Top 9420 Care manager Jobs in Rowland Heights 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
QUALITY IMPROVEMENT/QUALITY ASSURANCE (QI/QA) SPECIALIST
Nhan Hoa Comprehensive Health Care Clinic —Garden Grove, CA
- $31 - $36 an hour
- Full-time
- 3 years
- Bachelor's degree
- Travel
- AD&D insurance
- Health insurance
Quick Apply
RN, Care Manager
Adventist Health —Los Angeles, CA
- $57.50 - $78.87 an hour
- Full-time
- Acute care
- Nursing
- Addiction Medicine
RN, Care Manager Per Diem, Day Shift
Adventist Health —Glendale, CA
- $57.50 - $78.87 an hour
- Day shift
- Acute care
- Nursing
- Addiction Medicine
7d
Call Center Manager (Healthcare)
Infusion For Health —Brea, CA
- $85,000 - $100,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
ECM Care Manager
Dignity Adult Day Health Care Center —Montclair, CA
- $23 - $25 an hour
- Full-time
- Spanish
- CPR Certification
- Nursing
Quick Apply
Sales Representative – Pharma
Immune Biopharma —Claremont, CA
- $86,150 - $124,660 a year
- Full-time
- Mid-level
- Analysis skills
- Experience equivalent to degree accepted
Quick Apply
Administrative Assistant
Revive Pain Management —Anaheim, CA
- $23 - $30 an hour
- Part-time
- Customer service
- HIPAA
- English
- Health insurance
- Dental insurance
Quick Apply
Senior Assistant Manager
Hobby Lobby —West Covina, CA
- $70,000 - $76,975 a year
- Merchandising
- Mid-level
- Mentoring
- Paid holidays
- Disability insurance
Care Manager
Human Services Association —Monrovia, CA
- $27 - $30 an hour
- Full-time
- Background check
- Spanish
- Microsoft Excel
- Mileage reimbursement
- Health insurance
Quick Apply
Floating Property Manager - Up to 299 Units, Los Angeles, CA, 247
Berkshire Group, LLC —Los Angeles, CA
- $85,000 - $98,000 a year
- 5 years
- Writing skills
- English
- Health insurance
- Paid time off
Quick Apply
Customer Care Manager
Stanley Black & Decker —Walnut, CA
- $86,500 - $139,300 a year
- Full-time
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
- Wellness program
- Employee stock purchase plan
13d
Care Manager MSW Full- time Day
Providence —Fullerton, CA
- $38.56 - $59.88 an hour
- 8 hour shift
- Acute care
- Master of Social Work
- Inpatient
- Paid parental leave
- Paid holidays
8d
Care Manager II
Institute on Aging —Inland Empire, CA
- $86,000 - $90,000 a year
- Full-time
- Master of Social Work
- Skilled nursing facility
- Experience working with individuals with disabilities
8d
Patient Advocate - Service Excellence - Full Time 8 Hours Day (Non-Union, Non-Exempt)
USC —Arcadia, CA
- $62,773 - $97,781 a year
- 8 hour shift
- Spanish
- Hospital
- Writing skills
Customer Care Training Manager
Super Care, LLC —City of Industry, CA
- $69,680 - $113,568 a year
- Full-time
- Background check
- Google Workspace
- 3 years
- Paid training
- Dental insurance
Quick Apply
Care Manager - LVN
SCAN Health Plan —Lakewood, CA
- $34.47 - $55.14 an hour
- Full-time
- Remote
- Background check
- LVN
- Mid-level
- Wellness program
- Paid holidays
Quick Apply
Lead Care Manager - Non-Clinical
Charter Healthcare —Covina, CA
- $20 - $30 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Quick Apply
Patient Advocate - Service Excellence - Full Time 8 Hours Day (Non-Union, Non-Exempt)
Keck Medical Center of USC —Arcadia, CA
- $62,773 - $97,781 a year
- 8 hour shift
- Background check
- Spanish
- Hospital
Case Manager (FC-THP-CM)
Florence Crittenton Services of Orange County Inc —Fullerton, CA
- $23.39 - $33.42 an hour
- Bilingual
- Bachelor of Science
- Adults
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

care manager jobs in rowland heights ca

Workers' Compensation Claims Examiner

QUALITY IMPROVEMENT/QUALITY ASSURANCE (QI/QA) SPECIALIST

RN, Care Manager

RN, Care Manager Per Diem, Day Shift

Call Center Manager (Healthcare)

ECM Care Manager

Sales Representative – Pharma

Administrative Assistant

Senior Assistant Manager

Care Manager

Floating Property Manager - Up to 299 Units, Los Angeles, CA, 247

Customer Care Manager

Care Manager MSW Full- time Day

Care Manager II

Patient Advocate - Service Excellence - Full Time 8 Hours Day (Non-Union, Non-Exempt)

Customer Care Training Manager

Care Manager - LVN

Lead Care Manager - Non-Clinical

Patient Advocate - Service Excellence - Full Time 8 Hours Day (Non-Union, Non-Exempt)

Case Manager (FC-THP-CM)

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