Top 20 Claims examiner Jobs in Sacramento 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
Senior Workers' Compensation Claims Examiner
Canon Recruiting Group —Sacramento, CA
- $80,000 - $100,000 a year
- Hybrid work
- Mid-level
- Communication skills
Quick Apply
Claims Examiner, Workers' Compensation
Gallagher —Rancho Cordova, CA
- $57,500 - $82,500 a year
- Full-time
- Remote
- Customer service
- Writing skills
- Mid-level
- Paid parental leave
- Health savings account
Claims Examiner- Voluntary Benefits
Accenture —Sacramento, CA
- $20.10 - $40.53 an hour
- Full-time
- Remote
- Writing skills
- Windows
- Math
- Paid holidays
- Disability insurance
8d
Workers Compensation Claims Examiner (Dedicated Client) | Rancho Cordova, CA
Sedgwick —Rancho Cordova, CA
- Hybrid work
- 5 years
- Mid-level
- Office
- Health savings account
- Disability insurance
Workers Compensation Claims Examiner | CA Claims Exp. Required
Sedgwick —Roseville, CA
- Hybrid work
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Health savings account
- Disability insurance
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
1d
Workers Compensation Claims Examiner | Roseville, CA
Sedgwick —Roseville, CA
- Full-time
- Hybrid work
- Customer service
- Bachelor's degree
- Fair chance
- Health savings account
- Disability insurance
9h
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 Examiner - Auto Liability - Commercial Trucking
Sedgwick —Roseville, CA
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Bachelor's degree
- Health savings account
- Disability insurance
1d
Appeals Examiner - West Sacramento, CA
Gainwell Technologies —West Sacramento, CA
- $37,500 - $53,500 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Travel reimbursement
- Profit sharing
Sr Claim Examiner-WC (CA)
Broadspire Services, Inc. —Folsom, CA
- Full-time
- Hybrid work
- Analysis skills
- Bachelor's degree
- Mentoring
- Paid parental leave
- Health savings account
Quick Apply
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

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Healthcare AR/ Collections Specialist - Bilingual Spanish
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Claims Examiner- Voluntary Benefits
Accenture —Columbus, OH
Document all claim information including phone calls and correspondence. Professional and detailed verbal skills for outbound calls to obtain medical records or…
$20.10 - $40.53 an hour
8d
Account Examiner 2 - (PN: 20067987)
State of Ohio - Workers' Compensation —Columbus, OH
Provide customer service by handling Other States Coverage phone calls and emails regarding program requirements, assisting with Acord forms, creating…
$23.65 an hour
2d

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claims examiner jobs near sacramento 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

claims examiner jobs in sacramento ca

Workers' Compensation Claims Examiner

Senior Workers' Compensation Claims Examiner

Claims Examiner, Workers' Compensation

Claims Examiner- Voluntary Benefits

Workers Compensation Claims Examiner (Dedicated Client) | Rancho Cordova, CA

Workers Compensation Claims Examiner | CA Claims Exp. Required

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

Workers Compensation Claims Examiner | Roseville, CA

Workers Compensation Claims Examiner | Dedicated Account | 3 Days Remote

Claims Examiner - Workers Comp (Hybird Roseville, CA)

Claims Examiner - Auto Liability - Commercial Trucking

Appeals Examiner - West Sacramento, CA

Sr Claim Examiner-WC (CA)

Examiner Nurse Practitioner

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