Top 17 Claims examiner Jobs in Santa Monica, 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 Examiner | Bonus Eligible | Roseville or Long Beach, CA
Sedgwick —California
- Full-time
- Hybrid work
- Background check
- Customer service
- 5 years
- Health savings account
- Disability insurance
Quick Apply
Medical Claims Examiner
Insperity —Chatsworth, CA
- $24 - $30 an hour
- Hybrid work
- Mid-level
- Analysis skills
- Fair chance
- Disability insurance
- Health insurance
Associate Bond Claims Examiner
Tokio Marine HCC —Los Angeles, CA
- $29.44 - $40.46 an hour
- Full-time
- Hybrid work
- Customer service
- Writing skills
- Office
Claims Examiner
City of Compton, CA —Compton, CA
- $79,747.80 - $93,499.20 a year
- Full-time
- Anatomy knowledge
- Management
- Writing skills
- Paid holidays
- Disability insurance
Claims Examiner
MedPOINT Management —Sherman Oaks, CA
- $22 - $26 an hour
- Research
- Mid-level
- High school diploma or GED
Claims Examiner
Venbrook —Los Angeles, CA
- Up to $77,500 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Writing skills
- Paid parental leave
- Paid holidays
Claims Examiner, General Liability Claims
Gallagher —Torrance, CA
- $76,500 - $110,000 a year
- Full-time
- Remote
- 5 years
- Mid-level
- High school diploma or GED
- Paid parental leave
- Health savings account
Workers Compensation Claims Examiner | Long Beach or Roseville, CA
Sedgwick —Long Beach, CA
- Full-time
- Hybrid work
- Background check
- Customer service
- 5 years
- Health savings account
- Disability insurance
Quick Apply
Senior Claims Examiner, Misc. Professional Liability
Markel Service Inc. —Woodland Hills, CA
- $78,000 - $107,250 a year
- Email
- Writing skills
- Travel
- US work authorization
- AD&D insurance
- Employee stock purchase plan
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4d
Lead - Claims Examiner
Astrana Health, Inc. —Monterey Park, CA
- $27 - $32 an hour
- Email
- Hybrid work
- 5 years
- Office
- Bachelor's degree
Quick Apply
14d
Senior Claims Examiner, Complex General Liability
Gallagher —Torrance, CA
- $88,000 - $171,500 a year
- Full-time
- Remote
- 7 years
- High school diploma or GED
- Bachelor's degree
- Paid parental leave
- Health savings account
Workers' compensation Subrogation Examiner
TRISTAR RISK MANAGEMENT —Long Beach, CA
- $29.00 - $31.25 an hour
- Full-time
- Microsoft Excel
- Computer literacy
- Writing skills
Quick Apply

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Junior Claims Processor
Southern California Pipe Trades Administrative Corporation —Los Angeles, CA
Communicate courteously and professionally by telephone, email, letter, and in person. Review and resolve vision auto-adjudication claims, including approving…
$28.00 - $34.74 an hour
Quick Apply
11d
Payment / Check Processor
Crystal Stairs —Los Angeles, CA
Cover provider payment processing calling queue for provider check verifications and other provider payment related calls. Generous Sick and Vacation Time.
$20 - $25 an hour
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Account Examiner 2 - (PN: 20067467)
State of Ohio - Workers' Compensation —Columbus, OH
There may also be possible cost of living adjustments (COLA) and longevity supplements begin after five (5) years of state service.
$23.65 an hour
5d
Security Officer Enhanced Part Time Screening Examiner
Allied Universal —Columbus, OH
A valid driver’s license will be required for driving positions only. As a condition of employment, applicants will be subject to a background investigation in…
$19.75 an hour
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7d

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claims examiner jobs near santa monica, 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 santa monica, ca

Workers' Compensation Claims Examiner

Workers Compensation Claims Examiner | Bonus Eligible | Roseville or Long Beach, CA

Medical Claims Examiner

Associate Bond Claims Examiner

Claims Examiner

Claims Examiner

Claims Examiner

Claims Examiner, General Liability Claims

Workers Compensation Claims Examiner | Long Beach or Roseville, CA

Senior Claims Examiner, Misc. Professional Liability

Lead - Claims Examiner

Senior Claims Examiner, Complex General Liability

Workers' compensation Subrogation Examiner

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