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Remote Disability Claims Trainee Jobs in Riverside, CA

Corvel

CA Senior Claims Specialist

Rancho Cucamonga, CA · Remote

$29.35 - $47.28/hr

This is a remote position but candidate must reside in California. Candidate must be bilingual and ... disability management industries. CorVel was founded in 1987 and has been publicly traded on the ...

Jobot

Litigation Attorney (Remote)

Irvine, CA · On-site +1

$170K - $180K/yr

Experience working with insurance carriers and insurance-related claims is a plus. * Strong legal ... and over), disability, military status, genetic information or any other basis protected by ...

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · Remote

$30.64 - $45.80/hr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ... Ability to interface with claims staff, attorneys, physicians and their representatives, as well as ...

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All JobsDisability Claims JobsRemote Disability Claims Trainee JobsRemote Disability Claims Trainee Jobs in Riverside, CA

Remote Disability Claims Trainee information

What is the difference between Remote Disability Claims Trainee vs Remote Disability Claims Specialist?

AspectRemote Disability Claims TraineeRemote Disability Claims Specialist
CredentialsEntry-level, often requires high school diploma or equivalent; some roles may prefer related courseworkTypically requires relevant certifications or experience in claims processing or insurance
Work EnvironmentTraining programs, supervised tasks, learning-focusedIndependent claims processing, decision-making, client interaction
Job ResponsibilitiesAssisting with claims, learning procedures, data entryEvaluating claims, making determinations, communicating with claimants

The Remote Disability Claims Trainee is an entry-level role focused on learning and assisting in claims processing, often under supervision. In contrast, the Remote Disability Claims Specialist handles more independent decision-making and claims evaluation, requiring relevant experience or certifications. The trainee position is ideal for those starting in the industry, while the specialist role is suited for experienced professionals.

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For Remote Disability Claims Trainee jobs in Riverside, CA, the most frequently searched job titles are:

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Cities near Riverside, CA with the most Remote Disability Claims Trainee job openings:

Remote Disability Claims Trainee jobs near you

Claims Examiner - Workers Compensation

Apidel Technologies

Ontario, CA • Remote

$33.25 - $45.25/hr

Full-time

Re-posted 7 days ago

Job description

Duties:
Manager\'s note:
Remote in CA.
Experience - min 3 years of experience is needed. Public entity and County of Los Angeles Experience is a plus.
SIP is mandatory.
Shift timings: 8:00 4:30
Primary Purpose:
To analyze complex or technically difficult workers\' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
Essential Functions And Responsibilities
Analyzes and processes complex or technically difficult workers\' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Negotiates settlement of claims within designated authority.
Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.
Prepares necessary state fillings within statutory limits.
Manages the litigation process; ensures timely and cost effective claims resolution.
Coordinates vendor referrals for additional investigation and/or litigation management.
Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
Ensures claim files are properly documented and claims coding is correct.
Refers cases as appropriate to supervisor and management.
Additional Functions And Responsibilities
Performs other duties as assigned.
Supports the organization\'s quality program(s).
Travels as required.
Skills:
Qualification
Education & Licensing
Bachelor\'s degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
Experience
Five (5) years of claims management experience or equivalent combination of education and experience required.
Skills & Knowledge
Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Good interpersonal skills
Excellent negotiation skills
Ability to work in a team environment
Ability to meet or exceed Service Expectations
Work Environment
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental:
Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical:
Computer keyboarding, travel as required
Auditory/Visual:
Hearing, vision and talking

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About Apidel Technologies

Sourced by ZipRecruiter

We understand that attracting, qualifying, placing, and retaining the best candidates for our clients requires exceptional talent. That’s why our highly skilled and dedicated recruitment team works tirelessly to develop lifelong associations with all candidates and clients. We prioritize helping our employees achieve their career goals while providing effective staffing solutions to our clients and candidates. At Apidel, we believe in simple yet established core values that are ingrained within each member of our team. These values are time and again illustrated in our approach to employees, candidates, and clients. Our unwavering belief that our core values of integrity, client satisfaction, innovation, and intellect distinguish us from our competitors is what drives us forward. We remain focused on improving and sustaining a measurable client satisfaction program that has created an organizational culture where our associates provide world-class service every day.

Industry

Recruiting and staffing services

Company size

501 - 1,000 Employees

Headquarters location

Plainfield, IL, US

Year founded

2012

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