Search Jobs | Dice.com

70 results (0 new)

Group by company

Claims Examiner - Workers Compensation

Apidel Technologies

Remote • Yesterday

Easy Apply

Contract

52 - 56

Claims Examiner - Workers Compensation

Apidel Technologies

Remote • 2d ago

Easy Apply

Contract

55 - 60

Claims Examiner - Workers Compensation - W2 Only

Apidel Technologies

Remote • 17d ago

Easy Apply

Contract

52 - 56

Workers Compensation Claims Examiner - W2 Only

Apidel Technologies

Remote • 17d ago

Easy Apply

Contract

50 - 54

Workers’ Compensation Claims Examiner

Prexel LLC

Washington, District of Columbia • 9d ago

Easy Apply

Contract

25 - 30

Claims Adjuster - Workers Compensation

Apidel Technologies

El Dorado Hills, California • 5d ago

Easy Apply

Contract

37 - 40

Claims Examiner :: Auto - W2 only

Apidel Technologies

Irving, Texas • 17d ago

Easy Apply

Contract

Claims Examiner - Liability

Apidel Technologies

Eden Prairie, Minnesota • 9d ago

Easy Apply

Contract

40 - 45

Position: Claims Examiner Commercial Auto Litigation

Advent Global Solutions, Inc.

Irving, Texas • 18d ago

Easy Apply

Contract

$40 - $50

Presales Engineer, Workers' Compensation

Sapiens

Rochelle, Illinois • Today

Full-time

Claims Manager (Workers\' Compensation)

Society Insurance Company

Fond du Lac, Wisconsin • Today

Full-time

Workers Comp, Lost Time Claims Subject Matter Expert (User Research) - AI SaaS

EvolutionIQ

Remote or New York, New York • Today

Full-time

Claims Adjuster, Accident & Health

Pyramid Consulting, Inc.

Hybrid in Lenexa, Kansas • 15d ago

Easy Apply

Contract

$28 - $32

Claims Adjuster - General Liability

Apidel Technologies

Remote • 17d ago

Easy Apply

Contract

40 - 44

DuckCreek Claims Integration Developer

Fynbosys Inc

Remote • 5d ago

Easy Apply

Contract

$60 - $70

Healthcare Claims Analyst- ONSITE

Vega Consulting Solutions

Baltimore, Maryland • Yesterday

Easy Apply

Contract

Depends on Experience

Annuity Claims Specialist

SynergisticIT

Remote • 30+d ago

Easy Apply

Contract

$40 - $45

IT Data Claims Analyst

CTC USA, LLC

Hybrid in Mason, Ohio • 5d ago

Easy Apply

Contract

44 - 48

Epic Hospital Billing Claims Analyst

TekDallas

Remote • 2d ago

Easy Apply

Contract

Depends on Experience

HRSN Medicaid Claims Analyst With QNXT

Voto Consulting LLC

Remote • 18d ago

Easy Apply

Contract, Third Party

Depends on Experience

Technical Project Manager - Healthcare (Claims, Benefits & Membership)

CIS Technologies Inc.

Remote • 25d ago

Easy Apply

Contract

Depends on Experience

Sr Claims Architect

Talent Groups

Remote • 3d ago

Easy Apply

Contract

Depends on Experience

Healthcare Claims Functional Analyst - (Citizen & Permanent Resident) - Contract- Onsite in Baltimore, MD

Elite Technical

Baltimore, Maryland • 10d ago

Easy Apply

Contract

30 - 33

Business Systems Analyst With Healthcare Claims

Talent Groups

Minneapolis, Minnesota • 29d ago

Easy Apply

Contract

Depends on Experience

Lead AI Data Engineer - Healthcare Payer Systems, Claims & Payment Integrity

UnivEdge Consulting LLC

Remote • Yesterday

Easy Apply

Contract

Depends on Experience

Manual QA Tester - Healthcare Claims/Facets

Peterson Technology Partners

Remote • Yesterday

Third Party, Contract

40 - 45

PBM and Pharmacy Claims QA Tester (7+ years of Experience required)

