LTD Case Specialist (Hourly) Sedgwick Claims Management Services, Inc.LTD Case Specialist (Hourly)West Hills, CA$26.55–$30 / hourPRIMARY PURPOSE: To analyze claims and determine benefits due ensuring compliance with plan provisions; to determine need for outside vendors, surveillance, and/or independent medical evaluations; to negotiate settlements and to make claim payments and revisions within designated authority level; and to calculate and collect overpayments. 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.
LTD Case Specialist Sedgwick Claims Management Services, Inc.LTD Case SpecialistWest Hills, CA$26.55–$31 / hourPRIMARY PURPOSE: To analyze claims and determine benefits due ensuring compliance with plan provisions; to determine need for outside vendors, surveillance, and/or independent medical evaluations; to negotiate settlements and to make claim payments and revisions within designated authority level; and to calculate and collect overpayments. 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.
Associate Claims Adjuster, Workers Compensation Liberty Mutual Holding Company IncAssociate Claims Adjuster, Workers CompensationLos Angeles, CARemoteAs an Associate Claims Adjuster, you will develop the knowledge and skills needed to conduct thorough investigations, make decisions about liability / compensability, evaluate losses, negotiate settlements and manage an inventory of commercial property/casualty and disability claims by participating in a comprehensive training program, one-on-one mentoring, and on-the-job training. Investigates new claims by reviewing first reports of loss and supporting materials, determines the best first point of contact (claimants, customers, witnesses, etc.) to gather information regarding injuries or loss refers tasks to auxiliary units as necessary and posts file accordingly.
Garage Bodily Injury Claims Adjuster Argo Group International Holdings IncGarage Bodily Injury Claims AdjusterLos Angeles, CA$86,000–$101,500 / yearQualifications / Experience Required: A practical knowledge of commercial claims, as well as an exceptional customer service focus typically achieved through: • A minimum of two years experience adjudicating first and third party commercial Garage Bodily Injury claims. Essential Responsibilities: • Working under technical direction and within significant limits and authority, adjudicate Garage Bodily Injury claims of higher technical complexity with a direct impact on departmental results.
Medical Biller Family Health MattersMedical BillerAnaheim, CA$22–$25 / hourExperience with: o Medi -Cal PPS billing o T1015 encounter billing o Managed care wrap payments o Medicare FQHC billing o Safety -net population billing (preferred) Knowledge & Skills • Strong understanding of: o HRSA FQHC billing guidelines o PPS methodology o CPT, ICD -10, HCPCS coding o Revenue cycle management • Experience with EHR and practice management systems. • Ensure correct use of FQHC billing codes, including: o Revenue code 0521 o T1015 (FQHC encounter code) o Appropriate CPT/HCPCS codes • Verify encounters meet billable visit criteria under HRSA and Medi -Cal guidelines.
Sr P&C Data Scientist Argo Group International Holdings IncSr P&C Data ScientistLos Angeles, CA$92,000–$138,000 / yearOperating with a high level of independence and accountability, the role partners closely with pricing actuaries, underwriting, claims, distribution, product, and IT professionals to translate business questions into analytical solutions, implement models into pricing workflows, and monitor performance over time. Farm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage.
Workers Compensation - Team Lead | Long Beach, CA Sedgwick Claims Management Services, Inc.Workers Compensation - Team Lead | Long Beach, CALong Beach, CAMental: 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. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Sr. Training Consultant (IAP) - Workers Compensation | California Residents Sedgwick Claims Management Services, Inc.Sr. Training Consultant (IAP) - Workers Compensation | California ResidentsCA$90,000–$110,000 / yearEight (8) years of claims management experience or equivalent combination of education and experience to include two (2) years of supervisory experience, one (1) year training experience (including presentations), and two (2) years Microsoft related products experience required. 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.
Lead Medical Biller Skilled Wound CareLead Medical BillerLos Angeles, CA$25–$27 / hourThis role requires advanced expertise in the end-to-end claims lifecycle, ensuring maximum revenue capture through accurate, compliant, and timely submission of medical claims across all payer types (private, government, and third-party). Payment Reconciliation: Analyze and interpret all Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs), confirm accurate payment posting, and manage all necessary claim appeals for underpaid or denied services.
