Product Manager - Claims & Payments Maven ClinicProduct Manager - Claims & PaymentsSan Francisco, CA$160,000–$185,000 / yearThrough Maven Enterprise, the company partners with more than 2,300 employers and health plans to provide end-to-end women's and family health programs spanning fertility and family building, maternity and newborn care, parenting and pediatrics, and menopause and midlife — improving clinical outcomes, reducing healthcare costs, and expanding equitable access to high-quality care at scale. Founded in 2014 by CEO Kate Ryder, Maven Clinic has raised more than $425 million from leading healthcare and technology investors including General Catalyst, Sequoia, Dragoneer Investment Group, Oak HC/FT, StepStone Group, Icon Ventures, and Lux Capital.
NewGroup Product Manager, Core TPA Claims CollectiveHealth IncGroup Product Manager, Core TPA ClaimsSan Francisco, CA$172,500–$215,625 / yearCross-Functional Influence: Enable deep connections between engineering, UX, sales, marketing, operations, and client success to ensure buy-in for complex initiatives and to surface critical market insights. Results-Oriented Delivery: Proactively solve complex architectural and business problems alongside your PMs to ensure the delivery of high-quality, compliant, and scalable healthcare products.
NewGroup Product Manager, Core TPA Claims CollectiveHealth, Inc.Group Product Manager, Core TPA ClaimsSan Francisco, CA$172,500–$215,625 / yearCross-Functional Influence: Enable deep connections between engineering, UX, sales, marketing, operations, and client success to ensure buy-in for complex initiatives and to surface critical market insights. Results-Oriented Delivery: Proactively solve complex architectural and business problems alongside your PMs to ensure the delivery of high-quality, compliant, and scalable healthcare products.
Senior Manager, Software Engineering - Claims CollectiveHealth IncSenior Manager, Software Engineering - ClaimsSan Francisco, CA$200,000–$250,000 / yearTechnical and People Leadership: Guide the team in building scalable, cloud-native backend services and integrations using our tech stack (Java/Spring Cloud, Kafka, AWS, Kubernetes, PostgreSQL) and Business Rules Management Systems (BRMS). Drive AI & Agentic Development: Lead the team''s adoption of AI-powered developer tools (e.g., GitHub Copilot, Cursor, WindSurf) and drive architectural decisions for building AI-native, Agentic solutions (utilizing tools like LangChain or Google ADK).
Electronic Data Interchange (EDI) Claims Assistant UCSF Medical CenterElectronic Data Interchange (EDI) Claims AssistantEmeryville, CAThe Electronic Data Interchange (EDI) Claims Assistant will work in the EDI unit and will be responsible for all aspects of EDI production for UCSF Health Patient Financial Services (PFS), Medical Group Business Services (MGBS), UCSF Benioff Children's Hospital Oakland (BCH Oakland), By the Bay Health, UCSF Physicians Group, Community Connect clinic, and Community Hospitals. The EDI production supports all electronic claim production to various payers and clearinghouses, including Medicare, Medi-Cal, Medi-Cal MC, Anthem Blue Cross, Blue Shield, Availity, Optum IEDI, Optum Exchange, Jopari, PNT, and Office Ally.
Inside Sales - Claims (Mandarin Required) ASUSTeK ComputerInside Sales - Claims (Mandarin Required)Fremont, CA$70,304–$71,400 / yearIn this role, you will partner closely with Sales, Product Management, Finance, and external customers to verify promotional documentation, resolve pricing and invoice discrepancies, coordinate claim resolution, and support the successful execution of channel programs. Essential Duties and Responsibilities: Serve as the primary liaison between ASUS Asia headquarters and North American Sales, Product Management, Finance, Accounts Receivable, and customers, ensuring timely communication and resolution of operational issues.
Senior Engineering Manager, Claims CollectiveHealth, Inc.Senior Engineering Manager, ClaimsSan Francisco, CA$200,000–$250,000 / yearTechnical and People Leadership: Guide the team in building scalable, cloud-native backend services and integrations using our tech stack (Java/Spring Cloud, Kafka, AWS, Kubernetes, PostgreSQL) and Business Rules Management Systems (BRMS). Drive AI & Agentic Development: Lead the team's adoption of AI-powered developer tools (e.g., GitHub Copilot, Cursor, WindSurf) and drive architectural decisions for building AI-native, Agentic solutions (utilizing tools like LangChain or Google ADK).
Property Claims Representative - Regional Insurance Carrier - Base Salary to 110k/year - San Jose, CA AllSearch Professional Staffing Inc.Property Claims Representative - Regional Insurance Carrier - Base Salary to 110k/year - San Jose, CASan Jose, CA$71,000–$110,000 / yearInvestigate property claims involving commercial & residential buildings, collapse, structural damage, earth movement, and total building losses. The Property Claims Representative will be responsible for technical claim-handling, including investigation, evaluation, and negotiations pertaining to Property, Collapse, Earth Movement and Total loss of buildings.
