NewPre-Lit Case Manager JobotPre-Lit Case ManagerTorrance, CA$40–$45 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
Independent Insurance Claims Adjuster in Chino, California MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Chino, CaliforniaChino, CaliforniaHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Insurance Bad Faith Attorney Avagyan LawInsurance Bad Faith AttorneyLos Angeles, CA$200,000–$300,000 / yearWe are looking for an attorney with experience representing policyholders in first-party property insurance disputes, insurance bad faith claims, coverage litigation, and denied, delayed, or underpaid insurance claims. Substantial experience with examinations under oath (EUOs), insurer investigations, proofs of loss, appraisal proceedings, and policy rescission or material misrepresentation disputes.
NewBilingual Vietnamese and English Front Desk/Medical Receptionist JobotBilingual Vietnamese and English Front Desk/Medical ReceptionistFountain Valley, CA$18–$25 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. You will utilize your medical reception skills to provide outstanding service while coordinating patient flow, managing appointments, and maintaining accurate patient records.
Applied AI Engineer/Full stack App Development Engineer Farmers Group, Inc.Applied AI Engineer/Full stack App Development EngineerWoodland Hills, CA$102,450–$174,240 / yearAgile Dev Team Member IV designs and delivers full-stack solutions for personal lines insurance business systems, leveraging modern technology including generative AI integration, cloud architectures, and enterprise applications. Preferred: Experience in insurance or financial services; prior work developing systems for scale or performance-critical applications; exposure to mature engineering practices (observability, monitoring, documentation).
Senior Trial Attorney -Subrogation (Hybrid) Onebeacon Professional Insurance IncSenior Trial Attorney -Subrogation (Hybrid)Anaheim, CA$159,000–$186,000 / yearWorks with Lead Attorney on all aspects of pre-suit and litigated files including retaining experts, sending pre-suit notice letters, coordinating joint inspections and exams, initiating litigation and conducting all phases of litigation through trial. Some of the Senior Trial Attorney responsibilities include but are not limited to: Handles a consistent workload of subrogation files representing Intact's subrogation interests in property, maritime, financial and cyber matters.
CCSB Eligibility Specialist I Western GrowersCCSB Eligibility Specialist ICA$35,288.33–$45,874.31 / yearKnowledge of generally accepted health care eligibility and billing procedures as well as Health Insurance Portability and Accountability Act (HIPAA), Consolidated Omnibus Budget Reconciliation Act (COBRA), California Continuation Benefits Replacement Act (Cal-COBRA) and Employee Retirement Income Security Act (ERISA) legislation. Assist in reviewing and processing all manual and/or Electronic Data Interchange (EDI) enrollment transactions (adds, changes, terminations) in the system of record as received from the client or internal sources in accordance with Participation Agreements, Employer Policy Statement, Eligibility Guidelines and/or Summary Plan Descriptions.
Call Center Representative I (California Only) Western GrowersCall Center Representative I (California Only)Irvine, CARemote$38,625.60–$50,874.31 / yearAt Pinnacle Claims Management, we are an innovative third-party administrator (TPA) that provides a full-suite of comprehensive and customized health benefits administration services for self-funded companies, including health management and wellness solutions, and pharmacy benefit management. The Call Center Representative I will play a crucial role in assisting clients over the phone and electronically, making a real difference in their experience with the Health Benefits Exchange (HBEX).
Mgr, Plan Partnerships Pacific Dental Services IncMgr, Plan PartnershipsIrvine, CA$103,000–$133,000 / yearThe Mgr, Plan Partnership manages strategic relationships with dental and medical insurance payors to support reimbursement performance, operational efficiency, provider experience, and patient access. This role partners closely with internal teams and health plan contacts to resolve issues, support contract initiatives, and advance overall payer strategy.
CCSB Supervisor I, Administration (51070) Western GrowersCCSB Supervisor I, Administration (51070)Irvine, CAThis includes, but is not limited to, eligibility, enrollment, audits, COBRA administration and maintenance, and any billing and payment related functions performed for Pinnacle Claims Management Inc. (PCMI) and affiliated business lines with a specific focus on the CCSB contract with the State of California. Knowledge of Health Insurance Portability and Accountability Act (HIPAA), Consolidated Omnibus Budget Reconciliation Act (COBRA), California-COBRA, Multiple Employer Welfare Arrangement (MEWA) and Employee Retirement Income Security Act (ERISA) regulations.
