Top 707 Claims examiner Jobs

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
Casualty Claims Examiner
SAFETY INSURANCE COMPANY —Boston, MA
- $80,000 - $135,000 a year
- Hybrid work
- 5 years
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
Claims Examiner II
MetroPlusHealth —New York, NY
- $54,000 - $64,474 a year
- Computer literacy
- Mid-level
- 3 years
Quick Apply
Claims Examiner
ICONMA, LLC —New Haven, CT
- $20.00 - $35.91 an hour
- Contract
- Mid-level
- Office
- Analysis skills
- Disability insurance
- Health insurance
Quick Apply
10d
Senior Workers' Compensation Claims Examiner
Canon Recruiting Group —Sacramento, CA
- $80,000 - $100,000 a year
- Hybrid work
- Mid-level
- Communication skills
Quick Apply
Claims - Claims Examiner
Wellcove —Remote
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- HIPAA
Quick Apply
Claims Examiner - Remote
ImagenetLLC —Remote
- Full-time
- Remote
- Basic math
- Mid-level
- Data entry
- Paid training
- Health savings account
Claims - Examiner, Claims
Wellcove —Remote
- Full-time
- Remote
- Background check
- Anatomy knowledge
- Basic math
Quick Apply
TPA Commercial Claims Examiner
Schifrin, Gagnon, & Dickey, Inc. —Remote
- $72,000 - $85,000 a year
- Remote
- 5 years
- Writing skills
- Senior level
- Dental insurance
- Flexible spending account
Quick Apply
Claims Examiner (Reinsurance)
One80 Intermediaries —Remote
- $100,000 a year
- Full-time
- Office
- Analysis skills
- Bachelor's degree
Claims Investigator/Examiner
AIDS Healthcare Foundation —Los Angeles, CA
- $34 - $36 an hour
- Mid-level
- Organizational skills
- Health insurance
Quick Apply
Claims Examiner Remote
NTT Ltd —Plano, TX
- Overtime
- Remote
- Computer literacy
- Basic math
- English
Claims Consultant (Desk) - Examiner
Guardian Group —Torrance, CA
- Remote
- 5 years
- Mid-level
- Finance
- Travel reimbursement
- Profit sharing
Medical Claims Examiner Remote
NTT Ltd —Plano, TX
- Remote
- Microsoft Outlook
- Computer literacy
- HIPAA
11d
Catastrophe Property Claims Examiner III (Remote)
California FAIR Plan Association —Los Angeles, CA
- $90,000 - $100,000 a year
- Full-time
- Remote
- Microsoft Word
- Management
- Mid-level
Quick Apply
Claims Examiner (Remote/Hybrid work available)
Imperial Management Administrators Services Inc —Pasadena, CA
- $22 - $30 an hour
- Full-time
- Hybrid work
- Research
- Mid-level
- In-person
Quick Apply
Catastrophe Property Claims Examiner II (Remote)
California FAIR Plan Association —Los Angeles, CA
- $80,000 - $90,000 a year
- Full-time
- Remote
- Microsoft Word
- Management
- Mid-level
Quick Apply
Claims Examiner - Worker's Compensation - MN/CO
RAS Companies —Denver, CO
- $63,000 - $100,000 a year
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- 3 years
- Paid parental leave
- Paid holidays
Quick Apply
13d
PET INSURANCE CLAIMS EXAMINER/ADJUSTER 1099 INDEPENDENT CONTRACTOR
Administrative Strategies —Remote
- Weekends as needed
- Background check
- Spanish
- Anatomy knowledge
- Pet insurance
Quick Apply
Healthcare Claims Examiner, Remote
NTT DATA —Tampa, FL
- $18 an hour
- Temporary
- Remote
- Microsoft Outlook
- Computer literacy
- HIPAA
Quick Apply

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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

Workers' Compensation Claims Examiner

Casualty Claims Examiner

Claims Examiner II

Claims Examiner

Senior Workers' Compensation Claims Examiner

Claims - Claims Examiner

Claims Examiner - Remote

Claims - Examiner, Claims

TPA Commercial Claims Examiner

Claims Examiner (Reinsurance)

Claims Investigator/Examiner

Claims Examiner Remote

Claims Consultant (Desk) - Examiner

Medical Claims Examiner Remote

Catastrophe Property Claims Examiner III (Remote)

Claims Examiner (Remote/Hybrid work available)

Catastrophe Property Claims Examiner II (Remote)

Claims Examiner - Worker's Compensation - MN/CO

PET INSURANCE CLAIMS EXAMINER/ADJUSTER 1099 INDEPENDENT CONTRACTOR

Healthcare Claims Examiner, Remote

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