Workers Compensation Claim Representative Associate The Travelers CompaniesWorkers Compensation Claim Representative AssociateDiamond Bar, CA$52,600–$86,800 / yearAs an Associate Claim Rep, Workers Compensation, you will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals. The actual salary 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.
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.
Provider Network Specialist Independent Living Systems LLCProvider Network SpecialistGlendale, CABuilds and maintains positive, professional relationships with contracted and subcontracted providers by supporting provider engagement initiatives, serving as a trusted liaison, addressing provider concerns, and promoting provider satisfaction through responsive and collaborative service. Collaborates effectively with Operations, Clinical, Quality, Compliance, Credentialing, Care Management, Claims, Provider Network, and other cross-functional teams to support organizational objectives, provider success, and high-quality member care.
Complex Claims Consultant , Medical Malpractice And Dental CNA Financial Corp.Complex Claims Consultant , Medical Malpractice And DentalIrvine, CA$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Workers Compensation Claims Specialist, Complex & Settlement Focus CNA Financial Corp.Workers Compensation Claims Specialist, Complex & Settlement FocusIrvine, CA$54,000–$103,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
Shelter Program Manager (On-Site) COALITION TO ABOLISH SLAVERY AND TRAFFICKINGShelter Program Manager (On-Site)Los Angeles, CAFull timeESSENTIAL DUTIES Program Coordination/Development: Assist in coordinating and overseeing the Transitional Shelter Program and ensure results are adequately captured• Ensure quality and performance of all shelter programming; • Coordinate and oversee day-to-day operations at shelter to ensure optimal results and compliance with strategy and deliverables; • Oversee intake and exiting of clients from the program, including assessing appropriateness for intake and readiness for transitional housing program, or other longer-term housing; • Oversee development of individualized service plans and responsibilities for each client and monitor/work with Shelter Case Manager and Assistant Case Manager to ensure that plans are followed and adjusted as needed; • Provide crisis intervention and conflict resolution to clients and as support to shelter staff; • Develop and manage specialized services and workshops, house meetings, or other life skills development activities; • Oversee daily hotline services at the shelter programs. • Assist Associate Director of Equitable Housing develop, implement and lead a vision for the housing program that is culturally sensitive, holistic and rooted in the principles of trauma informed care • Assist Associate Director of Equitable Housing Identify Opportunities for growth, which will include housing support, vocational training and supplemental support for survivors within all the Housing ProgramsREQUIREMENTS Individual must be organized, flexible, capable of multi-tasking, and able to identify and respond to shifting priorities.
NewMgr, Plan Partnerships Pacific Dental Services IncMgr, Plan PartnershipsIrvine, CA$103,000–$133,000 / yearThe Mgr, Plan Partnership manages strategic relationships with dental and medical insurance payors to support reimbursement performance, operational efficiency, provider experience, and patient access. This role partners closely with internal teams and health plan contacts to resolve issues, support contract initiatives, and advance overall payer strategy.
Sr. Fraud Investigation Associate Hyundai Capital America, Inc.Sr. Fraud Investigation AssociateIrvine, CAFraud Investigation Associate is responsible for working closely with management as well as Operations (Servicing, Collections, Credit/ Funding), Legal, law enforcement and our dealers to coordinate research and investigate fraudulent or suspicious activities related to Fraud, irregular dealer activity and other auto finance irregularities or potential misrepresentations. In addition, this position investigates, gathers and analyzes facts, and supports culpability determination, including drafting dealer buyback demands, requesting proper approvals, and maintaining required follow-up activities through receipt of payments.
Property Outside Claim Representative The Travelers Companies IncProperty Outside Claim RepresentativeDiamond Bar, CA$67,000–$110,600 / yearDetermines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters. Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first-party property claims under a variety of policies.
Denials Representative Insight GlobalDenials RepresentativeTorrance, CA$28–$32 / hourFull timeThe Denials Representative works closely with hospital revenue cycle and collections teams, identifies denial trends, and reports findings to leadership to help improve reimbursement processes and reduce future denials. This role researches denial reasons, contacts insurance companies, submits appeals, and follows up on outstanding claims until payment is received.
