Claim Examiner Workers' Compensation (WC)

Position: Claims Examiner - Workers Compensation - W2 Only Location: Remote in California Pay Range: $48/hr to $53/hr on W2. Required Skills: SIP is mandatory5+ years of relevant California Workers Compensation experience Primary Purpose: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best p

Job Title: Claims Examiner Location: Remote Duration: 1 Month Receives claim assignment, confirms policy coverages and directs acknowledgement of claims. Interprets and makes decisions using independent judgment on moderate difficulty claims and policy coverages and determines if coverages apply to claims submitted.Investigates, evaluates, negotiates and adjudicates first and third party claims to determine validity and verify extent of damage by telephone contact with clients, claimants, witne

We are looking for a LTD Disability Claims Specialist for a 12+ Months contract position. Please send your resume along with hourly rate expectation if interested. Position: LTD Disability Claims Specialist Location: Remote Duration: 12+ Months Part time position: 20 hours per week (Must be able to work during normal business hours within their residential time zone) Required: 3+ years of LTD/IDI Insurance Claims experiencePrior experience with independent judgement and decision making while re

Key ResponsibilitiesConfigure and customize claims platform modules (Benefits, Claims, Pricing, Provider)Develop enhancements, business rules, and workflowsBuild integrations with downstream/upstream systemsSupport data migration and system upgradesTroubleshoot claims adjudication defects and performance issuesParticipate in SIT, UAT, and production deploymentsDevelop technical documentation and configuration guidesEnsure compliance with payer regulatory requirementsRequired Qualifications5+ yea