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Workers Compensation Claims Administrator Jobs in San Mateo, California

Workers Compensation Claims Examiner(%100 Remote)
By Synectics Inc. At San Francisco Bay Area, United States
Five (5) years of claims management experience or equivalent combination of education and experience required
Coordinates vendor referrals for additional investigation and/or litigation management.
Refers cases as appropriate to supervisor and management.
SkillsQualifications: Bachelor's degree from an accredited college or university preferred
DescriptionDescription:Analyze complex or technically difficult workers' compensation claims to determine benefits due.
Manages the litigation process; ensures timely and cost effective claims resolution.
Workers Compensation Claims Adjuster Iii
By Intercare Holdings Insurance Services At , Rocklin, 95765, Ca $75,000 - $98,000 a year
Litigation management - Direct, manage, and control the litigation process.
Handles other duties and tasks as deemed appropriate by the Supervisor or Manager.
Initiate the referral to the SIU of cases with suspected fraud.
Aggressively pursue subrogation from culpable third parties, contributions on multiple defendant cases, and apportionment when there is pre-existing disability.
Review and approve all vocational rehabilitation plans.
Establish, monitor, and adjust monetary case reserves when warranted and in strict accordance with assigned authority levels.
Supervising Workers' Compensation Claims Adjuster - Department Promotional - County Counsel
By Kern County At Bakersfield, CA, United States

Position Information This is a Department Promotional examination and is open only to eligible employees of Kern County Counsel who have permanent status in the classified service and received an ...

Workers Compensation Claims Examiner
By TheBest Claims Solutions At Folsom, CA, United States

3+ years of experience handling Workers Compensation claims

Experience Handling Claims in California

Staff Assistant (Workers' Compensation)
By City of Sacramento At Sacramento, CA, United States
Position/job titles will not be considered in determining eligibility for meeting the minimum qualifications for this position.
Provides exceptional customer service to those contacted in the course of work.
Other related duties may also be performed; not all duties listed are necessarily performed by each individual holding this classification.
Microsoft Office and other relevant computer programs.
English usage, spelling, grammar, and punctuation.
Use of computers, computer applications, and software.
Workers' Compensation Claims Adjuster I/Ii
By County of Riverside At , Riverside, Ca

The County of Riverside’s Human Resources Department is seeking a Claims Adjuster I/II to support the Workers' Compensation Division. The level at which the position will be filled is at the ...

