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OFFICE LOCATIONSConcord, CA (Agile) PRIMARY PURPOSE: To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.
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Our defense practice specializes in workers’ compensation, subrogation, wrongful termination, professional athlete injury defense, fraud claims, insurance coverage issues, and Longshore and Harbor claims.
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Are you a Workers Compensation Claims Adjuster with ADR experience? Maintains qualifying educational criteria to adjust workers' compensation claims for the State of California; Self-Insured certification preferred.
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POSITION SUMMARY Athens Administrators has an immediate need for a full-time Claims Examiner I to support our Property & Casualty department and can be located remotely if technical requirements are met and the employee resides in a state Athens operates in (includes CT, FL, GA, ID, IL, MA, NY, NC, NJ, OH, OK, OR, PA, SC, TN, TX, and WV.
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Participate in preparing claims for meditation. 3+ years of field construction or scheduling experience, with 1+ years in Construction Claims required. Compile data to support Claims Analysis.
$144,100 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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About this role: Wells Fargo is seeking a Fraud & Claims Operations Consultant in Global Treasury Management as part of Enterprise Functions. They are accountable for execution of all applicable risk programs (Credit, Market, Financial Crimes, Operational, Regulatory Compliance), which includes effectively following and adhering to applicable Wells Fargo policies and procedures, appropriately fulfilling risk and compliance obligations, timely and effective escalation and remediation of issues, and making sound risk decisions.
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Competently represents the Employer/Carrier before the Workers' Compensation Appeals Board at administrative hearings, conferences, trials and appeals on litigated and in pro per claims.
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Seeking experienced investigators with commercial or personal lines experience, with multi-lines preferred to include AOE/COE, Auto, and Homeowners.
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Responsible for litigation process on litigated claims and follow defense counsel guidelines and service expectations Responds to decisions, agreement, and/or court order; creates action plan Identifies cases for early resolution Gathers/documents additional information and coordinates with client designees.
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No experience requited, hiring immediately, appy now.
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Individual contributor responsible for direct handling and management of a variety of nation-wide high exposure and complex claims involving loss types such as sexual abuse, talc, PFAS/AFFF, product exposures involving multiple claimants, pollution, and other general liability claims that span multiple policy periods.
$164,000 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Withum is seeking an experienced health claims auditor possessing in-depth knowledge of group health and disability claims procedures, medical/dental terminology, including CPT, ADA, HCPC and ICDA codes, and a thorough understanding of automated health claims systems as well as manual claims payment systems.
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CGI Federal’s Housing Compliance team partners with a local public housing authorities and the U.S. Department of Housing and Urban Development (HUD) to assist in the provision of affordable housing has an opening for a Business Claims Processing Specialist in Walnut Creek, CA.
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This Claims Professional is responsible for the management of a caseload of workers compensation indemnity claims from inception to resolution, performing initial investigation and compensability determination, reserve analysis and strategic planning, timely benefit administration to injured workers, and coordination of medical care and legal process, while maintaining the highest level of service to our insureds.
$105,745 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
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Title: workers claims Company: The Jonus Group in Walnut Creek, CA
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