Top Risk Management Executive jobs in Anaheim, CA

Top Risk Management Executive oversees all aspects of an organization's risk management function. Responsible for planning and developing business analysis, risk modeling, and loss prevention programs. Being a Top Risk Management Executive designs strategic initiatives to protect assets from economic, market, and regulatory risks that the organization is exposed to. Requires a bachelor's degree. Additionally, Top Risk Management Executive typically reports to Chief Executive Officer (CEO). Responsible for the development of functional or business unit strategy for the entire organization. Defines corporate vision and strategy establishes company direction and focus. Executes multiple high impact initiatives to achieve overall corporate goals. (Copyright 2024 Salary.com)

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Claims Examiner III - temporary
  • TRISTAR RISK MANAGEMENT
  • Chino, CA TEMPORARY
  • Please make sure that you complete all of the questions and navigate to the end of the application to sign the application.


    This is a remote position.

    This temp assignment runs through 6/30/2024.


    POSITION SUMMARY:
    Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines.


    This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore consistently being at work in the office, in a timely manner, is inherently required of this position.


    DUTIES AND RESPONSIBILITIES:


    • Effectively manages a caseload of 150 to 200 workers’ compensation files, including very complex claims.*
    • Initiates and conducts investigation in a timely manner.*
    • Determines compensability of claims and administer benefits, based upon state law and in accordance with established Company guidelines.*
    • Manages medical treatment and medical billing, authorizing as appropriate.*
    • Refers cases to outside defense counsel.
    • Communicates with claimants, providers, and vendors regarding claims issues.
    • Computes and set reserves within Company guidelines. Limits are larger than those allowed for Claims Examiner I and Claims Examiner II with changes authorized up to $1,000,000.
    • Settles and/or finalize all claims and obtains authority as designated.*
    • Maintains diary system for case review and documents file to reflect the status and work being performed on the file.*
    • Communicates appropriate information promptly to the client to resolve claims efficiently, including any injury trends or other safety related concerns.*
    • Adheres to all Company policies and procedures.*
    • Conducts file reviews as scheduled by the client and management.*
    • Other duties as assigned.
    • Essential job function.

    Education/Experience: Bachelor’s degree in related field (preferred); three (3) or more years related experience; or equivalent combination of education and experience.

    Knowledge, Skills and Abilities:

    • Technical knowledge of statutory regulations and medical terminology.
    • Analytical skills.
    • Excellent written and verbal communication skills, including ability to convey technical details to claimants, clients and staff.
    • Ability to interact with persons at all levels in the business environment.
    • Ability to independently and effectively manage very complex claims.
    • Proficient in Word and Excel (preferred).


    Other Qualifications:

    Certifications and/or licenses as required by State regulation. Self-Insured Certificate a plus

    Here are some of the benefits that you can enjoy in this role:

    • Medical, Dental, Vision, Life Insurance & Disability
    • 401(k) plan
    • Referral bonus
    • Paid holidays
    • Paid time off.

    Mental and Physical Requirements:


    MENTAL AND PHYSICAL REQUIREMENTS


    1. MENTAL EFFORT


    a. Reasoning development:


    Follow one- or two-step instructions; routine, repetitive task.


    Carry out detail but uninvolved written or verbal instructions; deal with a few concrete variables.


    Follow written, verbal, or diagrammatic instructions; several concrete variables.


    Solve practical problems; variety of variables with limited standardization; interpret instructions.


    X Logical or scientific thinking to solve problems; several abstract and concrete variables.


    Wide range of intellectual and practical problems; comprehend most obscure concepts.


    b. Mathematical development:


    Simple additional and subtraction; copying figures, counting, and recording.


    Add, subtract, multiply, and divide whole numbers.


    X Arithmetic calculations involving fractions, decimals, and percentages.


    Arithmetic, algebraic, and geometric calculations.


    Advanced mathematical and statistical techniques such as calculus, factor analysis, and probability determination.


    Highly complex mathematical and statistical techniques such as calculus, factor analysis, and probability determination; requires theoretical application.


    c. Language development:


    Ability to understand and follow verbal or demonstrated instructions; write identifying information; request supplies verbally or in writing.


    Ability to file, post, and mail materials; copy data from one record to another; interview to obtain basic information such as age, occupation, and number of children; guide people and provide basic direction.


    Ability to transcribe dictation; make appointments and process mail; write form letters or routine correspondence; interpret written work instructions; interview job applicants.


    Ability to compose original correspondence, follow technical manuals, and have increased contact with people.