Workers Compensation Claims Adjuster
By TheBest Claims Solutions At Sacramento, CA, United States
3+ years of experience handling Workers Compensation claims
Experience Handling Claims in California
Experience working in multiple jurisdictions or willing to learn
Workers' Compensation Specialist - Remote
By First American Financial Corporation At , San Francisco, 94117, Ca $27.22 - $177.28 an hour
Works collaboratively within and across business units and demonstrates proves experience with conflict management and influencing skills
Ability to build credibility and trust with employees, HR and management
Demonstrated effective communication skills with all levels of the organization to ensure all parties understand their responsibilities during an individual’s absence
Coordinate leaves concurrent with disability and workers compensation benefits, engaging other stakeholders as appropriate including benefits and legal staff
PHR, SPHR, CEBS, or other HR certification preferred
2-3 years of HR experience preferred and 3 years experience in leave administration, preferably in a multi-state environment
Program Specialist Iii, Ceo - Workers' Compensation
By Los Angeles County Department of Human Resources At , , Ca $91,488 - $123,288 a year
Stays current on knowledge related to the Workers' Compensation program
Check Out Our Outstanding Benefits!
APPLICANTS MUST MEET THE REQUIREMENTS AND ACHIEVE A PASSING SCORE OF 70% OR HIGHER ON
disqualification or rescission of appointment
Assists in resolving complaints/problems related to Workers’ Compensation
Assists in developing new or updating current Workers’ Compensation programs, policies, and procedures
Senior Workers Compensation Claims Examiner
By TheBest Claims Solutions At Folsom, CA, United States
3+ years of Workers Compensation Indemnity claims handling experience in California
Strong computer proficiency, excellent written and verbal communication skills
Ability to handle claims from initial report to final settlement
Claims Administrator Jobs
By Simpluris, Inc. At Costa Mesa, CA, United States
Excellent communication and organizational skills
Process all response forms including opt in, opt out, and claims with attention to detail and a high level of accuracy
Review response forms, escalation, and resolve
Identify and process disputed response forms
Review processing criteria and begin processing cases with minimal supervision
Scan responses for cases and projects
Workers' Compensation Coordinator Jobs
By Sierra Pacific Industries At , Red Bluff, 96080, Ca $65,000 - $85,000 a year
1+ years’ experience in Workers’ Compensation, Safety, or medical case management
Coordinate with management and employees on workplace accommodations for early return to work
Gain proficiency in Incident Management and Human Resource systems
Preference given to applicants with experience in manufacturing settings
Excellent interpersonal and communication skills
Ability to manage multiple priorities simultaneously to achieve expected results
Workers Compensation Claims Assistant
By TheBest Claims Solutions At Pasadena, CA, United States
1+ years of experience as a File Clerk or Claims Assistant in Workers Compensation
Set up and enter new claims into Claims Management System
Review, prepare, and/or send letters, reports, and forms
Workers Compensation Adjuster Jobs
By Randstad USA At Sacramento, CA, United States
Strong organizational and time management skills
Possess demonstrated technical knowledge and skills, including product and industry, reflective of successful progression through various job family levels
Complex desk, candidate will need good desk management
Must have or secure and maintain a California adjuster license and continuing education credits
Prominent experience in California jurisdiction
Typically has 3+ years’ experience
Workers' Compensation Claims Examiner
By U.S. Department of Labor At Indiana, United States
Experience applying laws, rules, regulations, policies, and procedures when reviewing claims for benefits
Experience adjudicating highly complex cases for benefits based on evidence.
Experience reviewing reconsideration requests or appeals for benefits.
Requires a probationary period if the requirement has not been met.
Experience making and issuing final decisions that affirm or remand cases for further development
Reviews claimant requests for reconsideration of final decisions with delegated authority to finalize or modify decisions of the initial claims examiner.
Workers Compensation Claims Advisor - Overland Park, Ks Or Remote
By CRH Americas Corporate At , Atlanta, 30338
Provide WC claims’ management education and WC regulatory updates to local business units.
Bachelor’s degree in Risk Management, Finance or Nursing background preferred
Ability to effectively work and collaborate with people with a wide range of skills, experience, cultures, and capabilities
Other duties as directed by management
Minimum seven (7) years of experience managing WC claims
WC technical knowledge and WC case law in multiple jurisdictions from Ohio to California
Workers' Compensation Claims Facilitator
By State of Hawaii At , Island Of Hawai‘i $4,690 - $5,493 a month
C (Download PDF reader)lick here to view Minimum Qualification Specification (Download PDF reader)
Click here to view Minimum Qualification Specification (Download PDF reader)
o qualify, you must meet all of the following requirements:
Professional Trainee II: SR-18, Salary $4,339 per month
Professional Trainee I: SR-16, Salary $4,011 per month
Consideration may be given to lower levels:
Workers Compensation Claims Advisor - West - Remote
By CRH Americas Corporate At , Phoenix $85,000 - $100,000 a year
Provide WC claims’ management education and WC regulatory updates to local business units.
Bachelor’s degree in Risk Management, Finance or Nursing background preferred
Ability to effectively work and collaborate with people with a wide range of skills, experience, cultures, and capabilities
Other duties as directed by management
Minimum seven (7) years of experience managing WC claims
WC technical knowledge and WC case law in multiple jurisdictions from Ohio to California
Workers' Compensation Attorney Jobs
By Garcia Legal Search, LLC At Florida, United States

A boutique Florida law firm is looking to add a Workers' Compensation Attorney to its thriving Florida practice. The ideal candidate will have a book of business and be located in Florida. Excellent ...