Child and Adolescent Psychiatrist Sensible CareChild and Adolescent PsychiatristLos Angeles, CARemoteIf you are a passionate and dedicated Child and Adolescent Psychiatrist excited to make a difference in the lives of children, adolescents, and adults, we would love to talk to you! Sensible Care is committed to serving our clients and empowering our providers and the multitude of teams who support our providers.
Patient Account Representative - Commercial Claims Guidehouse IncPatient Account Representative - Commercial ClaimsEl Segundo, CA$38,000–$64,000 / yearCompensation 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. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com.
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.
Associate Bond Claims Examiner HCC Life InsuranceAssociate Bond Claims ExaminerLos Angeles, CA$29.44–$40.46 / hourTokio Marine HCC - Surety Group, a member of the Tokio Marine Group of Companies, has an exciting opportunity for an Associate Claims Examiner position on-site at our office in Los Angeles, California. We are looking for motivated individuals to join our team of highly skilled claims examiners who are part of a successful division that specializes in surety bond business.
E-Commerce Customer Support Specialist (HYBRID) InBodyE-Commerce Customer Support Specialist (HYBRID)Cerritos, CAFull timeYou will be responsible for managing customer inquiries, resolving complex issues, supporting technical troubleshooting, coordinating returns and warranty claims, and maintaining proactive customer engagement. From class-leading body composition analyzers to user-friendly automated blood pressure monitors, our goal is to equip health and wellness professionals with the tools they need to help clients and communities improve their well-being.
Insurance Product Development Manager Hyundai Capital AmericaInsurance Product Development ManagerIrvine, CaliforniaThis role will be responsible for helping to develop new products and features, manage relationships (with OEMs, Sales, Legal and other stakeholders), project approvals and communication, business process improvement, project management and claims management across all HCI and OEM programs. 1. Relationship Management: Own touchpoints with key stakeholders (internal and external) including sales, OEMs, marketing, legal/compliance, etc., which includes meeting management, minutes, action items, and reporting.
Accounts Receivable Representative IV AltaMed Health Services CorpAccounts Receivable Representative IVCommerce, CA$25–$29.32 / houris concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report. Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations.
Pharmacy Technician CVS HealthPharmacy TechnicianBurbank, CaliforniaProduction: Produces prescriptions in accordance with WeCare workflow SOPs, including but not limited to accurate product selection, counting, labeling, photographing, and bagging prescriptions (where applicable) under Pharmacist supervision; follows inventory management best practices (such as utilizing the return-to-stock vial first and dispensing in manufacturer packaging when able) while in production to improve pharmacy inventory excellence. Contributing to positive patient experiences by Helping With Heart: creating heartfelt and personalized moments while serving patients at pick-up, drive-thru, and over the phone; keeping patients healthy by offering immunizations and other services at the register and over the phone; and demonstrating compassionate care by solving or escalating patient problems.
Bilingual Personal Injury Case Manager/Legal Secretary CbBilingual Personal Injury Case Manager/Legal SecretaryLos Angeles, California$28–$32 / hourPersonal Injury Pre-Litigation Case Manager (Bilingual Spanish/English) Location: Encino, CAJob Type: Full-TimePractice Area: Plaintiff-Side Personal Injury Overview We are seeking an experienced Personal Injury Pre-Litigation Case Manager to join our growing plaintiff-side personal injury practice. This role requires a self-sufficient professional who can manage a full pre-litigation caseload from intake through settlement in a fast-paced environment.
Bilingual Personal Injury Senior Case Manager/Paralegal CbBilingual Personal Injury Senior Case Manager/ParalegalLos Angeles, California$35–$40 / hourPersonal Injury Pre-Litigation Case Manager (Bilingual Spanish/English) Location: Encino, CAJob Type: Full-TimePractice Area: Plaintiff-Side Personal Injury Overview We are seeking an experienced Personal Injury Pre-Litigation Case Manager to join our growing plaintiff-side personal injury practice. This role requires a self-sufficient professional who can manage a full pre-litigation caseload from intake through settlement in a fast-paced environment.