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Claims Examiner Workers Compensation

Apidel Technologies

Remote • Today

Easy Apply

Contract

Workers Compensation Claims Adjuster - Idaho

Gallagher Bassett

Meridian, Idaho • Today

Full-time

Claims Examiner

Symbioun Technologies, Inc

New Haven, Connecticut • Yesterday

Easy Apply

Contract

Depends on Experience

Claims Examiner # 26-23488

U.S. Tech Solutions Inc.

New Haven, Connecticut • Yesterday

Easy Apply

Contract

$38 - $39

Presales Engineer, Workers' Compensation

Sapiens

Rochelle, Illinois • 12d ago

Full-time

FACETS Architect (with Healthcare Claims)

Mindlance

Remote • Today

Easy Apply

Contract

$80 - $90

Advance Analytics Manager - Medical Claims

TechLink Systems, Inc.

Hybrid in Plymouth Meeting, Pennsylvania • 8d ago

Easy Apply

Contract

60 - 66

Senior Project Manager(Healthcare Claims Experience(Required))

eSystems, Inc.

Remote • Yesterday

Easy Apply

Third Party, Contract

55 - 65

Business Data Analyst (P&C) Insurance Claims

Wise Skulls Corp.

Hybrid in Jersey City, New Jersey • 7d ago

Easy Apply

Contract

Depends on Experience

Sr Claims Architect

Talent Groups

Remote • 15d ago

Easy Apply

Contract

Depends on Experience

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

Elite Technical

Baltimore, Maryland • 22d ago

Easy Apply

Contract

30 - 33

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

UnivEdge Consulting LLC

Remote • 13d ago

Easy Apply

Contract

Depends on Experience

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

Infinite Computer Solutions (ICS)

Remote • 26d ago

Easy Apply

Full-time

$70,000 - $85,000

Senior Commercial General Liability Claims Adjuster - Litigated

Gallagher Bassett

Rolling Meadows, Illinois • Today

Full-time

Senior Commercial General Liability Adjuster - Retail/Restauraunt Claims

Gallagher Bassett

Rolling Meadows, Illinois • Today

Full-time

Healthcare Claims Analyst- ONSITE

Vega Consulting Solutions

Baltimore, Maryland • Today

Easy Apply

Contract

Depends on Experience

Senior Legal Claims Handler

Zurich Insurance Company Ltd.

Illinois • Today

Full-time

Compensation information provided in the description

Property & Casualty Liability Claims Manager (Remote - Florida)

Davies

Remote or Birmingham, Alabama • Today

Full-time

USD 120,000.00 - 140,000.00 per year

Senior AI Software Engineer, Risk - Insurance Claims Management

Lyft

San Francisco, California • Today

Full-time

USD 148,000.00 - 185,000.00 per year

Senior AI Software Engineer, Risk - Insurance Claims Management

Lyft

Seattle, Washington • Today

Full-time

USD 136,160.00 - 170,200.00 per year

Authorizations and Claims Analytics Solutions and Data Analyst III

LA Care Health Plan

Los Angeles, California • Today

Full-time

USD 102,183.00 per year

Claims Transformation Product Owner

Chubb

Simsbury, Connecticut • 21d ago

Full-time

USD 80,300.00 - 117,700.00 per year

Authorization and Claims Analytics Data Analyst III

LA Care Health Plan

Los Angeles, California • Today

Full-time

USD 88,854.00 per year

Sr Data Analyst, Healthcare Claims Audit and Compliance (Hybrid NY)

Health First Inc.

New York, New York • Today

Full-time

USD 83,100.00 - 120,360.00 per year

Principal Solutions Architect – Payer Claims Integration (Facets G6)

System One

Remote • Today

Easy Apply

Contract

$97.25

Sr Epic Resolute (Billing & Claims) Certified Analyst

UNC Health Care

Morrisville, North Carolina • Today

Full-time

Compensation information provided in the description

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

EvolutionIQ

Remote or New York, New York • Today

Full-time

Claims Data Quality Analyst

Arch Capital Group

Morristown, New Jersey • Today

Full-time

USD 75,000.00 - 95,000.00 per year

Sr Epic Resolute (Billing & Claims) Certified Analyst

UNC Health Care

Morrisville, North Carolina • Today

Full-time

Compensation information provided in the description

Executive Underwriter - Workers Compensation

Zurich Insurance Company Ltd.

Arizona • Today

Full-time

Compensation information provided in the description

Job Details

Skills

Claims Management
Compensation Management
SIP
Workers Compensation
Lost time
Negotiation

Summary

Position: Claims Examiner - Workers Compensation

Duration: 03 Months of contract with Possible extension or conversion

Location: Rancho Cucamonga, CA onsite/hybrid (if residing within 25miles from office) or remote (within California)

Required Skills:

SIP is mandatory.
Lost time claims experience.
3+ years of relevant and recent worker's comp 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.
Performs other duties as assigned.
Supports the organization's quality program(s).
Travels as required.

Education & Licensing:

Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.

Experience:

Five (5) years of claims management experience or equivalent combination of education and experience 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: SED68217
Posted 5 hours ago

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Sohel Contractor

Talent Acquisition Specialist @ Apidel Technologies

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Remote or Birmingham, Alabama

•

Today

Property & Casualty Liability Claims Manager (Remote - Florida) Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location: Home United States Reporting To: Jennifer Stiles Compensation: $120,000 - $140,000 / year Description Our Story Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America , we're at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professio

Full-time

USD 120,000.00 - 140,000.00 per year

Workday HCM - Compensation Lead

Remote or Atlanta, Georgia

•

Today

Role Title: Workday HCM - Compensation Lead Location: Atlanta, GA (Remote with Travel) Duration Long term Overview: We are seeking a seasoned Workday HCM Compensation Lead to drive the design, configuration, and optimization of compensation modules within Workday. The role requires strong functional expertise, hands-on configuration skills, and the ability to partner with HR, business stakeholders, and technical teams to deliver scalable compensation solutions. Key Responsibilities: Lead Workda

Easy Apply

Full-time, Contract

$DOE

Senior Project Manager(Healthcare Claims Experience(Required))

Remote

•

Yesterday

Role : Senior Project Manager Client : Government of North Carolina(NCDIT) Work Type : Remote Experience in Healthcare Claims Required(7 Years(Minimum)) Minimum Relevant Experience : 7 Years Max Payrate : 65$ Per Hour Duration : 12 Months(Extendable) eSystems Inc. is a fast-growing Systems Integrator based in Princeton, New Jersey. We provide strategic IT solutions and services with primary practice areas in Java and Microsoft centric e-Business solutions, ERP solutions, Enterprise Application I

Easy Apply

Third Party, Contract

55 - 65

Facets Analyst

Remote

•

8d ago

Over All Experience 8+years Facets with claims knowledge is must Facets, US healthcare payer domain, claims processing, analytical skills, oracle pl sql Good to have: .net

Easy Apply

Contract, Third Party

Depends on Experience