Senior Claims Examiner Salary at Dynamic Claims Services Inc BETA

CANDIDATES APPLYING OUTSIDE OF CALIFORNIA WILL NOT BE REVIEWED Medical Claims Examiner - Remote - Fresno, CA *100% Remote for Central Valley candidates* Candidates are required to attend occasional trainings/meetings in Fresno, CA The Company: A well-respected insurance company in California with over 25 years in the business is looking to add a Medical Claims Examiner! This company is dedicated to helping clients, providing excellent customer service, and truly investing in their employees. What’s in it for you? $18.00 - $20.00/hour depending on experience Remote position + few weeks of training in the office What we need from you: Experience - 1-2+ years reviewing and processing medical, dental, and vision claims Education - High school diploma required, college degree preferred Software - You are proficient with data entry, Microsoft Office, Outlook, carrier websites, and other software systems as needed for the position Comprehensive knowledge - You have data entry coding and medic

Job Title: Senior Claims Examiner – Workers’ Compensation (CA) Location: Remote (Candidates must reside near Brea, Folsom, or Fresno, CA; exceptional candidates from other U.S. regions may be considered) Duration: 3-Month Contract (High Potential for Extension) Work Hours: Full-time, Pacific Standard Time (PST) Job Overview: We are seeking an experienced Senior Claims Examiner – Workers’ Compensation (WC) to manage and adjudicate California Workers’ Compensation claims. The role is remote, but candidates must be willing and able to report to a nearby office (Brea, Folsom, or Fresno, CA) if needed. Additional Information: The position is remote; however, proximity to Brea, Folsom, or Fresno is preferred for occasional office visits if required. Candidates must be available to work during Pacific Standard Time (PST) business hours. Strong organizational, analytical, and interpersonal communication skills are essential for success in this role. Qualifications: Bachelor’s degree or equival

Overview: At CCMSI, we strive to attract the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we prioritize developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention rank in the 95th percentile. Reasons you should consider a career with CCMSI: Culture: Our Core Values are embedded in our culture, guiding how we treat our employees as valued partnerswith integrity, passion, and enthusiasm. Career Development: CCMSI offers robust internships and internal training programs for advancement within our organization, ensuring continuous growth and career progression. Benefits: Our comprehensive benefits package includes 4 weeks of paid time off in your first year,

Job Description Job Description **This position is located in Cypress, CA Southern California United Food & Commercial Workers Unions & Food Employers Joint Benefit Funds Administration, LLC (The Funds) were created more than 40 years ago as a result of collective bargaining between the Southern California Retail Food Employers and the Southern California UFCW Union Locals. The Funds serve in excess of 100,000 participants! There are two Funds, the Pension Fund and the Benefit Fund--through which member retirement and health and welfare benefits are provided. The Funds Office is currently searching for a supportive Medical Claims Specialist, to join our growing Healthcare Claims Team. In this role, you will be responsible for the operational efficiency and accuracy of medical claims processed by providing support to the staff and supervisor. This position is subject to Collective Bargaining. Key Responsibilities: Oversee and manage all operations within the Medical Claims department to

Job Description Responsibilities: Individual will focus on underwriting new and renewal Business Travel Accident, Out of Country Medical, Basic and Voluntary AD&D, and Participant Accident products. Underwriting duties will include developing and negotiating price, coverage, terms and conditions for all new business and renewals. Maintain underwriting discipline by complying with underwriting authority, guidelines, and directives. Work closely with home office underwriting, actuarial, product development, and legal teams. Play a key role in working towards achieving the regional financial plan. Assist in achieving renewal retention plan by issuing timely renewal notices, working closely with the broker through the renewal life cycle, and providing timely updates to the regional manager. Collaborate with the Business Development Manager, regional operations, and other lines of business to achieve new business goals. Build strong relationships with producers Ensure data and document repo

Pay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. Description The Middle Market Executive Underwriter works independently and autonomously on all but the most complex accounts/cases (subject to required process oversight). Underwrites policies within underwriting authority. Makes decisions on whether to accept business by making analytical, data-driven decisions based on data and information provided, including pricing the risk. In

Overview: Administer indemnity claims and handle complex claim issues. Use strong litigation management experience, lien resolution abilities, and customer service skills to resolve routine claims without legal representation. Keenan, an Accretive company, is an insurance brokerage and consulting firm meeting the insurance needs of hospitals, public entities and California school districts. Keenan specializes in providing consulting services in the areas of: employee benefits, workers' compensation, loss control, financial, and property & liability. What You'll Do: Maintain current diary. Identify, prevent and mitigate potential penalties. Update claim notes in computer. Provide timely reporting of excess files to the Reinsurance Manager. Report SIU/Fraud. Identify and pursue subrogation. Complete Rehab forms/benefit notices/SJDB/RTW form. Refer all PRIME deletions only to office designee. Update reserves no later than 30 days of receipt of information modifying the financial exposure

CAP seeks a Senior Claims Specialist, for its Orange County office, to perform technical and administrative duties to manage assigned claim files; assumes increased workload of highly complex claims. Participates in the continued training and supervision of Claims Specialist I and II’s. Our dedicated employees are the essential element to CAP’s success. CAP’s team of well-trained professionals with a commitment to excellence has helped deliver to our member physicians an unparalleled quality of products and services. Our corporate culture and collegial collaboration of minds and efforts is unmatched. Essential Duties and Responsibilities: Manage medical malpractice claims, including the assignment, direction, and control of defense counsel, under supervision and in compliance with the Claims Technical Manual, the Defense Attorney Guidelines, and the MPT Agreement. Manage increasingly complex cases with larger financial exposure. Investigate and evaluate claim files including complying