Medical Claims Resolution Specialist Kinetic Personnel GroupMedical Claims Resolution SpecialistOrange, CA$25–$31 / hourTemporaryA full time permanent position includes a pay raise, telecommute options, a CalPERS Pension and excellent government benefits including generous holiday, PTO and sick pay days off, year one! Job duties: Addresses provider inquiries, questions, and concerns in all areas including enrollment, claims submission and payment, benefit interpretation, and referrals/authorizations for medical care.
Claims Specialist Next Insurance IncClaims SpecialistCARemote$100,000–$143,000 / yearLeverage a working knowledge of insurance contracts, Unfair Claims Settlement Practices, insurance codes, civil codes, vehicle codes, arbitration rules and regulations, tort law, claims best practices handling and management as part of your ongoing adjudication of claims. High degree of comfort with navigating sometimes ambiguous environments and a willingness to dive in and assist coworkers with workloads or contribute to organizational needs/projects when needed.
Staff or Senior Staff Attorney, Workers'''' Compensation The Hartford Insurance Group IncStaff or Senior Staff Attorney, Workers'''' CompensationBrea, CA$118,800–$198,600 / yearAs a Staff Attorney/Senior Staff Attorney in The Hartford's Workers' Compensation group, you'll own a California WC defense caseload end to end-partnering closely with claims professionals to set strategy, evaluate exposure, and drive thoughtful, timely resolutions. About The Hartford: With more than 200 years of experience, The Hartford has helped protect customers through challenging times with a focus on integrity and service-and has been recognized by Ethisphere as one of the World's Most Ethical Companies (multiple years).
Litigation Paralegal Jacoby and MeyersLitigation ParalegalLos Angeles, CARemote$30–$38 / hourSpecializing in all types of accident claims, including automobile, motorcycle, bicycle, Uber/Lyft, or trucking accidents, slip and falls, dog bites, construction accidents and other wrongful conduct, the attorneys at Jacoby & Meyers have recovered over a billion dollars for their clients' personal injury and wrongful death claims caused by the negligence of a third party. Maintain and update case management software to ensure accurate case tracking, documentation, and workflow efficiency.
Collections Representative AxelonCollections RepresentativeLos Angeles, CA$28–$32 / hourDocument billing activity, claim details, expected reimbursement, payments, and account actions clearly and accurately. Submit required supporting documentation, including authorizations, medical records, consent forms, and payer-specific forms.
Senior Claims Assistant BP&CSenior Claims AssistantLos Angeles, CaliforniaUnder limited supervision, provide complex clerical support utilizing in-depth procedures on assignments of higher-level complexity to a nationwide team of claims adjusters and aide in facilitating timely and accurate management of claims by entering stop/cancel/release of checks, processing cash receipts, work check exceptions, and completion of complex state forms. This role is responsible for providing robust clerical support to our team of Claims Adjusters working across a wide variety of specialties and providing exceptional customer service to our brokers, claimants, and insureds.
Claims Specialist Elite SourcingClaims SpecialistCosta Mesa, CaliforniaYou will be responsible for investigating and evaluating property damage claims arising from automobile accidents, working closely with the demands team and clients to ensure fair compensation for damages. Investigate property damage claims involving auto accidents, including reviewing police reports, witness statements, and damage assessments.
NewSenior Complex Claims Specialist EMC Insurance Group Inc.Senior Complex Claims SpecialistCA$103,954–$149,372 / yearServes as the subject matter expert on highly complex coverage issues impacting assigned claims, seeks assistance when needed or appropriate, issues coverage correspondence, and takes coverage into account when setting reserves and driving claims towards resolution. Reviews and communicates comprehensive evaluations of assigned claims presenting serious injuries (such as fatality, amputation, loss of sight, burns, paraplegia, quadriplegia, sex abuse, etc.), intellectual property claims, and claims with exposures of $750,000 or greater.
Claims Assistant MSIG HoldingsClaims AssistantLos Angeles, California$45,000–$55,000 / yearThe Claims Assistant provides administrative and operational support to the Claims team, ensuring timely and accurate processing of claim-related documentation, regulatory notices, and correspondence. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business’s unique risks.
Associate Bond Claims Attorney HCC Service CompanyAssociate Bond Claims AttorneySanta Ana, California$85,400–$117,500 / yearAs an insurance company, however, we must comply with certain Federal and state laws such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e)), which limits our ability to employ individuals with certain types of criminal convictions. After making a conditional offer and running a background check, if the Company is concerned about a conviction that is directly related to the job, you will be given the chance to explain the circumstances surrounding the conviction or challenge the accuracy of the background report.