Infinite Computer Solutions (ICS)

Remote • 15d ago

Easy Apply

Full-time

$70,000 - $85,000

Claims Management Platform BA

Elista Global LLC

Atlanta, Georgia • 5d ago

Easy Apply

Full-time

Depends on Experience

DuckCreek Claims Integration Developer

Tandavix llc

Remote • 3d ago

Easy Apply

Contract, Third Party

65 - 70

Senior Commercial General Liability Claims Adjuster - Litigated

Gallagher Bassett

Rolling Meadows, Illinois • Today

Full-time

Job Details

Skills

Claims Management
Workers Compensation
Litigation
Negotiation
Compensation Management
Medicare
Customer Service

Summary

Position: Claims Examiner - Workers Compensation

Duration: Project Starting With 3+ months of contract and after understanding of facility, Work environment of facility & bonding with manager the project it will go to FTE.

Location: Remote in California

Pay Range: $52/hr to $56/hr on W2 (without Benefits)

Required Skills:

Any specific skill/ certification/ license: CA adjuster certification
3+ years of California WC 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 practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.

Essential Functions and Responsibilities:

Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Negotiates settlement of claims within designated authority.
Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.
Prepares necessary state fillings within statutory limits.
Manages the litigation process; ensures timely and cost effective claims resolution.
Coordinates vendor referrals for additional investigation and/or litigation management.
Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
Ensures claim files are properly documented and claims coding is correct.
Refers cases as appropriate to supervisor and management.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
Performs other duties as assigned.
Supports the organization's quality program(s).
Travels as required.

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: 10509960
Position Id: SED25095
Posted 1 day ago

Fitment

Dice Job Match Score™

🔢 Crunching numbers...

Contact the job poster

Sohel Contractor

Talent Acquisition Specialist @ Apidel Technologies

View Profile

Create job alert

Never miss an opportunity! Create an alert based on the job you applied for.

Remote

•

17d ago

Position: Claims Examiner - Workers Compensation - W2 Only Duration: 03 Months of Contract with possible extension or conversion Pay Range: $52/hr to $56/hr on W2 (without Benefits) Requirements: Only Ex-Sedgwick candidatesAny specific skill/ certification/ license: CA adjuster certificationYears of experience: 3+ years of relevant experience Primary purpose: To analyze complex or technically difficult workers'' compensation claims to determine benefits due; to work with high exposure claims

Easy Apply

Contract

52 - 56

Claims Examiner - Workers Compensation

Remote

•

2d ago

Position: Claims Examiner - Workers Compensation Duration: Project Starting With 3+ months of contract and after understanding of facility, Work environment of facility & bonding with manager the project it will go to FTE. Location: Remote in California Required Skills: 3+ years of California WC 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;

Easy Apply

Contract

55 - 60

Workers Compensation Claims Examiner - W2 Only

Remote

•

17d ago

Position: Claims Examiner - Workers Compensation Duration: 03+ Months contract length. Contract extension and/or Conversion to direct employee is possible Location: 100% Remote in California Pay Range: $50/hr to $54/hr on W2 without Benefits ship Required Manager Notes: Candidate with prior/current CA Indemnity and Litigated Workers Compensation experience is required.Self-Insured Plans (SIP) certification.Candidate Must Live in California: Prefer if someone could be in-office in either Rosevi

Easy Apply

Contract

50 - 54

Workday Benefit & Compensation Consultant

Remote or Chicago, Illinois

•

Today

job summary: We are seeking a senior Workday Benefit Consultant to join our Application Managed Services team. In this role, you will take full ownership of configuring and executing end-to-end Benefits and Advanced Compensation cycles within Workday. This is a 100% remote short-term consulting engagement with the potential for extension, supporting critical operational milestones from system setup through payroll integration. location: Telecommute job type: Contract salary: $56.66 - 66.66 pe

Contract

USD57 - USD67