Insurance and Claims

  • Search
  • Advanced Search
Job TITLE Job LOCATION DATE Posted
CLAIMS PROCESSOR Grade 6Oakland, California05/17/2012
Sr Workers' Compensation ExaminerOakland, California05/11/2012
Worker's Compensation ExaminerOakland, California05/08/2012
OccuptlHealth\WC CrdOakland, California12/01/2011

Recent Kaiser Permanente Jobs

Sr Workers' Compensation Examiner - Oakland, CA
Description: Manages complex and litigated workers compensation indemnity claims requiring considerable judgment, independent analysis, and detailed knowledge. Acts in lead capacity in claims unit.Essential Functions:- Supervises administrative clerks and claims assistant, including the distribution of work, coaching, and performance evaluations.- Acts as claims manager in the claims managers' absence.- Reviews and approves work of ex...
Reference Code: 130060
Worker's Compensation Examiner - Oakland, CA
Description: Manages workers compensation indemnity claims from inception to closure or reassignment which do not exceed specified aggregate reserves per claim.Essential Functions:- Makes determination to accept, delay, or deny claims based upon valid medical, factual, or statutory reasons.- Determines probable monetary value of case and assigns appropriate reserves; reviews reserves regularly to ensure adequacy.- Assigns claims for i...
Reference Code: 130079
CLAIMS PROCESSOR Grade 6 - Oakland, CA
Description: Essential Functions:- Review, evaluate and screen Health Plan claims for completeness, accuracy and conformity to established policies and procedures.- Make payment or denial decisions in accordance with policy and procedures of Health plan Claims Department.- Authorize payments of claims in an amount based on authorization level guidelines.- Review and evaluate complex claims involving Medicare, contracts, other insuranc...
Reference Code: 111188

Join the Conversation

Kaiser Permanente

    ©2012 Kaiser Permanente