Top 1218 Care manager Jobs in Temecula, 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
Community Association Manager
HOA Community —Temecula, CA
- $75,000 - $90,000 a year
- Full-time
- Microsoft Word
- Microsoft Excel
- Customer service
- Health savings account
- Health insurance
Quick Apply
Patient Educator Senior Manager (WEST)
Vertex Pharmaceuticals —California
- $136,000 - $204,000 a year
- Weekends as needed
- Project management
- Bachelor's degree
- Travel
- Loan repayment program
- Dental insurance
Case Manager LVN*
Murrieta Health and Rehabilitation Center —Murrieta, CA
- $35 - $38 an hour
- Full-time
- CPR Certification
- Nursing
- LVN
Quick Apply
Behavior Technician
Behavior Frontiers —Temecula, CA
- $19 - $23 an hour
- Part-time
- Classroom
- 18 years or older
- Psychology
- Paid parental leave
- Paid holidays
Quick Apply
5d
(USA) Team Manager Developmental
Sam's Club —Murrieta Hot Springs, CA
- $70,500 - $95,000 a year
- High school
- Military
- Mid-level
- Paid jury duty
- Disability insurance
PACE Day Center Manager(Murrieta)
Neighborhood Healthcare —Murrieta, CA
- $95,500 - $141,300 a year
- Monday to Friday
- CPR Certification
- Nursing
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
Office Manager 1
Rancho Health MSO, Inc —Murrieta, CA
- $70,304 - $77,000 a year
- Full-time
- Mid-level
- High school diploma or GED
- Clinic
- On-the-job training
Quick Apply
12d
Executive Team Leader Service & Engagement (Assistant Manager Front End)-Temecula
Target —Temecula, CA
- $83,200 - $130,000 a year
- Weekends as needed
- Mid-level
- Analysis skills
- Bachelor's degree
- Paid holidays
- Disability insurance
Plasma Center Manager
Biolife Plasma Services —Temecula, CA
- $95,920 - $131,890 a year
- Weekends as needed
- CPR Certification
- BLS Certification
- Mid-level
- Paid holidays
- Disability insurance
Program Coordinator (Part-Time)
Pacific Healthworks —Temecula, CA
- $23 - $25 an hour
- Part-time
- Microsoft Excel
- Microsoft Outlook
- Hospital
- 401(k)
- Paid time off
Quick Apply
14d
Payroll Clerk
Costco Wholesale Corporation —Temecula, CA
- Office
- Driving
- US work authorization
- AD&D insurance
- Employee stock purchase plan
Office Coordinator
MeterNet —Fallbrook, CA
- $28 - $32 an hour
- Full-time
- Google Workspace
- Mid-level
- Office
- Opportunities for advancement
Quick Apply
2d
BioPharma Account Rep
Prism Biotech —Temecula, CA
- $85,136 - $116,388 a year
- Full-time
- Mid-level
- Continuous improvement
- Commercial
Quick Apply
Resident Service Specialist - Luxury Apartment Community
UDR, Inc. —Menifee, CA
- $27 - $30 an hour
- Word processing
- Residential
- High school diploma or GED
- AD&D insurance
- Disability insurance
Quick Apply
HR Support Services Assistant
Southwest Healthcare System —Temecula, CA
- $23.00 - $34.32 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Business Administration
- Continuing education credits
- Loan repayment program
Inventory Auditor
Costco Wholesale Corporation —Temecula, CA
- Research
- Mid-level
- Driving
- AD&D insurance
- Employee stock purchase plan
Hospital Account Executive
Stance Health Solutions, Inc —Temecula, CA
- $60,000 - $70,000 a year
- Full-time
- Hospital
- Word processing
- Mid-level
Quick Apply
Member Service Assistant
Costco Wholesale Corporation —Temecula, CA
- Driving
- US work authorization
- Warehouse
- AD&D insurance
- Employee stock purchase plan
Assistant Property Manager - Temecula, CA
Pure Employment LLC —Temecula, CA
- $24 - $25 an hour
- Full-time
- Mid-level
- Residential
- Communication skills
- Health insurance
- Dental insurance
Quick Apply
7d

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care manager jobs near temecula, 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

care manager jobs in temecula, ca

Workers' Compensation Claims Examiner

Community Association Manager

Patient Educator Senior Manager (WEST)

Case Manager LVN*

Behavior Technician

(USA) Team Manager Developmental

PACE Day Center Manager(Murrieta)

Office Manager 1

Executive Team Leader Service & Engagement (Assistant Manager Front End)-Temecula

Plasma Center Manager

Program Coordinator (Part-Time)

Payroll Clerk

Office Coordinator

BioPharma Account Rep

Resident Service Specialist - Luxury Apartment Community

HR Support Services Assistant

Inventory Auditor

Hospital Account Executive

Member Service Assistant

Assistant Property Manager - Temecula, CA

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