Top 910 Claims Jobs in Simi Valley, 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
Risk Services Coordinator
The Cheesecake Factory —Calabasas Hills, CA
- $26.50 - $30.50 an hour
- Email
- Hybrid work
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Transportation Coordinator
The Cheesecake Factory —Calabasas Hills, CA
- $26 - $29 an hour
- Email
- Spanish
- Microsoft Outlook
- Writing skills
- Health insurance
- Dental insurance
Account Resolution Specialist (Collections, Delinquency)
Essex Property Trust —Woodland Hills, CA
- $24.50 - $29.09 an hour
- Full-time
- Hybrid work
- Office
- High school diploma or GED
- Analysis skills
- Paid parental leave
- Paid holidays
Quick Apply
1d
Claims Quality Auditor
UCLA Health —Los Angeles, CA
- $31.51 - $62.64 an hour
- Computer literacy
- Research
- Mid-level
Medical Claims Examiner
Insperity —Chatsworth, CA
- $24 - $30 an hour
- Hybrid work
- Mid-level
- Analysis skills
- Fair chance
- Disability insurance
- Health insurance
Witness Statement Representative
USA Express Legal & Investigative Service Inc. —Woodland Hills, CA
- Part-time
- Hybrid work
- Organizational skills
- Communication skills
- Entry level
- Work from home
Quick Apply
Revenue Reimbursement Coordinator
Adventist Health —Simi Valley, CA
- $39.16 - $53.71 an hour
- 8 hour shift
- Medical office experience
- Mid-level
- Office
2d
Pre-Registration Representative
UCLA Health —Los Angeles, CA
- $30.36 - $43.49 an hour
- Mid-level
- Typing
- Medical terminology
2d
Medical Claims Intake Coordinator
UCLA Health —Los Angeles, CA
- $26.42 - $37.49 an hour
- Medical office experience
- No high school diploma
- Mid-level
Leave of Absence Coordinator
Sedgwick —West Hills, CA
- Full-time
- Hybrid work
- Customer service
- Computer literacy
- Mid-level
- Health savings account
- Disability insurance
Institutional Claims Examiner I
Choice Physicians Network Inc —Camarillo, CA
- $22 - $30 an hour
- Full-time
- Hybrid work
- Mid-level
- Analysis skills
- Neurology
Quick Apply
Property Claims Adjuster
SGD, Inc —Simi Valley, CA
- $35 - $45 an hour
- Part-time
- Microsoft Word
- Microsoft Excel
- Mid-level
- Paid holidays
- Health insurance
ESIS Senior Claims Representative, WC
Chubb —Chatsworth, CA
- $78,100 - $105,000 a year
- Full-time
- Hybrid work
- Customer service
- Mid-level
- Office
Compliance Analyst
Firstsource Healthcare —Thousand Oaks, CA
- Monday to Friday
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Opportunities for advancement
Institutional Claims Manager
Choice Physicians Network Inc —Camarillo, CA
- $87,000 - $129,000 a year
- Full-time
- Hybrid work
- Management
- Analysis skills
- Neurology
Quick Apply
Collections Representative
Quest Diagnostics —West Hills, CA
- $20.44 - $26.00 an hour
- Full-time
- Remote
- 18 years or older
- HIPAA
- Research
- Employee stock purchase plan
- Disability insurance
Quick Apply
7d
Senior Claims Operations Analyst (Encounters)
Gold Coast Health Plan —Camarillo, CA
- $91,667 - $128,333 a year
- Full-time
- Microsoft Excel
- 5 years
- Research
- Health insurance
Quick Apply
ESIS Claims Representative, WC
Chubb —Chatsworth, CA
- $62,700 - $81,300 a year
- Full-time
- Writing skills
- Mid-level
- Analysis skills

I want to receive the latest job alert for claims in simi valley, ca

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

claims jobs near simi valley, ca

Service Coordinator jobs in Calabasas Hills, CA

Registration jobs in Los Angeles, CA

Claims Manager jobs in Camarillo, CA

Claims Examiner jobs in California

Quality Auditor jobs in Los Angeles, CA

Claims Adjuster jobs in Simi Valley, CA

Intake Coordinator jobs in Los Angeles, CA

Claims Examiner jobs in Roseville, CA

Compliance Officer jobs in Thousand Oaks, CA

Account Resolution Specialist jobs in Westlake, TX

Account Resolution Specialist jobs in Kansas City, MO

Account Resolution Specialist jobs in Florida

Entry Level Payroll Specialist jobs in Dallas, TX

Account Resolution Specialist jobs in Alameda, CA

Conflict Resolution jobs in Washington, DC

Service Coordinator jobs in Illinois

Overnight Customer Service Remote jobs in Nashville, TN

Service Coordinator jobs in Ohio

Service Coordinator jobs in Vallejo, CA

Customer Service Manager jobs in Dallas, TX

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 jobs in simi valley, ca

Workers' Compensation Claims Examiner

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

Risk Services Coordinator

Transportation Coordinator

Account Resolution Specialist (Collections, Delinquency)

Claims Quality Auditor

Medical Claims Examiner

Witness Statement Representative

Revenue Reimbursement Coordinator

Pre-Registration Representative

Medical Claims Intake Coordinator

Leave of Absence Coordinator

Institutional Claims Examiner I

Property Claims Adjuster

ESIS Senior Claims Representative, WC

Compliance Analyst

Institutional Claims Manager

Collections Representative

Senior Claims Operations Analyst (Encounters)

ESIS Claims Representative, WC

I want to receive the latest job alert for claims in simi valley, ca

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected