Top 30 Compensation claims examiner Jobs in Roseville, Ca

Claims Assistant, Workers' Compensation
BETA HEALTHCARE GROUP RISK MANAGEMENT —Roseville, CA
- $26.67 - $29.74 an hour
- Full-time
- Hybrid work
- Word processing
- Mid-level
- Office
Quick Apply
13d
Workers Compensation Claims Assistant
Acclamation Insurance Management Services —Sacramento, CA
- $43,000 - $45,000 a year
- Full-time
- Customer service
- Office
- Microsoft Office
- Health insurance
- Dental insurance
Quick Apply
Claims Examiner Trainee (Spanish Fluency Preferred)
Berkshire Hathaway Homestate Companies —Sacramento, CA
- Hybrid work
- Spanish
- Writing skills
- Office
- Free parking
- AD&D insurance
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Workers' Compensation Claims Assistant
TRISTAR RISK MANAGEMENT —Rancho Cordova, CA
- $22 - $24 an hour
- Full-time
- Microsoft Word
- Writing skills
- Basic math
- Paid holidays
- Disability insurance
Quick Apply
Workers Compensation Claims Examiner | Long Beach or Roseville, CA (Hybrid)
Sedgwick —Roseville, CA
- Full-time
- Hybrid work
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Health savings account
- Disability insurance
Workers Compensation Claims Examiner | Dedicated Account | 3 Days Remote
Sedgwick —Roseville, CA
- Hybrid work
- 5 years
- Office
- Bachelor's degree
- Health savings account
- Disability insurance
Claims Examiner - Workers Comp (Hybird Roseville, CA)
Sedgwick —Roseville, CA
- 5 years
- Computer literacy
- Writing skills
- Health savings account
- Disability insurance
Claims Team Lead - Workers Compensation
Sedgwick —Roseville, CA
- Hybrid work
- Customer service
- 5 years
- Office
- Health savings account
- Disability insurance
Workers Compensation Claims Team Lead | Roseville, CA or Long Beach, CA,
Sedgwick —Roseville, CA
- Full-time
- Office
- High school diploma or GED
- Bachelor's degree
- Health savings account
- Disability insurance
Clerical Assistant (Hybrid)
TRISTAR RISK MANAGEMENT —Rancho Cordova, CA
- $20 - $22 an hour
- Full-time
- Hybrid work
- Microsoft Word
- Writing skills
- Basic math
- Paid holidays
- Disability insurance
Quick Apply
10d
Litigation Consultant - General Liability
Sedgwick —Roseville, CA
- Hybrid work
- 6 years
- Customer service
- Mid-level
- Health savings account
- Disability insurance
Examiner Nurse Practitioner
Loyal Source Government Services —Rocklin, CA
- $149,572 - $179,572 a year
- Monday to Friday
- Microsoft Word
- Nursing
- Microsoft Outlook
Quick Apply
Senior Claims Specialist I, Workers Compensation - West Region
Liberty Mutual —Sacramento, CA
- $67,000 - $126,000 a year
- Full-time
- Office
- 3 years
- Bachelor's degree
4d
Claims Team Lead - Workers Compensation | CA Claims Exp. Required
Sedgwick —Roseville, CA
- Full-time
- Hybrid work
- Office
- Bachelor's degree
- Recruiting
- Health savings account
- Disability insurance
Manager - Special Assets
Golden 1 Credit Union —Sacramento, CA
- $124,700 - $155,000 a year
- Full-time
- Hybrid work
- 7 years
- Office
- Finance
Quick Apply
Paralegal
Mullen & Filippi, LLP —Sacramento, CA
- $38 - $48 an hour
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
2d
Forensic Accounting Senior Consultant
Crowe —Sacramento, CA
- $76,200 - $151,000 a year
- Full-time
- CPA
- Finance
- Analysis skills
Quick Apply
1d
Group Employee Benefits Consulting Manager
Accenture —Sacramento, CA
- $87,400 - $293,800 a year
- Full-time
- Bachelor's degree
- Team management
- Mentoring
- Paid holidays
- Disability insurance
Litigation Counsel | Public Entity Pooling | Hybrid
Sedgwick —Sacramento, CA
- Full-time
- Hybrid work
- Background check
- Doctoral degree
- Computer literacy
- Health savings account
- Disability insurance
Quick Apply

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compensation claims examiner jobs near roseville, ca

Claims Assistant, Workers' Compensation

BETA HEALTHCARE GROUP RISK MANAGEMENT -
Roseville, CA

Quick Apply

Job Details

Full-time
$26.67 - $29.74 an hour
13 days ago

Qualifications

Computer operation
Word processing
High school diploma or GED
Math
Desktop applications
Insurance claims management software
Productivity software

Full Job Description

Our Claims team is looking for a new Claims Assistant to add to our Workers’ Compensation team! We are a fun, fast-paced team who work hard for our members. Are you organized and can communicate effectively with members? Do you do well under pressure and changing priorities? Do you like working in a collaborative team environment? Do you have a track record of anticipating problems, evaluating and making good decisions? Are you interested in expanding your career in Workers' Compensation Claims Management? If so, our team is looking for you!