Senior Workers Compensation Claims Specialist I/Ii- Eberle Vivian
By Liberty Mutual At , Remote $72,300 - $127,700 a year
Leadership ability and demonstrated time management skills to delegate work appropriately and organize resources effectively.
Manages an inventory of workers compensation claims to evaluate compensability/liability.
Excellent interpersonal skills to communicate and negotiate with customers and conduct investigations required.
Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources.
Plans and conducts investigations of claims to confirm coverage and compensability.
Performs other duties as assigned.
Workers Compensation Claims Examiner
By US Office of Workers' Compensation Programs At , Washington, 20210 $112,015 - $145,617 a year
If you are relying on your education to meet qualification requirements:
Prepares reports and provides data advising management of new trends in the hearing program.
Requires a probationary period if the requirement has not been met.
Drafting and/or signing final decisions or briefs to claimants who have applied for compensation benefits.
Analyze and interpret legal issue(s) to determine entitlement to workers' compensation benefits under federal laws.
You will be evaluated for this job based on how well you meet the qualifications above.
Workers' Compensation Claims Representative - Med Only
By Berkley At , Rocky Hill, 06067
Manage existing workloads effectively to achieve quality and quantity production goals while providing superior customer service.
Control file-related expenses through efficient utilization and monitoring of "outside" vendors.
Inform other departments of positive/negative conditions noted during investigations which may impact company results.
Claims Adjuster - Workers' Compensation
By Sierra Pacific Industries At , Anderson, 96007 $65,000 - $90,000 a year
Manage all aspects of claims to resolution in accordance with jurisdictional requirements
Obtain appropriate state adjuster certification and continuing education credits
Establish appropriate claim reserve and manage reserve adequacy throughout life of claim
Negotiate skillfully in difficult situations to win concessions without damaging relationships
Minimum 3 years progressive work experience in administrative role
Bachelor's Degree in relevant field or equivalent work experience
(Remote) Claims Team Lead - Workers Compensation
By Sedgwick At , Chicago
Education & Licensing: 5-7 years of claims management experience or equivalent combination of education and experience required.
Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
Compiles reviews and analyzes management reports and takes appropriate action.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one
Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards.
Claims Technician - Workers' Compensation
By Sierra Pacific Industries At , Anderson, 96007 $17 - $25 an hour
Process payment of medical bills and invoices, meeting all statutory timeliness requirements
Minimum of one year of progressive office administration experience
Knowledge of workers’ compensation terminology preferred
Communicate with injured workers and service providers to facilitate claims administration
Provide injured workers with information about the workers’ compensation process
Handle multiple priorities simultaneously and effectively prioritize tasks to meet deadlines
Claims Compliance Analyst, Workers Comp
By Markel At United States
Stay abreast of changes in compliance procedures and identify and communicate compliance process enhancement opportunities to management
Cultivate and maintain relationships with internal and external customers
Gather, analyze, and distribute compliance information to satisfy needs of business partners, and to facilitate appropriate outcomes
Complete assigned daily compliance support activities timely and accurately
Contribute assistance that enhances and enables achievement of compliance objectives by demonstrating teamwork and collaboration to elevate partner and customer service
Look for ways to improve compliance with state and federal laws and regulations
Care Coordinator I - Workers' Compensation
By One Call At , Remote $16.49 - $18.75 an hour
Opportunities to work from home
Tuition Reimbursement Program including certifications
Demonstrates an understanding of HIPPA and other regulatory requirements and apply to daily work interactions.
Knowledge of the company’s products, services, and business operations to enable resolution of inquiries.
Excellent customer service skills that build elevated levels of client satisfaction
Excellent verbal and written communication skills
(Remote) Claims Representative - Workers Compensation
By Sedgwick At , Troy
Education & Licensing: 3+years of claims management experience or equivalent combination of education and experience required.
Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract.
Professional certification as applicable to line of business preferred.
Claims Examiner - Workers Compensation - Remote
By ASK Consulting At ,
Approves and processes assigned claims, determines benefits due and administers action plans pursuant to the claim or client contract.
Excellent oral and written communication, including presentation skills
Location: United States of America
Expiry Date: 15 September 2023
Develops and coordinates low-level workers' compensation claims' action plans for resolution, and return-to-work efforts, and approves claim payments.
Administers subrogation of claims and negotiates settlements.
Claims Administrator Jobs
By Sage, Sacramento At United States
Qualifications, Skills and Experience required:
Job Duties and Essential Functions include
• 3 years of disability and/or ADA administrative experience.
• Strong knowledge of MS Excel and MS Word.
• When applicable, initiate return-to-work accommodations while adhering to relevant Federal regulations.
• When required, coordinate between short term disability insurance carriers, worker’s compensation insurance providers and the employee.
Workers Compensation Claims Examiner
By U.S. Department of Labor At Washington, United States
Prepares reports and provides data advising management of new trends in the hearing program.
Requires a probationary period if the requirement has not been met.
Drafting and/or signing final decisions or briefs to claimants who have applied for compensation benefits.
Analyze and interpret legal issue(s) to determine entitlement to workers' compensation benefits under federal laws.
Serves as an Agency's independent authority and representative in reviewing claims and rendering appellate level decisions in classified claims.
Serves as the primary point of contact for Federal agencies on workers' compensation claims that contain classified information.
Claims Representative - Workers Compensation Remote
By Sedgwick At ,
Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract.
Excellent oral and written communication, including presentation skills
Develops and coordinates low level workers compensation claims' action plans to resolution, return-to-work efforts, and approves claim payments.
Administers subrogation of claims and negotiates settlements.
Communicates claim action with claimant and client.
Ensures claim files are properly documented and claims coding is correct.
Claims Manager, Workers Compensation
By Nationwide At , Remote
Education: Undergraduate studies in business administration or related field preferred and/or relevant Workers’ Compensation experience.
Other criteria, including leadership skills, competencies and experiences may take precedence.
Registered Nurse (RN) licensure required; Successful completion of required claims certification schools/courses. State licensing where required.
Three or more years of clinical experience required, medical coding or medical billing preferred.
Strong data analysis skills to determine medical bill rule design.
Delivers a positive customer service experience to all internal, external, current and prospective Nationwide customers.

