Claim Examiner- WC TPI Global (formerly Tech Providers, Inc.)Claim Examiner- WCBrea, CAEstablish 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.
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.
Claims Coordinator RiversideClaims CoordinatorRiverside, CaliforniaAs the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. Ensure that uploading photos, and other documents are appropriately described, titled and uploaded in real time, as well as follows up to get missing required data from homeowner and insurance/mortgage information not obtained on initial call.
Lead Labor Claim Technician Advanced Innovative Technology CorpLead Labor Claim TechnicianRedlands, CaliforniaBeyond the technical work, you’ll help shape the day-to-day success of the team by managing workflow, mentoring and developing team members, and collaborating with leadership to resolve challenges and keep operations running smoothly. We are more than just a parts supplier; we are a full-service partner to the industry’s largest distributors and retailers, known for our 100% brand-new CV Axles, Drive Shafts, and Window Regulators.
NewWorkers Compensation Claims Examiner TEEMA GroupWorkers Compensation Claims ExaminerChino, CA$93,000–$104,000This role requires strong technical expertise, sound judgment, and the ability to handle highly complex indemnity claims within established authority limits. This is a highly interactive role requiring regular communication with clients, claimants, attorneys, medical providers, and internal stakeholders.
NewPersonal Insurance Associate General Adjuster / General Adjuster - CA/AZ The HartfordPersonal Insurance Associate General Adjuster / General Adjuster - CA/AZBrea, ArizonaThe successful Associate General Adjuster candidate will plan, recommend, reserve and execute the investigation, valuation, disposition and settlement of large personal insurance property claims in a manner consistent with corporate claim settlement policies and procedures and statutory, regulatory and ethics requirements throughout the United States as appropriate. The successful General Adjuster candidate will plan, recommend, reserve and execute the investigation, valuation, disposition and settlement of large Personal Insurance property claims in a manner consistent with corporate claim settlement policies and procedures and statutory, regulatory and ethics requirements throughout the United States as appropriate.
Senior Claims Specialist, Workers Compensation Tokio Marine GroupSenior Claims Specialist, Workers CompensationPasadena, CaliforniaWe provide unique insurance and risk management tools from our experienced staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals. Tokio Marine has been conducting business in the U.S. market for over a century and we are licensed in all states, Puerto Rico and the District of Columbia, and write all major lines of Commercial Property and Casualty Insurance.
Subrogation Specialist Argo Group International Holdings Ltd.Subrogation SpecialistLos Angeles, CA$78,250–$92,250 / yearThe position reports to the SVP, Specialty Claims located in San Antonio and is focused on adjudicating subrogation of auto and workers' compensation claims using specialized knowledge to evaluate liability in order to pursue, negotiate and resolve subrogation claims. Essential Responsibilities: Working under technical direction and within significant limits and authority, adjudicate subrogation auto and workers' compensation claims of higher technical complexity, with a direct impact on departmental results.
Marine Claims Analyst MCD Tokio Marine GroupMarine Claims Analyst MCDLos Angeles, CaliforniaTM Claims Service (TMCS) is an independent global claims management firm established in 1987 to provide clients with a broad range of claims related services in the areas of transportation, product liability and overseas travel accident insurance. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law.
NewNational Complex Claims Leader Marsh & McLennan Companies IncNational Complex Claims LeaderIrvine, CARemote$93,700–$174,800 / yearReporting to the SVP, National Claims Director, you will serve as a senior resource and technical authority on complex and high-exposure claims, bringing deep expertise, strategic judgment, and a national perspective to drive resolution on complex, high-stakes commercial P&C claim situations across the organization. In this capacity, you will build and maintain strong relationships with national and regional leadership, industry vertical leaders, and Marsh Risk, ensuring MMA clients receive best-in-class advocacy at every level.
Sr. Manager - Claims Delegation Audit Astrana Health IncSr. Manager - Claims Delegation AuditMonterey Park, CAThis role will be responsible for the development and execution of department strategies, overall Audit program, Audit process optimization, and management, identifying and leveraging technology and data to improve the quality and minimizing process cost of Claims. The position alongside the leadership team will contribute to driving strategic planning, operational excellence, and accuracy of the claims process and ensure compliance with regulations and contract requirements for Medicare, Commercial Exchange, and Medicaid service lines.
