Claims Quality Auditor University of CaliforniaClaims 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.
Senior Claim Examiner I, CA AmTrust Financial Services, Inc.Senior Claim Examiner I, CATBD, California$49–$54 / hourFull timeSalaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations . Your ability to effectively interact with insureds, claimants, and their legal representatives will be essential in driving timely settlements while adhering to AmTrust’s mission, vision, and values.
Outside Property Claim Representative TravelersOutside Property Claim RepresentativeDiamond Bar, California$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.
NewClaim Professional Development Program Internship (CPDP Intern) The Travelers Companies IncClaim Professional Development Program Internship (CPDP Intern)Diamond Bar, CA$25–$26 / hourThe Travelers Claim Intern program provides qualified candidates an excellent opportunity to gain first-hand business experience, receive valuable on-the-job training, contact clients, determine coverage, scoping of losses and completing damage estimates. The actual hourly rate for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
NewClaim Professional Development Program Internship (CPDP Intern) TravelersClaim Professional Development Program Internship (CPDP Intern)Diamond Bar, California$25–$26 / hourThe Travelers Claim Intern program provides qualified candidates an excellent opportunity to gain first-hand business experience, receive valuable on-the-job training, contact clients, determine coverage, scoping of losses and completing damage estimates. The actual hourly rate for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
NewAuto Damage Claim Representative The Travelers Companies IncAuto Damage Claim RepresentativeDiamond Bar, CA$55,200–$91,100 / yearLeverage all internal and external resources to conduct thorough investigations to gather all relevant facts accurately document findings in the claim management system and maintain accurate records of claim activity in claim management systems. Manage auto physical damage claims from first notice of loss through resolution and settlement, handling low to moderate complexity cases, including total loss evaluations and vehicle repair oversight.
Analyst, Configuration Oversight COB (Edit Reviews)/Claims/QNXT/ Root Cause analysis Molina Healthcare IncAnalyst, Configuration Oversight COB (Edit Reviews)/Claims/QNXT/ Root Cause analysisCAThis includes but not limited to; deep dive contract review and targeted claim audits related to accurate and timely implementation and maintenance of critical information on all claims and provider databases, validate data housed on databases and ensure adherence to business and system requirements of stakeholders as it pertains to provider contracting, network management, credentialing, benefits, prior authorizations, fee schedules, and other business requirements critical to claim accuracy. Experience independently reviewing and processing simple to moderately complex High dollar claims and knowledge of all claim types of reimbursements not limited to payment methodologies such Stoploss, DRG, APC, RBRVS, FFS applicable for HD Inpatient, Outpatient and Professional claims.
Worker Compensation Adjuster -Glendale, CA AVONRISKWorker Compensation Adjuster -Glendale, CAGlendale, CAOur Mission:To 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. Our Goal:To be recognized as the most trusted and innovative partner in providing Claims and Managed Care solutions that are tailored to the specific needs of our clients.
Public Adjuster Allied Public AdjustersPublic AdjusterGlendale, CA$65,000–$100,000 / yearYou'll advocate for policyholders in appraising and negotiating their claim throughout the process, starting by inspecting losses and producing defensible estimates alongside a Public Adjuster, then building toward independently owning smaller, routine claims with structured guidance and oversight along the way. Ability to walk and stand for extended periods and perform physical movements such as bending, stooping, kneeling, crouching, twisting, and reaching while conducting property inspections.
Insurance Account Position - State Farm Agent Team Member Nate Nguon - State Farm AgentInsurance Account Position - State Farm Agent Team MemberTustin, CAFull timeIn this role, you will leverage your expertise in insurance products and industry trends to connect with clients, identify their needs, and convert leads into long-term customer relationships. ROLE DESCRIPTION: Nate Nguon Ins and Fin Svc Inc - State Farm Agency (Tustin, CA) is seeking a driven and competitive Insurance Producer to join our team.
Auto Collision Estimator Auto Collision Group, Inc.Auto Collision EstimatorGardena, CAFull timeA Collision Estimator is responsible for accurately and efficiently appraising vehicle damages to determine the cost of repairs for the customer or insurance companies: · Writes complete estimates/supplements in accordance with company and insurance guidelines with an emphasis on repairing versus replacing parts. A typical work day for an estimate writer includes inspecting damaged vehicles, consulting guide books for repair costs and creating estimation documents.