Are you looking for an exciting opportunity to join a dynamic team of professionals? We are currently seeking a Workers Compensation Claims Administrator to join our team. In this role, you will be responsible for managing workers compensation claims, ensuring timely and accurate processing, and providing excellent customer service. If you have a passion for helping others and are looking for a rewarding career, this could be the perfect job for you!

Workers Compensation Claims Administrator Job Skills:

• Knowledge of workers compensation laws, regulations, and procedures
• Ability to interpret and apply relevant state and federal laws
• Excellent communication and customer service skills
• Ability to analyze and evaluate claims
• Ability to negotiate settlements
• Ability to manage multiple tasks and prioritize workload
• Ability to work independently and as part of a team
• Computer proficiency

What is Workers Compensation Claims Administrator Job Qualifications?

• Bachelor’s degree in business, finance, or related field
• Previous experience in workers compensation claims administration
• Professional certification in workers compensation claims administration
• Knowledge of medical terminology

What is Workers Compensation Claims Administrator Job Knowledge?

• Knowledge of workers compensation laws, regulations, and procedures
• Knowledge of medical terminology
• Knowledge of claims processing systems
• Knowledge of risk management principles
• Knowledge of insurance policies and procedures

What is Workers Compensation Claims Administrator Job Experience?

• Previous experience in workers compensation claims administration
• Previous experience in customer service
• Previous experience in risk management

What is Workers Compensation Claims Administrator Job Responsibilities?

• Review and evaluate workers compensation claims
• Negotiate settlements with claimants
• Manage and track claims
• Monitor claims for accuracy and