Top 161 Claims Jobs in Visalia, 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 Biller
Bespoke Medical Management —Visalia, CA
- $21 - $25 an hour
- Full-time
- Customer service
- Writing skills
- Mid-level
- Dental insurance
- 401(k)
Quick Apply
1d
Temporary Medical Records Clerk
Valley Health Team, Inc. —Kingsburg, CA
- $21.25 - $29.41 an hour
- Full-time
- Background check
- Spanish
- OSHA
Quick Apply
Eligibility Worker I / Visalia
HEALTH ADVOCATES —Visalia, CA
- $21.75 - $28.00 an hour
- Full-time
- Spanish
- Hospital
- Computer literacy
- Paid training
- Health insurance
14d
Inventory Auditor
Costco Wholesale Corporation —Visalia, CA
- Research
- Mid-level
- Driving
- AD&D insurance
- Employee stock purchase plan
Order Management Analyst
C.H. Robinson —Visalia, CA
- $25.38 - $40.21 an hour
- Weekends as needed
- High school diploma or GED
- Analysis skills
- Bachelor's degree
- Paid parental leave
- Health savings account
1d
Billing Clerk (Temp)
Family HealthCare Network —Visalia, CA
- $21.00 - $28.60 an hour
- Full-time
- Microsoft Word
- Research
- Mid-level
- Paid training
Medical Assistant, Outpatient - Clinic Overhead - Call Center (Full-Time, Day Shift)
Adventist Health —Hanford, CA
- $25.00 - $30.01 an hour
- Full-time
- High school diploma or GED
- Experience equivalent to degree accepted
- Associate's degree
Courtroom Clerk I
Superior Court of California —Hanford, CA
- $24.34 - $32.61 an hour
- Full-time
- Ability to walk for extended periods
- English
- Research
- AD&D insurance
- Paid holidays
13d
Trouble File Coordinator
Family Tree Farms Marketing LLC —Reedley, CA
- Full-time
- ERP systems
- Mid-level
- Office
Quick Apply
Insurance Eligibility & Registration Specialist
Living Water Clinic —Lindsay, CA
- Monday to Friday
- Spanish
- Writing skills
- Medical office experience
- Paid holidays
- Dental insurance
Quick Apply
Dental Insurance Billing Specialist
Tulare Smile Dental Group —Tulare, CA
- $35 - $40 an hour
- Part-time
- Customer service
- Mid-level
- Organizational skills
- Dental insurance
- Flexible schedule
Quick Apply
4d
DOT Compliance Specialist
Viserion Grain —Goshen, CA
- $80,000 - $110,000 a year
- Spanish
- Customer service
- 5 years
DOT Compliance Specialist
Western Milling —Goshen, CA
- $80,000 - $110,000 a year
- Spanish
- Customer service
- 5 years
Care Connection Associate - Clinic Overhead - Call Center (Part-Time Temp, Day Shift)
Adventist Health —Hanford, CA
- $25.00 - $30.01 an hour
- Part-time
- High school diploma or GED
- Clinic
- Experience equivalent to degree accepted
Workers' Compensation Defense Attorneys
Employer Defense Group, LLP —California
- $100,000 - $250,000 a year
- Full-time
- Remote
- Mid-level
- 3 years
- Travel
- Health savings account
- AD&D insurance
Quick Apply
Fully Remote- Pre-litigation/Litigation Attorney (Personal Injury)
THE CALIFORNIA LAW OFFICE —California
- $100,000 - $200,000 a year
- Full-time
- Remote
- Bilingual
- Spanish
- Writing skills
- Paid holidays
- Paid time off
Quick Apply
Part-time Therapist
Telemynd —California
- From $70 an hour
- Choose your own hours
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Flexible schedule
Quick Apply
Workers Compensation Attorney
Tower Legal Solutions —California
- $122,000 - $184,000 a year
- Full-time
- Microsoft Word
- Computer literacy
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
14d

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claims jobs near visalia, 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 jobs in visalia, ca

Workers' Compensation Claims Examiner

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

Medical Biller

Temporary Medical Records Clerk

Eligibility Worker I / Visalia

Inventory Auditor

Order Management Analyst

Billing Clerk (Temp)

Medical Assistant, Outpatient - Clinic Overhead - Call Center (Full-Time, Day Shift)

Courtroom Clerk I

Trouble File Coordinator

Insurance Eligibility & Registration Specialist

Dental Insurance Billing Specialist

DOT Compliance Specialist

DOT Compliance Specialist

Care Connection Associate - Clinic Overhead - Call Center (Part-Time Temp, Day Shift)

Workers' Compensation Defense Attorneys

Fully Remote- Pre-litigation/Litigation Attorney (Personal Injury)

Part-time Therapist

Workers Compensation Attorney

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

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