Workers Comp Claims Advocate Hub InternationalWorkers Comp Claims AdvocateCulver City, CAThe expected salary range for this position is $100,000 - $110,000k depending on geographical location and will be impacted by factors such as the successful candidate's skills, experience and working location, as well as the specific position's business line, scope and level. While restaurant clients represent our primary focus (from white-glove establishments to fast-food operations), this role also involves supporting clients across various other industries.
Workers' Compensation Claims Specialist - Republic Indemnity Republic Indemnity Company of AmericaWorkers' Compensation Claims Specialist - Republic IndemnityWoodland Hills, California$91,080–$122,820 / yearScope of Job: Works within broad limits on highly complex assignments requiring specialized knowledge in breadth and/or depth within area of expertise. For over 50 years, Republic Indemnity has been a trusted partner for businesses across the western U.S., helping them effectively manage their workers' compensation costs.
Principal Claims Consultant Work location Any Arcadis offices in West Coast Arcadis NVPrincipal Claims Consultant Work location Any Arcadis offices in West CoastCA$130,000–$220,000 / yearIn this highly visible role, you'll leverage your industry network, market knowledge, and strategic business development expertise to identify opportunities, build client relationships, and expand our presence across transportation, infrastructure, water, energy, and buildings markets. Arcadis is seeking a Business Development Manager - Claims to lead the growth of our Claims, Disputes, and Change Management practice across the Western United States.
Claims Coordinator, PSA Collaborative SolutionsClaims Coordinator, PSASanta Ana, CaliforniaOur services span collectible trading cards, autographs, comic books, coins, video games, event tickets, and memorabilia. We grade, authenticate, vault, and sell millions of record-setting collectibles, all while modernizing and digitalizing the process to further our mission of helping collectors pursue their passions.
Claims Examiner Sr, Covered California CalOptimaClaims Examiner Sr, Covered CaliforniaOrange, CA$51,744–$72,441 / yearWe are hoping you will join us as a Claims Examiner Sr, Covered California and help shape the future of healthcare where you'll be an integral part of our Claims Administration team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.
Claims Examiner Sr CalOptimaClaims Examiner SrOrange, CA$51,744–$72,441 / yearWe are hoping you will join us as a Claims Examiner Sr and help shape the future of healthcare where you'll be an integral part of our Claims Administration team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.
Claims Examiner - Workers Compensation ICONMA, LLCClaims Examiner - Workers CompensationOrange, CARemote$47–$52 / hourSubject 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. 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.
Claims Quality Supervisor UCLA Health SystemClaims Quality SupervisorLos Angeles, CA$78,500–$163,600 / yearAs a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer. Provide direct supervision and guidance for Quality Control and Customer Service staff and provide developmental and training opportunities for team members.
Claims Analyst (Virtual, US/CAN) Allied Moving Services AustraliaClaims Analyst (Virtual, US/CAN)CARemote$45,000–$57,000 / yearClaims Analysts are responsible for managing customer expectation while performing a thorough investigation on the claim which includes but is not limited to reviewing customer correspondence, client contract terms, seeking information from all parties involved, assigning repair firms to assess the damages and complete repairs as needed while medicating cost. From corporate relocation and household goods to home sale and commercial moving and storage, our portfolio of brands (including Sirva, Allied, northAmerican, Global Van Lines, Alliance, and Sirva Mortgage) provide everything needed to move talent and deliver experience.
Claims Quality Auditor UCLA Health SystemClaims Quality AuditorLos Angeles, CA$31.51–$62.64 / hourAs a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer. You will review claims (paid, pending, and denied) for accuracy, appropriate application of benefits, authorization for services, contract interpretation, Division of Financial Responsibility (DOFR), and application/compliance with policies and procedures.
NewPatient Account Representative - Physician Claims GuidehousePatient Account Representative - Physician ClaimsEl Segundo, CA$34,000–$56,000 / yearThe Patient Account Representative has an extensive knowledge of billing, accounts receivable follow-up, timely filing guidelines and the ability to effectively review remittance advices and electronic billing reports from payer to determine the action required. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
Claims Adjustment Specialist UCLA Health SystemClaims Adjustment SpecialistLos Angeles, CA$32.42–$64.51 / hourThe Claims Adjustment Specialist analyzes and processes medical claim adjustments related to overpayments, underpayments, provider corrected claims, and reimbursement discrepancies. As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
Outside Property Claim Representative The Travelers CompaniesOutside Property Claim RepresentativeEl Monte, CA$67,000–$110,600 / yearAs a Claim Rep, Outside Property, you will be responsible for managing, inspecting, evaluating, negotiating, and settling 1st party property claims in a timely and accurate manner which includes performing in-person inspections at customers' residences and properties to accurately assess damages. Ideal locations include El Monte, San Gabriel, Rosemead, West Covina, Covina, Glendora, Azusa, La Puente, East Los Angeles, Montebello, Burbank, Simi Valley, Santa Clarita, and surrounding areas.
Claims Examiner - Workers Compensation (Hourly) ICONMA, LLCClaims Examiner - Workers Compensation (Hourly)Brea, CA$43–$48 / hourResponsibilities: 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. Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
Workers Compensation Claims Supervisor AVONRISKWorkers Compensation Claims SupervisorOrange, CATo be the leading third party administrator offering professional and technological resources through pro-active and aggressive claims and managed care solutions in support of our clients’ objectives. Competent and experienced individuals provide the human element needed to deliver good service and drives good outcomes.
Client Implementation Analyst - Healthcare Billing and Claims (Remote) Experian Information Solutions IncClient Implementation Analyst - Healthcare Billing and Claims (Remote)CARemoteExperian''s people first, inclusive and purpose driven culture is multi award-winning; World''s Best Workplaces 2025 (Fortune Global Top 25), Great Place To Work in 26 countries to name a few. Monitor accuracy and completeness of all assigned jobs· Provide technical support including testing, debugging, troubleshooting and implementing necessary program updates.
Supervising Veterans Claims Representative County of OrangeSupervising Veterans Claims RepresentativeOrange County, CA$70,220.80–$94,660.80 / yearThe ideal candidate will possess a minimum of two (2) years of work experience assisting the public in determining their eligibility and completing and submitting claim requests for public benefits programs (e.g., veterans' benefits, medical insurance benefits, unemployment benefits, disability benefits, and/or Social Security benefits, AND two (2) years of experience training, mentoring, leading or supervising staff. Assisting the Veterans Service Officer in the implementation and coordination of newly approved programs, participating in the planning and development of new veterans assistance programs and special projects in order to improve services to veterans.
Claims Quality Supervisor University of CaliforniaClaims Quality SupervisorLos Angeles, CA$78,500–$163,600 / yearAs a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer. Provide direct supervision and guidance for Quality Control and Customer Service staff and provide developmental and training opportunities for team members.
Claims Intake Coordinator University of CaliforniaClaims Intake CoordinatorLos Angeles, CA$26.42–$37.49 / hourAs a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer. Able to key between 6,000 to 8,000 keystrokes or type 40-50 WPM with high accuracy for alpha and numeric data inputting.
Claims Examiner Career AdvocatesClaims ExaminerLos Angeles, CaliforniaThe Claims Examiner will be responsible for researching and resolving pending claims, reviewing claim denials requiring manual review, and ensuring timely processing in compliance with policies, procedures, and regulatory guidelines. Assist in claims processing and report billing/error trends identified during reviews.