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California Workers Compensation Claims Specialist Opportunities
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Full-time
- We are always searching for Workers Compensation Claim Examiners in the California region to join our awesome team!
- Approves payments of medical bills on lost time disability claims within area of payment authority up to, but not exceeding, $2,500 after compensability has been determined.
- Evaluates medical claims for potential fraud issues, loss control and recovery in accordance with insurance policy contracts, medical bill coding rules and state regulations.
- Keeps Team Manager informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to Team Manager for direction.
- Must have or secure and maintain the appropriate license(s) as required by the state(s) at the adjuster/supervisory/management level.
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