    X Ability to report, write, or edit articles for publication; prepare deeds, contracts or leases, prepare and deliver lectures; interview, counsel, or advise people; evaluate technical data.


    2. PHYSICAL EFFORT


    a. Physical activity required to perform the job:


    X Sedentary work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.


    Light work:

    a. Exerting up to 20 pounds of force occasionally

    b. Exerting up to 10 pounds frequently

    c. Exerting a negligible amount of force constantly to move objects


    (If the use of arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most of the time, the job is rated for Light Work).


    Medium work:

    a. Exerting up to 50 pounds of force occasionally

    b. Exerting up to 20 pounds of force frequently

    c. Exerting up to 10 pounds of force constantly to move objects


    Heavy work:

    a. Exerting up to 100 pounds of force occasionally

    b. Exerting up to 50 pounds of force frequently

    c. Exerting up to 20 pounds of force constantly to move objects


    Very heavy work:

    a. Exerting in excess of 100 pounds of force occasionally

    b. Exerting in excess of 50 pounds of force constantly to move objects

    c. Exerting in excess of 20 pounds of force constantly to move objects



    • Visual requirements necessary to perform the job:


    Far vision: clarity of vision at 20 feet or more


    X Near vision: clarity of vision at 20 inches or less


    X Mid-range vision: clarity of vision at distances of more than 20 inches and less than 20 feet


    Depth perception: the ability to judge distance and space relationships, so as to see objects where and as they actually are


    Color vision: ability to identify and distinguish colors


    Field of vision: ability to observe an area up or down or to the right or left while eyes are fixed on a given point


    2. PHYSICAL EFFORT
    (cont.)


    FREQUENCY


    c. Physical activity necessary to perform the job and frequency (e.g., continually, frequently, or occasionally):


    Climbing: Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like, using feet and legs and/or hands and arms. Body agility is emphasized. This factor is important if the amount and kind of climbing required exceeds that required for ordinary locomotion.


    Balancing: Maintaining body equilibrium to prevent falling when walking, standing, or crouching on narrow, slippery, or erratically moving surfaces. This factor is important if the amount and kind of balancing exceeds that needed for ordinary locomotion and maintenance of body equilibrium.


    Stooping: Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles.


    Kneeling: Bending legs at knee to come to a rest on knee or knees.


    Crouching: Bending the body downward and forward by bending legs and spine.


    Crawling: Moving about on hands and knees or hands and feet.


    Reaching: Extending hand(s) and arm(s) in any direction.


    Standing: Particularly for sustained periods of time.


    Walking: Moving about on foot to accomplish tasks, particularly for long distances.


    Pushing: Using upper extremities top press against something with steady force in order to thrust forward, downward, or outward.


    Pulling: Using upper extremities to extent force in order to drag, haul, or tug objects in a sustained motion.


    Foot

    Motion: Using feet to push pedals.


    Lifting: Raising objects from a lower to a higher position or moving objects horizontally from position to position. This factor is important if it occurs to a considerable degree and requires substantial use of the upper extremities and back muscles.


    X Fingering: Picking, pinching, typing, or otherwise working with fingers rather than with the whole hand or arm as in handling.


    X Grasping: Applying pressure to an object with the fingers and palm.


    Frequently


    Occasionally


    2. PHYSICAL EFFORT
    (cont.)

    FREQUENCY


    X Talking: Expressing or exchanging ideas by means of the spoken word. Those activities in which workers must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly.


    X Hearing: Perceiving the nature of sounds with or without correction. Ability to receive detailed information through verbal communication and to make fine discriminations in sound, such as when making find adjustments on machined parts.


    Feeling: Perceiving attributes of objects, such as size, shape, temperature, or texture by touching with skin, particularly that of fingertips.


    X Repetitive Substantial movements (motions) of the wrists, hands,

    Motion: and/or fingers.


    Frequently


    Frequently


    Frequently


    3. WORKING CONDITIONS


    Disagreeable job conditions to which the employee may be exposed and the frequency (e.g., continually, frequently, or occasionally) of this exposure.