Claims Examiner, General Liability Claims GallagherClaims Examiner, General Liability ClaimsTorrance, CaliforniaRemoteFull timeThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Behaviors: Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
Claims Adjuster - Attorney Represented Injury The Progressive CorpClaims Adjuster - Attorney Represented InjuryWoodland Hills, CA$30.29–$39.23 / hourAn ideal candidate will have experience managing an inventory independently, experience assessing and evaluating liability, coverage, and damages, as well as working independently and directly with attorneys to negotiate and settle claims. For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ .
Claims Resolution Specialist Southern California EdisonClaims Resolution SpecialistRosemead, CAVisit our Candidate Resource (https://www.edisoncareers.com/page/show/candidate-resources) page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more! + Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advises as to proper course of action.
Regional Manager Avenue5 ResidentialRegional ManagerLos Angeles, CaliforniaWe’re looking for a talented regional manager who will be responsible for the overall operations of several properties, ensuring the efficient operations, overseeing vendor contracts and maintenance, lease administration, monthly reporting and ensuring a positive experience for the residents, associates and property owners in conjunction with the property leadership team. Responds to escalated resident complaints and issues and serve as liaison to residents and corporate office regarding the administration of common area maintenance and the enforcement of landlord rules and regulations.
HR Generalist Los Angeles Regional FoodbankHR GeneralistLos Angeles, CA$77,000–$87,000 / yearTo fulfill our mission, we source and acquire nutritious food and other products and distribute them to people experiencing nutrition insecurity through our partner agency network and directly through programs; energize the community to get involved and support hunger relief; and conduct hunger and nutrition education and awareness campaigns and advocate for public policies that benefit the people we serve. Manages a variety of HR projects and initiatives; considers creative solutions, working closely with other teams to drive innovation in problem-solving; thorough knowledge in the areas of Employee/Labor Relations, Legal Compliance, and Employee Safety.
NewTechnical Data Analyst Argo Group International Holdings Ltd.Technical Data AnalystLos Angeles, CA$111,384–$132,498 / yearQualifications / Experience Required: A working knowledge of the claims business environment in order to effectively discuss and prioritize reporting needs through: A minimum of five years' experience focused on data and compliance in a claims environment or other equivalent experience working with data gathering and analysis. Prior experience with data profiling software is required, specifically: Ability to read, understand and develop SQL code / MS SQL Server / Oracle / Snowflake (experience with Python is new required but definitely considered a plus).
Auto Damage Adjuster (Field) GEICO GENERAL INSURANCE COMPANYAuto Damage Adjuster (Field)Los Angeles, 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.
Technical Data Analyst Argo Group International Holdings IncTechnical Data AnalystLos Angeles, CA$111,384–$132,498 / yearQualifications / Experience Required: A working knowledge of the claims business environment in order to effectively discuss and prioritize reporting needs through: A minimum of five years' experience focused on data and compliance in a claims environment or other equivalent experience working with data gathering and analysis. Must have good business acumen (i.e. understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers' ability to be profitable).
Account Associate - State Farm Agent Team Member Paul Major - State Farm AgentAccount Associate - State Farm Agent Team MemberLos Angeles, CAFull timeROLE DESCRIPTION: As Account Associate for Paul Major - State Farm Agent, you are vital to our daily business operations and customers’ success. You help grow our office through meaningful customer relations and acting as a liaison between customer needs and agency departments.
Account Associate - State Farm Agent Team Member Allen Sarafyan - State Farm AgentAccount Associate - State Farm Agent Team MemberEncino, CAFull timeROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Allen Sarafyan - State Farm Agent, you are vital to our daily business operations and customers’ success. You grow our agency through meaningful client relations and acting as a liaison between customer needs and agency departments.
Account Associate - State Farm Agent Team Member Jose Olguin - State Farm AgentAccount Associate - State Farm Agent Team MemberLong Beach, CAFull timeROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Jose Olguin - State Farm Agent, you are vital to our daily business operations and customers’ success. We are located in Long Beach, CA and help customers with their insurance and financial services needs, including: Auto insurance.