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)Los Angeles, CaliforniaHe/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. 3. 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.
Claims Specialist Diversity Caree HubClaims SpecialistOrange, CaliforniaManage medical malpractice claims, including the assignment, direction, and control of defense counsel, under supervision and in compliance with the Claims Technical Manual, the Defense Attorney Guidelines, and the MPT Agreement. Minimum five years of medical malpractice claims management experience and/or three years CAP claims experience.
Senior Manager, Claims Adjustments Mitchell MartinSenior Manager, Claims AdjustmentsLos Angeles, CA$117,509–$152,762 / yearBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. • This role involves managing complex workflows, ensuring compliance, and leading a team to drive performance.
New#8813.00 JPA Claims Services Manager - California Schools Joint Powers Authority, San Bernardino San Bernardino County Superintendent of Schools#8813.00 JPA Claims Services Manager - California Schools Joint Powers Authority, San BernardinoSan Bernardino, CA$176,388.08–$198,743.04 / yearMINIMUM QUALIFICATIONS •Possession of a Bachelor's Degree; •Four (4) years experience in workers' compensation claims handling, claims supervision or workers' compensation brokerage claims service, including supervision of staff; •Three (3) years experience developing, analyzing and preparing workers' compensation statistical claim data; •Two (2) years experience facilitating professional development workshops and trainings. The San Bernardino County Superintendent of Schools office acts as an intermediate service agency between the California Department of Education and the 33 school districts in San Bernardino County to help meet the educational needs of all children county-wide.
Associate Attorney The AdvocatesAssociate AttorneyLos Angeles, California$120,000–$200,000 / yearLos Angeles Office Growth: Work alongside firm leadership to help establish and develop The Advocates' presence in Los Angeles, including contributing ideas, identifying opportunities, and helping build a strong local reputation. Our Pacific Coast team includes more than 20 personal injury attorneys, along with experienced legal assistants, paralegals, and support staff who share a deep commitment to guiding clients through some of the most difficult periods of their lives.
Dental Receptionist Family Health Care Centers of Greater Los Angeles, Inc.Dental ReceptionistBell Gardens, CaliforniaFull timeOverview: “To enhance the quality of life for men, women and children in the greater Los Angeles area through the provision of high quality, accessible and affordable healthcare services.”. Medical Benefits - FHCCGLA pays 100% of employee’s Kaiser; Anthem Blue Cross; Health Net; and United Health Care coverage (HMO Plan) subject to change during open enrollment.
Fractional Customer Service (Claims) Manager Silva-Lining HRFractional Customer Service (Claims) Managerlos Angeles, CARemoteSilva-Lining HR is seeking a Fractional Customer Service (Claims) Manager for a client to oversee and optimize the end-to-end claims process, ensuring timely resolution, operational efficiency, and exceptional customer experience. Lead project management efforts for claims resolution, including task delegation and coordination with internal team members, vendor partners, shipping providers, and repair services.
Sr. Manager - Claims Astrana Health IncSr. Manager - ClaimsMonterey Park, CAYou'll partner closely with internal teams, resolve escalations, and coach a team of claims professionals to deliver compliant, efficient, and accurate outcomes in a fast‑paced environment. In this role, you'll oversee daily claims processing, drive quality and turnaround time performance, and support the onboarding of new IPAs and implementations.
Field Case Manager Remote Los Angeles, San Diego, Temecula, CA Charles TaylorField Case Manager Remote Los Angeles, San Diego, Temecula, CALos Angeles, CaliforniaRemoteMaintains a working a knowledge of up-to-date medical information including but not limited to medications, procedures, equipment, therapies, treatments, their uses, contraindications, side effects, etc. and provides research information to adjusters to assist with determinations of medical necessity and appropriateness. The Field Case Manager position is responsible for assessing and analyzing information pertinent to injured employees to evaluate the medical and vocational needs required to facilitate the patient’s rehabilitation in order to promote appropriate and timely return to work.