    WORKING CONDITION

    ENVIRONMENTAL

    FACTOR


    NATURE/REASON

    OF EXPOSURE


    FREQUENCY


    Dirt/Dust


    Noise


    Temperature extremes


    Dampness


    Vibrations


    Equipment movement hazard


    Chemicals/solvents


    Electrical shock


    Significant work pace/pressure


    Odors/Fumes


    Other (specify):

  • 10 Days Ago

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Director of Risk Management
  • WKS Restaurant Group
  • Cypress, CA FULL_TIME
  • Pay Range: $125,000 - $140,000 per year Listed wages are based on company-wide ranges. Actual earnings will vary based on factors such as: restaurant brand, experience, education, geography, applicabl...
  • 20 Days Ago

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Office Assistant/Phone Skills/Detail Enthusiast
  • Omnia Risk Management - Real Estate
  • Anaheim, CA CONTRACTOR,FULL_TIME
  • Our Nationwide Real Estate Risk Management Company needs enthusiastic candidates who are ready for their next challenge! Full training provided for the right candidates, start immediately! No sales! D...
  • 24 Days Ago

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Patient Safety Officer - Risk Management
  • Providence
  • Fullerton, CA OTHER
  • Description"Under the Direction of the Director of Risk Management and Regulatory Readiness and VP of Clinical Excellence", the Patient Safety Officer is responsible for the development, coordination ...
  • 14 Days Ago

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Care Manager RN - High Risk Management
  • Providence Health
  • Anaheim, CA FULL_TIME
  • Description Care Management is a collaborative practice model including the patients, nurses, social workers, physicians, other practitioners, caregivers and the community. The care management process...
  • Just Posted

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Risk Management Specialist - XRG Restaurant Support Center
  • FM Restaurants HQ LLC
  • Cypress, CA FULL_TIME
  • Join the XRG Team: Where Passion for Hospitality Meets Limitless Opportunities! At Xperience Restaurant Group (XRG), our foundation is built on the unwavering dedication of team members who exude a re...
  • 12 Days Ago

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Certified Hospice Aide, Full time, days
  • PIH Health
  • La Mirada, CA
  • Job Description The Home Health Aide provides assistance to the patient in the home with personal care and related perso...
  • 4/23/2024 12:00:00 AM

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Supervisor, Central Services, FT Days
  • Pih Health Hospital
  • Whittier, CA
  • The Central Services Supervisor is responsible for the supervision of personnel in the receipt, storage, and distributio...
  • 4/22/2024 12:00:00 AM

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Shift Manager- Assistant Manager-Chino Hills, CA.
  • Raising Cane's Chicken Fingers
  • Chino Hills, CA
  • **Shift Manager- Assistant Manager-Chino Hills, CA.** Chino, California **BENEFITS & REWARDS** **Benefits** * Medical * ...
  • 4/22/2024 12:00:00 AM

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Assistant Manager - Chico's
  • Chicos Fas, Inc.
  • Newport Beach, CA
  • **Assistant Manager - Chico's** Job Ref#: 852 Brand: Chico's Category: Retail Assistant Manager Job Type: Full-time Loca...
  • 4/22/2024 12:00:00 AM

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Office Manager & Executive Assistant
  • LULUS FASHION LOUNGE LLC
  • Los Angeles, CA
  • Job Details Level Experienced Job Location LA Office - Los Angeles, CA Position Type Full Time Education Level Not Speci...
  • 4/21/2024 12:00:00 AM

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AVP Head of National Markets
  • Pacific Life Insurance Company
  • Newport Beach, CA
  • Job Description: Providing for loved ones, planning rewarding retirements, saving enough for whatever lies ahead - our p...
  • 4/21/2024 12:00:00 AM

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Overhead Crane: Project Manager
  • American Equipment
  • Anaheim, CA
  • Job Type Full-time Description American Equipment Holdings, is one of the leading overhead crane solutions providers in ...
  • 4/21/2024 12:00:00 AM

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Store Manager - Orange, CA
  • Rockler Companies, Inc.
  • Orange, CA
  • Join the Rockler Woodworking Family! Come work for an industry leader! Rockler Companies, Inc. is a growing national ret...
  • 4/21/2024 12:00:00 AM

Anaheim (/ˈænəhaɪm/) is a city in Orange County, California, part of the Los Angeles metropolitan area. As of the 2010 United States Census, the city had a population of 336,265, making it the most populous city in Orange County and the 10th-most populous city in California. Anaheim is the second-largest city in Orange County in terms of land area, and is known for being the home of the Disneyland Resort, the Anaheim Convention Center, and two major sports teams: the Anaheim Ducks ice hockey club and the Los Angeles Angels baseball team. Anaheim was founded by fifty German families in 1857 and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Top Risk Management Executive jobs
$326,920 to $566,271
Anaheim, California area prices
were up 3.2% from a year ago

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