Workers' Compensation Claims Manager jobs in Anaheim, CA

Workers' Compensation Claims Manager manages accountabilities in the administration of first and third party worker's compensation claims. Manages domestic and/or international claim management strategies critical to the organization's success. Being a Workers' Compensation Claims Manager is responsible for reporting, investigation, and analysis; litigation management; resolution/outcome management; and the delivery of claim information. Manages litigated and moderately complex claims and is entrusted with significant settlement authority. Additionally, Workers' Compensation Claims Manager creates and develops relationships with claims adjusters, insurers, outside legal counsel, and other claims related parties. Directs workers' compensation claims policies and procedures within the claim information analysis. Requires a bachelor's degree. Typically reports to a head of a unit/department. The Workers' Compensation Claims Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Workers' Compensation Claims Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Workers Compensation Claims Adjuster (San Bernadino)
  • Elite
  • Chino, CA FULL_TIME
  • POSITION SUMMARY:  Candidate must have a SIP for CA. Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines. 

    DUTIES AND RESPONSIBILITIES:
     
    • Effectively manages a caseload of 150 to 180 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.  Directs and manages as appropriate. 
    • Communicates with claimants, providers and vendors regarding claims issues.
    • Computes and set reserves within Company guidelines.  Limits are larger than those allowed for Claims Adjuster I and Claims Adjuster II.
    • 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 independently.
    • Other duties as assigned.

    QUALIFICATIONS REQUIRED:
    Education/Experience:  Bachelor’s degree in related field (preferred); five (5) or more years CA Workers compensation claims 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. Candidate must have a SIP for CA

    Here are some of the benefits you can enjoy in this role:
    • Medical, Dental, Vision, Disability & Life insurance
    • 401(k) plan
    • Paid time off.
    • Paid holidays.
  • 7 Days Ago

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California Workers Compensation Claims Specialist Opportunities!
  • Crawford & Company
  • Brea, CA OTHER
  • Excellence In Everything We Touch We are always searching for Workers Compensation Claim Examiners in the California region to join our awesome team! The purpose of this ad is to inform potential cand...
  • 1 Month Ago

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California Workers Compensation Claims Specialist Opportunities!
  • Crawford & Company
  • Brea, CA FULL_TIME
  • California Workers Compensation Claims Specialist Opportunities! Requisition ID 2023-23742 Job Locations US-CA-Brea Position Type Permanent Full Time Category Claims Business Unit BUS_TPA US Excellenc...
  • 27 Days Ago

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Claims Examiner-Workers Compensation (1305276) - REMOTE-CA-(38951)
  • IOS Staffing
  • Brea, CA CONTRACTOR,FULL_TIME
  • TITLE: Claims Examiner - Workers Compensation (1305276 ) REMOTETERMS 4/1-7/2 -3 month contract Or longerLOCATION: REMOTE IN CA AREA HOURS: 8-5Hourly Rate: $50.00 Hourly Remote in CAMust have updated C...
  • 29 Days Ago

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Workers’ Compensation – Case File Manager - Bilingual Chinese
  • SCOTT WARMUTH A PROFESSIONAL CORPORATION
  • Industry, CA FULL_TIME
  • Workers’ Compensation – Case File Manager – Trilingual – English, Mandarin, Cantonese San Gabriel, CA About Us The Law Offices of Scott Warmuth is committed to five core values: Excellence, Commitment...
  • 7 Days Ago

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Workers’ Compensation – Case File Manager - Bilingual Chinese
  • SCOTT WARMUTH A PROFESSIONAL CORPORATION
  • City of Industry, CA FULL_TIME
  • Workers’ Compensation – Case File Manager – Trilingual – English, Mandarin, CantoneseSan Gabriel, CAAbout UsThe Law Offices of Scott Warmuth is committed to five core values: Excellence, Commitment, P...
  • 8 Days Ago

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0 Workers' Compensation Claims Manager jobs found in Anaheim, CA area

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Safety Manager
  • Environmental Construction Group, Inc.
  • Long Beach, CA
  • SAFETY MANAGER Position Summary This position is responsible for mitigating risk and promoting safety and wellness progr...
  • 4/23/2024 12:00:00 AM

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Safety Consultant
  • Bbsi Santa Ana
  • Santa Ana, CA
  • Our focus is business owners. Is yours? Everything we do at BBSI is in support of business owners. We facilitate convers...
  • 4/22/2024 12:00:00 AM

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California Workers Compensation Claims Specialist Opportunities!
  • Crawford & Company
  • Brea, CA
  • Excellence In Everything We TouchWe are always searching for Workers Compensation Claim Examiners in the California regi...
  • 4/22/2024 12:00:00 AM

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Human Resources Generalist
  • Natures Flavors
  • Orange, CA
  • Job Description Job Description We are currently seeking a talented Human Resources Generalist who will plan, lead, mana...
  • 4/21/2024 12:00:00 AM

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Manager, HR Business Partner (Bilingual in Korean)
  • Pulmuone Foods USA Inc.
  • Fullerton, CA
  • Job Description Job Description Company Overview Pulmuone’s mission is a company that creates a healthy future for peopl...
  • 4/20/2024 12:00:00 AM

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California Workers Compensation Claims Specialist Opportunities!
  • Crawford & Company
  • Brea, CA
  • Excellence In Everything We Touch We are always searching for Workers Compensation Claim Examiners in the California reg...
  • 4/20/2024 12:00:00 AM

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Safety Specialist
  • Supra National Express Inc.
  • Carson, CA
  • Job Description Job Description This position reports to the Safety Manager and is responsible for the safety and traini...
  • 4/20/2024 12:00:00 AM

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Human Resource Manager-La Mirada, CA
  • US Foods, Inc.
  • La Mirada, CA
  • ESSENTIAL DUTIES AND RESPONSIBILITIES Ensure a genuine safety culture that fosters employee well-being through engagemen...
  • 4/19/2024 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 Workers' Compensation Claims Manager jobs
$94,656 to $122,279
Anaheim, California area prices
were up 3.2% from a year ago

Workers' Compensation Claims Manager in Rockford, IL
The title of Nurse Case Manager is the most frequently used name for the role, but like workers’ comp adjusters are sometimes referred to as claim examiners, there are other names for the NCM. In some insurance companies the role is referred to as the “workers compensation case manager” or “injury management facilitator” or “field case manager” (FCM) if most of the work is done away from the office, or “telephonic case manager” (TCM) if the work is done in the office by using the telephone.
December 07, 2019
Workers' Compensation Claims Manager in Mcallen, TX
The Division contracts with a third-party administrator for the processing of state employees’ workers’ compensation claims through a managed-care framework that includes a provider network and pharmacy management. The Division’s staff monitors the work done by the administrator and acts as a liaison between state employees, the third party administrator, and medical providers.
February 08, 2020
Workers' Compensation Claims Manager in Salt Lake City, UT
Some employers will have workers fill out an incident report, while others will be satisfied with just a simple written or emailed notification.
January 27, 2020