Associate Bond Claims Attorney HCC Life InsuranceAssociate Bond Claims AttorneySanta Ana, CA$85,400–$117,500 / yearAs an insurance company, however, we must comply with certain Federal and state laws such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e)), which limits our ability to employ individuals with certain types of criminal convictions. After making a conditional offer and running a background check, if the Company is concerned about a conviction that is directly related to the job, you will be given the chance to explain the circumstances surrounding the conviction or challenge the accuracy of the background report.
Senior Claims Specialist Your Next CareerSenior Claims SpecialistSanta Fe Springs, CaliforniaEnsure the timely logging of all new claims (delegate to Claims Assistant if necessary) and timely reporting to our Insurance Carrier, with guidance by the Dir of Risk Management. Recognized as the 2026 “Top Hispanic Supermarket in the U.S.” by Abasto, we are committed to serving our customers, supporting our communities, and creating growth opportunities for our team members.
NewWorkers Compensation Claims Examiner TEEMA GroupWorkers Compensation Claims ExaminerChino, CA$93,000–$104,000This role requires strong technical expertise, sound judgment, and the ability to handle highly complex indemnity claims within established authority limits. This is a highly interactive role requiring regular communication with clients, claimants, attorneys, medical providers, and internal stakeholders.
Claims Litigation Specialist Next Insurance IncClaims Litigation SpecialistCARemote$106,000–$143,000 / yearThe candidate must be a highly skilled Claims Specialist who can handle a range of complex cases, including Bad Faith claims, documented cases of daycare abuse/molestation, fatalities involving coverage issues, and construction defect cases involving multiple parties and complex contractual issues. Previous experience in handling complex claims, particularly in the areas of Bad Faith, daycare abuse/molestation, fatalities with coverage issues, and construction defect cases involving multiple parties and complex contracts.
NewClaims Learning Consultant EMC Insurance Group Inc.Claims Learning ConsultantCA$78,726–$108,771 / yearWorking closely with leaders and subject matter experts, you'll develop training solutions, support key business initiatives and system enhancements, and drive continuous improvement through learner feedback and data insights. As a Claims Learning Consultant, you'll make a direct impact on the success of Claims team members by designing and delivering engaging learning programs that build technical, system, and professional capabilities.
Senior Claims Examiner W. R. Berkley CorpSenior Claims ExaminerIrvine, CA$110,000–$125,000 / yearThis role actively supports and participates in the company's culture of continuous learning and innovation, including engagement in innovation groups focused on identifying opportunities for process improvement, enhancement, and transformational change. Key functions include but are not limited to: Adjust all aspects of complex claims and loss notices, including coverage and compensability analysis, reserve setting, reinsurance reporting, and coverage litigation.
Claims Administrative Specialist The Doctors CompanyClaims Administrative SpecialistSherman Oaks, CA$46,436–$60,947 / yearYou will also provide clerical, administrative, and technical assistance to the assigned claims staff; maintain specific, timely, accurate coding and file updates to support data warehouse searches for claims processing and TDC research projects. Benefits: The Doctors Company offers competitive compensation, an incentive bonus plan, outstanding career opportunities, an exceptional work environment, and an impressive benefits package, which starts with medical, family and bereavement leave; same-sex domestic partner benefits; short- and long-term disability programs; and an employee assistance program.
Claims Specialist, Design Professional AXA SAClaims Specialist, Design ProfessionalLos Angeles, CA$88,500–$154,900 / yearEnsuring all documentation is present in the claim file and ensuring that Claims Handler Guidelines and protocols are followed Maintaining high-quality relationships with insureds and brokers through frequent contact and responsiveness to their needs, including promptly reviewing contracts for insurability when requested. Proactively managing Design Professional liability claims across multiple jurisdictions, including initial review, coverage evaluation, developing resolution strategies, and ensuring ongoing communication with stakeholders and claims management to achieve the best outcome for the insured and AXA XL.
Analyst III, Epic Application Professional Billing and Claims Pacific Dental Services IncAnalyst III, Epic Application Professional Billing and ClaimsIrvine, CA$103,000–$133,000 / yearOwns highly complex projects, such as multi-module implementations or enterprise-wide systems upgrades; leads medium-scale projects, including scoping, design, implementation, testing and go-live support. This role ensures accurate and efficient billing workflows, claim generation, and revenue cycle operations by collaborating with finance, billing, and operational teams.
Claims Examiner - Workers Compensation eTeam Inc.Claims Examiner - Workers CompensationLong Beach, CA$45–$50 / hourPRIMARY 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. 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.