Top 2266 Case Jobs in San Diego, 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
Program Analyst
E Logic —San Diego, CA
- From $75,000 a year
- Full-time
- High school diploma or GED
- 1 year
- Entry level
Quick Apply
Program Manager - Enhanced Care Management
Harmonium Inc. —San Diego, CA
- $45.22 - $58.07 an hour
- Part-time
- LMFT
- 18 years or older
- Licensed Clinical Social Worker
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Foster Case Manager
Olive Crest —San Diego, CA
- From $73,000 a year
- Full-time
- CPR Certification
- Clean driving record
- Up to 50% travel
- Paid jury duty
- Mileage reimbursement
Quick Apply
Employment-Based Immigration Paralegal
MalitzLaw, Inc. —San Diego, CA
- From $28 an hour
- Full-time
- Hybrid work
- Spanish
- Mid-level
- Microsoft Office
- Health insurance
- Dental insurance
Quick Apply
Case Manager San Diego
The Camden Center —San Diego, CA
- $60 - $85 an hour
- Part-time
- Mid-level
Quick Apply
Case Manager
Kindness Initiative —San Diego, CA
- $30 - $35 an hour
- Full-time
- 5 years
- Office
- Master's degree
- Health insurance
- Paid time off
Quick Apply
10d
Case Manager
Vupico —San Diego, CA
- $76,000 - $127,000 a year
- Full-time
- Spanish
- Experience working with individuals with disabilities
- English
- Health insurance
- Dental insurance
Quick Apply
8d
Case Manager I
COMMUNITY HEALTH GROUP —Chula Vista, CA
- $79,056.81 - $90,915.33 a year
- Weekends as needed
- Spanish
- Nursing
- Urgent Care
Quick Apply
Mentor in San Diego
The Camden Center —San Diego, CA
- $50 an hour
- Part-time
- Mentoring
- Budgeting
- Entry level
Quick Apply
HRIS Transaction Specialist
AllSTEM Connections —San Diego, CA
- $31.25 - $33.65 an hour
- Contract
- Mid-level
- Office
- Continuous improvement
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Case Manager (Human Services)
Atlantic Group —San Diego, CA
- $22 - $26 an hour
- Full-time
- Addiction Medicine
- Mid-level
- Supervising experience
Quick Apply
Enhanced Care Management Lead Care Coordinator
Pacific Health Group —San Diego, CA
- $60,320 - $66,560 a year
- Full-time
- Hybrid work
- Background check
- Spanish
- Mid-level
- Mileage reimbursement
- AD&D insurance
Quick Apply
Enhanced Care Management Lead Care Coordinator
Pacific Health Group —Chula Vista, CA
- $60,320 - $66,560 a year
- Full-time
- Hybrid work
- Background check
- Spanish
- Mid-level
- Mileage reimbursement
- AD&D insurance
Quick Apply
Private Investigator
DigiStream Investigations, Inc. —San Diego, CA
- $20 an hour
- Overtime
- Background check
- Writing skills
- Mid-level
- Travel reimbursement
- Paid training
Loan Processor/Homeownership Advisor
San Diego Housing Commission —San Diego, CA
- $67,745 - $82,492 a year
- Full-time
- Microsoft Outlook
- Writing skills
- English
- Paid holidays
- Dental insurance
Quick Apply
ICM Case Manager
MENTAL HEALTH SYSTEMS INC —San Diego, CA
- $32 - $36 an hour
- Full-time
- Bilingual
- CPR Certification
- Current TB test
Quick Apply
Case Manager/Social Worker
Zero8Hundred —San Diego, CA
- From $30 an hour
- Full-time
- Computer literacy
- Public speaking
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
3d
Case Coordinator - Full Time
Adjoin —San Diego, CA
- $25 - $28 an hour
- Full-time
- Background check
- 18 years or older
- CPR Certification
- Wellness program
- Paid holidays
Quick Apply
Cancer Detection Program Case Manager
San Ysidro Health —San Diego, CA
- $31.06 - $39.65 an hour
- Weekends as needed
- Spanish
- Writing skills
- English
Quick Apply
2d

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case jobs near san diego, 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

case jobs in san diego, ca

Workers' Compensation Claims Examiner

Program Analyst

Program Manager - Enhanced Care Management

Foster Case Manager

Employment-Based Immigration Paralegal

Case Manager San Diego

Case Manager

Case Manager

Case Manager I

Mentor in San Diego

HRIS Transaction Specialist

Case Manager (Human Services)

Enhanced Care Management Lead Care Coordinator

Enhanced Care Management Lead Care Coordinator

Private Investigator

Loan Processor/Homeownership Advisor

ICM Case Manager

Case Manager/Social Worker

Case Coordinator - Full Time

Cancer Detection Program Case Manager

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