Workers Compensation Claims Consultant CNAWorkers Compensation Claims ConsultantPlacentia, CaliforniaPerforms a combination of duties in accordance with departmental guidelines: Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages. Negotiates highly complex settlement packages, and authorizes payment within scope of authority, settling claims in most cost effective manner and ensuring timely issuance of disbursements.
Account Representative - USC Care MSO CBO - Full Time 8 Hour Days (Non-Exempt)(Non-Union) University of Southern CaliforniaAccount Representative - USC Care MSO CBO - Full Time 8 Hour Days (Non-Exempt)(Non-Union)CA$26–$41.28 / hourWhen extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. The organization encompasses 17 clinical departments, with approximately 1,500 physicians and 2,000 staff delivering care across more than 80 locations from Kern County to Orange County and into Las Vegas.
Claims Specialist II Mercury Insurance CompanyClaims Specialist IILos Angeles, CA$44,466–$77,881 / yearBodily Injury Claims Management: Analyze medical records to evaluate, negotiate, and settle moderate bodily injury claims with legal counsel for represented claimants and unrepresented parties. If you're passionate about helping people restore their lives when the unexpected happens, and providing high-quality customer experiences, then our Mercury Insurance Claims team could be the place for you!
Biller - Claims & Denials - Full-Cycle Biller CPSIBiller - Claims & Denials - Full-Cycle BillerCAEssential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Coordinates business office functions and personnel that may include, but is not limited to patient billing, credit and collections, and data entry. Responsible for assisting manager in the management of employees which would include coaching, training and performing necessary disciplinary actions including following up on action plans for their employees.
Claims Field Senior Property Adjuster AAAClaims Field Senior Property AdjusterValencia, California$80,100–$107,000 / yearWith our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team. The starting pay range for this position is: $80,100.00 - $107,000.00 Additionally, for full time positions, you will be eligible to participate in our incentive program based upon the achievement of organization, team and personal performance.
Claims Counsel, Cml, Public Companies Sompo InternationalClaims Counsel, Cml, Public CompaniesLos Angeles, CA$125,000–$175,000 / yearStrong cross-functional collaboration (underwriting/actuarial), communication/marketing, and analytical/writing/organizational skills; strong MS Office and claims systems experience (Guidewire/Genius/ImageRight a plus). Salary Range: $125,000-$175,000 Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience.
Claims Counsel, Cml, Private Companies Sompo InternationalClaims Counsel, Cml, Private CompaniesLos Angeles, CA$125,000–$175,000 / yearStrong cross-functional collaboration (underwriting/actuarial), communication/marketing, and analytical/writing/organizational skills; strong MS Office and claims systems experience (Guidewire/Genius/ImageRight a plus). Salary Range: $125,000-$175,000 Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience.
Claims Counsel, CML, Private Companies Sompo International Holdings LimitedClaims Counsel, CML, Private CompaniesLos Angeles, CA$125,000–$175,000 / yearStrong cross-functional collaboration (underwriting/actuarial), communication/marketing, and analytical/writing/organizational skills; strong MS Office and claims systems experience (Guidewire/Genius/ImageRight a plus). Salary Range: $125,000-$175,000 Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience.
NewClaims Assistant HCC Life InsuranceClaims AssistantLos Angeles, CA$20.26–$27.85 / hourWe offer competitive compensation, great benefits, a hybrid schedule, and the strength, stability, growth, and profitability that comes from being a member of the Tokio Marine Group of Companies. Tokio Marine HCC - Surety Group, a member of the Tokio Marine Group of Companies, has an opportunity for a Claims Assistant at our office in downtown Los Angeles.
Coordinator Scheduling - Beverly Hills - IM Endo Cl - Full Time 8 Hour Days (Non-Exempt) (Union) University of Southern CaliforniaCoordinator Scheduling - Beverly Hills - IM Endo Cl - Full Time 8 Hour Days (Non-Exempt) (Union)Beverly Hills, CA$22–$37.40 / hourHe/She closely monitors patients throughout various phases to assure completion of required testing and services, validating financial clearance for services being scheduled, providing stellar customer service when interfacing with patients in person and over the phone to establish appointments, alerting clinicians when patient testing is complete or when patients are non-compliant in completing medical services, coordinating collection of testing results and provider notes, coordinating care with ancillary departments as needed. Process new referrals in a timely manner; this includes obtaining required outside medical records, entering demographic information into computer systems, provides medical records to physician / multidisciplinary team for review, provides insurance information to financial counselor for patient to be financially cleared, and schedule patient in clinic.