Claims Supervisor GallagherClaims SupervisorOakland, CaliforniaRemoteFull timeAbility to actively review work of others via file reviews; identify coaching opportunities, act on needed coaching opportunities and position subordinates for successful development leading to advancement within the organization. As part of Gallagher, a global leader in insurance, risk management, and consulting, you’ll be joining a team that’s passionate about helping individuals and organizations thrive.
Senior Claims Examiner, Workers' Compensation GallagherSenior Claims Examiner, Workers' CompensationPleasanton, CaliforniaRemote$75,000–$105,000 / yearFull 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 Examiner GallagherClaims ExaminerOakland, CaliforniaRemoteFull timeBehaviors: Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges. As part of Gallagher, a global leader in insurance, risk management, and consulting, you’ll be joining a team that’s passionate about helping individuals and organizations thrive.
Pharmacy Technician – Prescription Routing & Claims Support PHILPharmacy Technician – Prescription Routing & Claims SupportSan Francisco, CaliforniaRemoteUtilize reroute best practices for orders falling outside normal workflow, including orders with state changes, insurance exceptions, pharmacy rejections, or failed transfers. Company Overview: Founded in 2015, Phil is a San Francisco-based, Series D health-tech startup that is revolutionizing prescription access by streamlining how doctors, pharmacies, and patients interact.
NewClaims Specialist, Workers Compensation PCF Insurance ServicesClaims Specialist, Workers CompensationSan Francisco, CARanked as one of the fastest-growing companies in the U.S. for three consecutive years, we have more than 5,000 team members across 200 offices across the country, who actively, genuinely care about our clients, each other and the quality of our work, and in every interaction, represent a company that people want to work for and do business with. The Company does not (a) interview prospective candidates via instant message or group chat; (b) request banking or credit card information during the interview process; or (c) require candidates to purchase products or services or process payments on its behalf as a condition of any employment offer.
Complex Claims Consultant - Private & NFP D&O CNA Financial CorpComplex Claims Consultant - Private & NFP D&OSan Francisco, CA$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines 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.
Claims Examiner II North East Medical ServiceClaims Examiner IIBurlingame, CAESSENTIAL JOB FUNCTIONS: Perform the daily examination, auditing and adjudication activities to submitted hospital and professional claims based on established utilization criteria, Medi-Cal and/or Medicare guidelines, member's Evidence of Benefit, and policies and procedures outlined in the MSO Claims Manual. Responsible to prepare files and documents for the annual health plan delegation oversight audits, assist Claims Supervisor with MSO management reports, and other special projects as needed.
Claims Examiner I MSO North East Medical ServiceClaims Examiner I MSOBurlingame, CAESSENTIAL JOB FUNCTIONS: Perform the daily examination, auditing and adjudication activities to submitted professional claims based on established utilization criteria, Medi-Cal and/or Medicare guidelines, member's Evidence of Benefit, and policies and procedures outlined in the MSO Claims Manual. Identify claims payment errors and/or system configuration flaws during day-to-day operation, report to department manager/supervisor and MSO System Configuration team to correct/resolve them.
Senior Claims Examiner Commercial GL VenbrookSenior Claims Examiner Commercial GLSan Jose, CaliforniaAIC, AIM, ARM, CPCU) and/or insurance related courses are a plus• Experience working in claims management systems and strong knowledge of Microsoft applications (Outlook, Word, Excel, and PowerPoint). REQUIREMENTS• 6+ years of handling litigated auto and/or general liability property damage• Field investigation experience preferred• Public entity experience is a plus• College degree is preferred and a designation (e.g.
Claims Appraiser - Auto Estimatics State FarmClaims Appraiser - Auto EstimaticsFremont, California$73,824.56–$102,500 / yearFull timeWith 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! Additional Details: Employees must successfully complete all required training, including applicable proficiency, licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s).
Claims Process Specialist LancesoftClaims Process SpecialistOakland, CARemote$18Job duties include: Examine garnishments, levies, liens and information subpoenas to ensure accuracy, completeness and legal sufficiency. Claims include garnishments, levies, liens and information subpoenas received from creditors and taxing authorities.
Claims Specialist - Workers'''' Compensation (California) ICW GroupClaims Specialist - Workers'''' Compensation (California)Pleasanton, CA$78,678.61–$132,686.15 / yearHeadquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. Bachelor's degree (or equivalent combination of education and experience) required along with a minimum of 8 - 10+ years' related claims handling experience involving complex litigation, reserving, settlement strategy, and high exposure claims.