bilingual
- Background check
- Pass drug screening
- Mileage reimbursement
- Paid holidays
Quick Apply
Supervisor
JT2 —Oakland, CA
- Full-time
- Computer literacy
- Mid-level
- Office
Shelter Manager
EAST BAY SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS —Oakland, CA
- $75,000 - $85,000 a year
- Full-time
- Background check
- Pass drug screening
- Clinic experience
- Mileage reimbursement
- Paid holidays
Quick Apply
14d
Risk Manager
East Bay Regional Park District —Oakland, CA
- $159,161.60 - $213,304.00 a year
- Weekends as needed
- Background check
- Customer service
- 5 years
- Free parking
- Health insurance
19h

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workers compensation claims assistant jobs near pleasanton, 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

workers compensation claims assistant jobs in pleasanton, ca

Workers' Compensation Claims Examiner

Workers' Compensation Claims Assistant

Senior Workers Compensation Claims Assistant

Liability Claims Clerk, Professional Liability

Claims Examiner Trainee

Claims Assistant

Underwriting Assistant SCE

Nurse Practitioner or Physician Assistant - (PRN)

Medical Biller

Assistant

Temporary Mail and Operations Assistant

Dental Biller

Medical Office Assistant

Community Manager II Night Manager - Faith Tennyson, Hayward CA

Community Manager II & Night Manager - Ashland Village, San Leandro CA

Examiner

Shelter Manager, Oakland

Supervisor

Shelter Manager

Risk Manager

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