California Licensed Claims Examiner
Company: VirtualVocations
Location: Vista
Posted on: May 21, 2025
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Job Description:
A company is looking for a Claims Examiner III.
Key Responsibilities
Manage a caseload of 150 to 180 workers' compensation files,
including complex claims
Conduct claims investigations and determine compensability of
claims in accordance with state law
Communicate with claimants, providers, and vendors regarding claims
issues and manage medical treatment and billing
Required Qualifications
High School Diploma or GED required; Bachelor's degree in a related
field preferred
1 to 5 years of related experience or equivalent combination of
education and experience
Technical knowledge of statutory regulations and medical
terminology
Certification and/or license as required by State regulation
Proficiency in Word and Excel preferred
Keywords: VirtualVocations, East Los Angeles , California Licensed Claims Examiner, Other , Vista, California
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