Associate Claims Counsel (Hybrid) First American Financial CorpAssociate Claims Counsel (Hybrid)Santa Ana, CA$85,000–$113,300 / yearFirst 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. What You'll Do: Investigate the facts and issues of the claim, determine whether coverage exists, evaluate loss under the title policy, assess defenses for the insured and/or the company, determine need to retain outside counsel, develop and carry out a plan to address the claim and manage the claim and/or litigation through to final resolution.
NewClaims Assistant HCC Life Insurance CompanyClaims AssistantLos Angeles, CA$20.26–$27.85 / hourWe offer competitive compensation, great benefits, a hybrid schedule, and the strength, stability, growth, and profitability that comes from being a member of the Tokio Marine Group of Companies. Tokio Marine HCC - Surety Group, a member of the Tokio Marine Group of Companies, has an opportunity for a Claims Assistant at our office in downtown Los Angeles.
Complex Claims Consulting Director - Healthcare Severity & Excess team CNA Financial CorpComplex Claims Consulting Director - Healthcare Severity & Excess teamLos Angeles, CA$97,000–$189,000 / yearCNA is a market leader in insuring Healthcare providers and entities including Allied Healthcare Facilities, Aging Services and Allied Healthcare Providers, including nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists, and more than 100 other categories of medical service providers. This role is responsible for analyzing complex coverage matters, driving claim resolution, managing complex litigation including risk transfer opportunities, advising leadership on legal and claim risks, and partnering with Underwriting and other business units on emerging trends and portfolio management.
Workers' Compensation Claims Specialist WeDriveU, Inc.Workers' Compensation Claims SpecialistCAThis role serves as the primary point of contact for workers' compensation claims administration, ensuring claims are proactively handled from initial reporting through closure while minimizing claim costs, supporting injured employees, maintaining regulatory compliance, and identifying opportunities for continuous improvement. The Workers' Compensation Claims Specialist is responsible for coordinating WeDriveU's national workers' compensation claims program in partnership with third-party administrators (TPAs), insurance carriers, legal counsel, and internal business partners.
Front Office Clerk JWCH Institute IncFront Office ClerkPalmdale, CAUtilize the AIDET communication framework to communicate with patients and team members in a manner that reduces patient anxiety, increases patient compliance, and improves clinical outcomes. The Front Office Clerk is responsible for the financial screening of all clients for state certification of eligibility, reception area duties, responding to client questions, and providing directions to clients.
NewClaims Assistant Tokio Marine HCCClaims AssistantLos Angeles, CaliforniaWe offer competitive compensation, great benefits, a hybrid schedule, and the strength, stability, growth, and profitability that comes from being a member of the Tokio Marine Group of Companies. Tokio Marine HCC – Surety Group, a member of the Tokio Marine Group of Companies, has an opportunity for a Claims Assistant at our office in downtown Los Angeles.
Assistant Claims Adjuster - Workers' Compensation GpacAssistant Claims Adjuster - Workers' CompensationLong Beach, CA50000–75000Instead, the Assistant Claims Adjuster serves as a liaison between the insured, insurance carriers, and claims adjusters to ensure clear communication, timely follow-up, and exceptional client service throughout the life of each claim. We are seeking a detail-oriented and customer-focused Assistant Claims Adjuster to support the management of Workers' Compensation claims for a select group of commercial clients.
Vice President Business Development Venbrook Group LLCVice President Business DevelopmentCAReporting to the Head of Sales, the VP will serve as a key member of the claims leadership team, owning the end-to-end sales strategy and go-to-market execution across TPA services, complex claims management, independent adjusting, catastrophe services, and SIU. This leader will build and manage a business development team, establish strategic partnerships, represent Venbrook Claims in the market, and collaborate closely with operations, marketing, and executive leadership to position the organization for sustained, scalable growth.
Claims Supervisor Hankey Group ExternalClaims SupervisorLos Angeles, CaliforniaThe exact starting compensation to be offered will be determined at the time of selecting an applicant for hire and will be dependent on a wide range of factors, including but not limited to geographic location, skill set, experience, education, credentials, and licensure when applicable. We are looking for a candidate with a minimum of 8 years of experience in claims who can bring leadership, expertise, and dedication to our team.
Claims Consultant -Life Sciences Intact InsuranceClaims Consultant -Life SciencesAnaheim, CA$143,000–$167,000 / yearSpecial consideration will be given to candidates who have personally litigated life sciences matters as attorneys and possess firsthand experience developing litigation strategy, managing scientific and expert evidence, conducting depositions, participating in trial preparation, and evaluating product liability and professional liability exposures from both the litigation and insurance claims perspectives. Ability to independently interpret specialty insurance policies, identify coverage issues, formulate coverage positions, draft reservation of rights and declination letters, evaluate exposure, establish reserves, manage litigation, and clearly articulate coverage positions verbally and in writing.