ABOUT BETA HEALTHCARE GROUP:

BETA Healthcare Group (BETA) is the largest professional liability insurer of hospitals on the west coast, providing coverage to more than 600 hospitals and healthcare facilities and provides workers' compensation coverage for over 90,000 healthcare workers in California. BETA also has a long-established and growing commitment to physicians, providing medical professional liability coverage to nearly 7,700 physicians and more than 70 medical groups. Beyond primary liability and workers’ compensation coverage, BETA provides an entire suite of alternative risk and insurance services, including excess healthcare professional liability coverage, excess workers’ compensation coverage, third-party claims administration services, risk management consulting services and claims management consulting services. Whether with hospitals, medical groups, clinics or hospices, BETA has earned a reputation for financial strength, rate stability, quality service and breadth of coverage that is unparalleled in the industry.

ABOUT THE ROLE:

In this role, you will assist claims examiners in the administration of Workers’ Compensation Claims for our members. This position will allow working from home up to 2 days a week and must be located a commutable distance to the Granite Bay office.

IN THIS ROLE YOU WILL:

Paying benefits

Processes payments
Call treating physician for work status update
Call employer for determination of mod-duty / RTW status and potential Wage-Loss
Complete wage loss calculation within 14 days of receipt and document in claims system
Calculate wage statements within 14 days of receipt and make necessary adjustments to pay rate as needed
Maintain ongoing diary system for timely benefit payments
Update notepads with each payment made
Set up (per examiner) and monitor autopay system

Claim Processing

Complete 2-point contact on assigned indemnity claims (to include ER and physician contact)
Call physician for employee medical status, as appropriate
Record detailed summary of injury and all facts/details of loss in “accident info” notepad
May send defense attorney referrals with appropriate records
Send WCAB settlement packages according to their guidelines
Set appointment for injured workers as needed
Send permanent and stationary reports along with all necessary information to disability evaluation unit for permanent disability rating
Copy work for clerical support as needed and reinsurance as needed
Pay mileage and Rx reimbursements
Subpoena records, as instructed
May prepare and mail objection notices to vendors, etc.
Maintain diary and mail currency according to company standards
Respond to email and/or telephonic inquiries according to company policies
Provide courteous and professional service
Complete time sheet reflecting accurate hours worked each day
Reports for work on time and maintains a satisfactory attendance record
Other duties as assigned

ESSENTIAL JOB REQUIREMENTS:

High school diploma or G.E.D. required.
Minimum of one (1) year experience as a Claims Clerk, Claims Assistant, or similar role preferred
General knowledge of basic W.C.
Passed the I.E.A. or The Institutes CA 10 and medical terminology course preferred
Strong organizational and multi-tasking skills
Solve problems and properly calculate benefits using mathematics; identify appropriate solutions using logic and reasoning
Gather facts using verbal, non-verbal (active listening) and other human relations skills
Manage multiple simultaneous projects; working independently in a multi-tasking office setting
Basic computer skills required to complete assigned tasks within claims system, Excel, Word, and other standard office programs and be able to learn and implement specialty software systems and procedures
Be responsible for protection of patron confidentiality
Handle multiple activities or interruptions at once and to work positively and effectively within a team or self-directed model
Work with keen attention to detail and accuracy

Hiring base salary range: $26.67-29.74 per hour depending on experience

This position is non-exempt. Note the amount listed is the base pay range; additional compensation may be available for this position. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific role..

For more information on BETA, our full benefit offerings, mission, vision, values, and to complete your application www.betahg.com/careers

Outside Recruiters - Please no solicitation.

Quick Apply

Refine Your Search

compensation claims examiner jobs in roseville, ca

Claims Assistant, Workers' Compensation

Workers Compensation Claims Assistant

Claims Examiner Trainee (Spanish Fluency Preferred)

Workers' Compensation Claims Assistant

Workers Compensation Claims Examiner | Long Beach or Roseville, CA (Hybrid)

Workers Compensation Claims Examiner | Dedicated Account | 3 Days Remote

Claims Examiner - Workers Comp (Hybird Roseville, CA)

Claims Team Lead - Workers Compensation

Workers Compensation Claims Team Lead | Roseville, CA or Long Beach, CA,

Clerical Assistant (Hybrid)

Litigation Consultant - General Liability

Examiner Nurse Practitioner

Senior Claims Specialist I, Workers Compensation - West Region

Claims Team Lead - Workers Compensation | CA Claims Exp. Required

Manager - Special Assets

Paralegal

Forensic Accounting Senior Consultant

Group Employee Benefits Consulting Manager

Litigation Counsel | Public Entity Pooling | Hybrid

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