NewAccount Manager Gelfand, Rennert and FeldmanAccount ManagerLos Angeles, California$80,000–$120,000 / yearWith approximately 40 Managing Directors and more than 700 professionals, GRF provides comprehensive financial and advisory services across the music, film, television, sports, literary, and broader entertainment industries, as well as multi-family office services for ultra-high-net-worth individuals and families. Blending deep expertise and expansive resources with a boutique, client-first fiduciary philosophy, Focus helps individuals, families, and institutions navigate complex financial situations with highly personalized solutions tailored to their unique needs.
Customer Service Representative - State Farm Agent Team Member Daniel Andrade - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberOak Park, CAFull timeAs a Customer Service Representative - State Farm Agent Team Member with Daniel Andrade - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. We stay actively involved in the community by supporting programs within the Oak Park School District and contributing to local initiatives that make a difference for families.
Customer Service Representative - State Farm Agent Team Member Morton Roberts - State Farm AgentCustomer Service Representative - State Farm Agent Team Memberculver city, CAFull timeAs a Customer Service Representative - State Farm Agent Team Member with Morton Roberts - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Auto Damage Adjuster (Field) GEICO GENERAL INSURANCE COMPANYAuto Damage Adjuster (Field)Santa Ana, CA$36.63–$57.49 / hourAs an experienced Adjuster, you should have a minimum of 12 months of Auto Damage experience and demonstrated a track record of success delivering excellent customer service while promptly and accurately settling claims. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations.
Director Insurance IT M&A - Due Diligence, Integration and Separation KPMG International CooperativeDirector Insurance IT M&A - Due Diligence, Integration and SeparationLos Angeles, CA$195,415–$370,530 / yearDemonstrated success in leading high-impact IT-focused Mergers and Acquisitions projects with expertise in at least systemintegration/separation, platform migration, IT architecture modernization,outsourcing of IT operations, or regulatory technology implementation; advancedprogram management skills, with the capacity to oversee large, complex projectsand deliver strategic insights to executive audiences; familiarity withleveraging AI-powered platforms for due diligence, synergy analysis, andintegration/separation planning is a significant plus. Strong strategic thinking and leadershipabilities with experience developing and executing IT strategies that alignwith business objectives; proven ability to lead and mentor cross-functionalteams; experience developing and executing go-to-market strategies and drivingbusiness growth in the Mergers and Acquisitions space, including client relationship managementand engagement in business development activities.
Brand Strategy Manager Match Group IncBrand Strategy ManagerLos Angeles, CA$130,000–$143,000 / yearOperating within a highly collaborative global research ecosystem, you will focus purely on surfacing brand and marketing opportunities, working complementarily alongside our dedicated Product Research and Match Group Portfolio teams to ensure maximum impact without overlap. Cultural Insights & Trend Spotting: Develop cultural foresight reports specific to Tinder's audience - identifying emerging trends, evolving social norms, and emergent youth cultures relevant to Tinder's brand and users, enabling proactive strategic planning.
NewRevenue Cycle Director for Multi Practice DSO Children's Dental FunZoneRevenue Cycle Director for Multi Practice DSOWest Covina, CA$25–$40 / hourRequirements •* 3+ years of dental billing experience, including 1+ years in a supervisory or management capacity•* Experience in a multi-location or DSO/MSO dental environment•* Knowledge of Medicaid/Denti-cal, dental insurance processes, CDT codes, and claims/appeals workflows•* Experience with billing/reporting tools such as Excel or practice analytics dashboards•* Experience with dental practice management software Dentrix Ascend•* Excellent organizational and analytical skills, with the ability to manage billing operations •* Strong leadership and communication skills; experience training and developing a team•* High attention to detail and a commitment to accuracy and compliance. Children's Dental FunZone is a growing pediatric dental group with locations across Southern California, dedicated to providing a fun, welcoming, and clinically excellent dental experience for kids and families.
ML Ops Enterprise Architect Farmers Group, Inc.ML Ops Enterprise ArchitectLos Angeles, CARemote$166,725–$283,250 / yearProven experience leading and delivering enterprise-wide architectural initiatives that resulted in measurable business outcomes (example, cost savings, improved agility, reduced risk) required. Oversee ML/AI related Kubernetes cluster management and provide guidance on alternative ML/AI workflow orchestration options such as Argo vs Kubeflow, and ML/AI data pipeline creation, management and governance with tools like Airflow.
Billing Specialist LA Medicaid ACADIAN INCBilling Specialist LA MedicaidLos Angeles, CAAcadian Ambulance has an immediate opening for a full-time Billing Specialist to work with our Acadian Client Services team in Lafayette, LA. Ability to establish and maintain working relationships with coworkers and patients.