Technical Claims Specialist, Workers Compensation - West Region Liberty Mutual Holding Company IncTechnical Claims Specialist, Workers Compensation - West RegionOrange, CAHas developed high level of knowledge of Workers Compensation claims handling techniques, a full knowledge of LMG claims procedures and is cognizant of new industry trends and claim handling techniques Uses available data to track claims trends and other claim related metrics. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role.
Workers Compensation Claims Examiner - Orange, CA Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner - Orange, CAOrange, CARemote$80,000–$105,000 / yearPRIMARY 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. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Workers Compensation Claims Examiner | Must Reside In CA Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | Must Reside In CABrea, CARemote$80,000–$105,000 / yearPRIMARY 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. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Workers'''' Compensation Claims Examiner | CA WC Experience Required Sedgwick Claims Management Services, Inc.Workers'''' Compensation Claims Examiner | CA WC Experience RequiredCARemote$80,000–$105,000 / yearPRIMARY PURPOSE OF THE ROLE To analyze complex or technically difficult California 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. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Litigation & Claims Manager Brookfield Residential Properties ULCLitigation & Claims ManagerCosta Mesa, CA$115,000–$145,000 / yearAs part of Brookfield - one of the largest alternative asset managers in the world - we harness our resources to bring a fresh approach, unparalleled creativity, relentless innovation, and sound Sustainability practices to the planning, development, and management of buildings everywhere. The Manager will participate in mediations, arbitrations, and trials as a company representative, oversee the collection and production of documentation for litigation and discovery, maintain comprehensive litigation files, and manage related invoices, settlements, and expenses.
Health Claims Examiner Ultimate Staffing ServicesHealth Claims ExaminerPasadena, California$23–$27 / hourCommunicate professionally with members and providers to address inquiries, follow up on pended claims, and complete necessary corrections or adjustments. Strong working knowledge of medical terminology, billing practices, and coding systems, including CPT, ICD-9/ICD-10, HCPCS, DRG, and revenue codes.
Healthcare Claims Examiner Ultimate Staffing ServicesHealthcare Claims ExaminerEl Monte, California$25–$28 / hourResearch and resolve claim discrepancies, including making payment corrections, recovering overpayments, and reprocessing claims as needed. Evaluate claims for potential fraud, waste, abuse, Workers' Compensation, hospital-acquired conditions, and third-party liability; escalate issues appropriately.
Healthcare Claims Analyst Ultimate Staffing ServicesHealthcare Claims AnalystPasadena, California$56,000–$62,000This role handles claims processing, inbound customer inquiries, eligibility and benefits research, issue resolution, process improvement, and staff training while delivering exceptional customer service. Seeking an experienced customer service and claims professional to support participants, providers, and healthcare partners.
NewWorkers Compensation Claims Team Lead Sedgwick Claims Management Services, Inc.Workers Compensation Claims Team LeadCA$66,000–$95,000 / yearTo supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. Supervises multiple teams of examiners, multiple product line examiners and/or several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit.
NewOperations Analyst - National Claims (Hybrid in CA) First American Financial CorpOperations Analyst - National Claims (Hybrid in CA)Santa Ana, CAFirst American reasonably believes that a criminal history may have a direct, adverse and negative relationship with the following material job duties for this position potentially resulting in the withdrawal of the conditional offer of employment: handling of confidential, proprietary or trade secret information belonging to First American or its customers, administrating or facilitating financial transactions, and the ability to meet customer-imposed criminal history requirements. This position supports title claims and claims-adjacent intake operations across multiple locations and serves as a key partner to senior leadership by providing operational support, audit coordination, advanced reporting, and systems optimization.
NewWC Claim Associate I LevelUP CCMSIWC Claim Associate I LevelUPIrvine, CaliforniaRemoteIn simple terms: you’ll learn how to help employees who are injured at work navigate the claim process, communicate with people involved, gather information, document decisions, and keep things moving forward—accurately, timely, and with care. At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.
NewWorkers' Compensation Claim Supervisor CCMSIWorkers' Compensation Claim SupervisorIrvine, CaliforniaRemote$90,000–$105,000 / yearThe California Workers' Compensation Claim Supervisor oversees the investigation, adjustment, and supervision of assigned claims while leading a team responsible for multiple client accounts, including photography, PEO, tree trimming, and extermination industries . Responsibilities: At CCMSI, we seek supervisors who are strong people leaders, understand the impact every claim has on an individual's livelihood, hold themselves and their teams accountable, and view challenges as opportunities to develop talent and drive excellence.
Workers' Compensation Claim Representative II CCMSIWorkers' Compensation Claim Representative IIIrvine, CaliforniaRemote$60,000–$80,000 / yearResponsibilities: When we hire Workers’ Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust. At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.
Claim Assistant - Workers Compensation (On-Site Ontario, CA) Sedgwick Claims Management Services, Inc.Claim Assistant - Workers Compensation (On-Site Ontario, CA)Ontario, CA$18–$20 / hourMental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
NewSr Claim Examiner- WC Abacus Service CorporationSr Claim Examiner- WCBrea, CALocation Client Location Country: United States State/Province: California City: Brea Address: 675 Placentia Avenue, Suite 350, CA0001 POSTAL CODE: 92821 Work Location Same as Client Location Other Client Location Work Completed Offsite Schedule Start Date: 08/31/2026 Hours Per Week: 40.00 Est. Department: 06040 | SRMS | R0036 | BUS: RM Fresno - 06040 Job Category: Claims Job Code: Sr Claim Examiner- WC:BS0160 Job Title: Sr Claim Examiner- WC Keywords: Number of Positions: 1 Remaining Positions: 1 Duties: Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
Cash/Claims Processor GlobalchannelmanagementCash/Claims ProcessorWhittier, CaliforniaCash/Claims Processor duties: Manage the flow of processes completed by Cash Processors to ensure all cash is applied in a timely manner to outstanding invoices and provide Cash Supervisor for daily updates. Train associates on how to process transactions, which include researching and applying cash for both Payers and Members, Provide a point of contact for any questions/issues regarding Cash for other areas of Assignment.
Claim Specialist - Property Field Inspection State FarmClaim Specialist - Property Field InspectionIrvine, CA$64,965.62–$104,056 / yearCompetitive candidates should reside within one of the listed zip codes and will service this same territory: 92602, 92606, 92614, 92701, 92705, 92706, 92707, 92780, 92782, 92807, 92808, 92861, 92862, 92865, 92866, 92867, 92868, 92869, 92886, 92887 . With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
NewSr Claim Examiner-WC (CA) Crawford & CoSr Claim Examiner-WC (CA)Brea, CARemoteTo determine the actual offer, Crawford considers a wide range of factors including the candidate's previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours. Work within established authority on moderate-to-difficult claims, reviewing coverages, determining liability/compensability, collecting statements and essential information, and settling claims using best practices.
NewSr Claim Examiner- WC TPI Global SolutionsSr Claim Examiner- WCBrea, CARemoteEstablish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost-effective manner and ensuring timely issuance of disbursements. Duties: Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
Claiming Analyst - Revenue Cycle Management Hathaway-SycamoresClaiming Analyst - Revenue Cycle ManagementLos Angeles, CA$23–$26 / hourUse internal communication to track admissions across all programs, in order to accurately create and open consumers financial profile in both EHRS and IBHIS.In collaboration with eligibility worker, research and resolve consumer eligibility issues. In collaboration with Claiming and Revenue Manager, claim, track and monitor invoice/EDI claims to other funding entities to ensure timely submission.