AI Automation Engineer Alignment Healthcare IncAI Automation EngineerCA$130,332–$195,498 / yearThe Artificial Intelligence & Automation Engineer is a hands-on technical contributor on the Data & Technology Solutions team, responsible for designing, building, and deploying intelligent AI systems and automated workflows that drive operational efficiency and elevate the quality of care for our Medicare Advantage members. You will partner closely with AI Scientists, Data Engineers, Product Managers, Clinical Operations, and Application Engineering teams to translate complex business problems - from claims processing and prior authorization to member communication and revenue integrity - into scalable, production-grade solutions.
Senior AI Automation Engineer Alignment Healthcare IncSenior AI Automation EngineerCA$172,364–$258,547 / yearThe Senior AI & Automation Engineer is a senior individual contributor and technical leader on the Data & Technology Solutions team, responsible for architecting, building, and scaling intelligent AI systems and enterprise automation solutions that directly improve care quality and operational performance across our Medicare Advantage business. You will serve as a go-to technical expert for AI Scientists, Data Engineers, Product Managers, Clinical Operations, and Application Engineering teams - driving end-to-end delivery of production AI systems that span claims processing, risk adjustment, prior authorization, revenue integrity, and member engagement.
NewTerritory Manager PeopleReady, Inc.Territory ManagerCosta Mesa, CA$62,673–$75,207 / yearBacked by over 35 years of experience, PeopleReady's workforce solutions have been carefully crafted to service businesses and workers across a wide range of industries, including construction, manufacturing and logistics, retail, and hospitality. Associate Support: Promote a Safe Workplace by conducting on-site safety visits, performing associate check-ins, and ensure personal protective equipment (PPE) is accessible to associates.
Dental Front Office Receptionist A R BAKER DDSDental Front Office ReceptionistSan Fernando, CA$23–$26 / hourFull timeWe believe in developing long-term team members who are committed to professional growth, exceptional patient care, and creating an outstanding patient experience. A R Baker DDS is a trusted dental practice serving the San Fernando, CA community with a commitment to high-quality, compassionate dental care.
Provider Network Specialist Independent Living Systems LLCProvider Network SpecialistGlendale, CABuilds and maintains positive, professional relationships with contracted and subcontracted providers by supporting provider engagement initiatives, serving as a trusted liaison, addressing provider concerns, and promoting provider satisfaction through responsive and collaborative service. Collaborates effectively with Operations, Clinical, Quality, Compliance, Credentialing, Care Management, Claims, Provider Network, and other cross-functional teams to support organizational objectives, provider success, and high-quality member care.
Learning and Development Specialist (51116) Western GrowersLearning and Development Specialist (51116)Irvine, CAThis role is responsible for designing, developing, and facilitating effective learning programs for Operations employees supporting Western Growers Health (WGH) and Pinnacle Claims Management (PCMI). Reporting to the Manager, Operations Training, the (L&D) Learning and Development Specialist provides leadership in the creation, coordination, and implementation of high-quality training solutions that enhance operational performance across the organization.
Installation Auditor (50574) Western GrowersInstallation Auditor (50574)Irvine, CADo everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning and executing work in a helpful and collaborative manner, being willing to adjust efforts to ensure that work and attitude are helpful to others, being self-accountable, creating positive impact, and being diligent in delivering results. The Installation Auditor ensures accurate setup of new and renewing health benefit plans by auditing documentation for compliance with Western Growers Assurance Trust (WGAT) and Pinnacle Claims Management, Inc (PCMI).
Specialist, Accounts Receivable Lundbeck LLCSpecialist, Accounts ReceivableCARemoteWorking with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork. Documents client's host system utilizing the 5 W's framework and related policies/procedures to ensure accurate and complete documentation and then copies account notes into Amplify's workflow tool.
Senior Counsel, KPMG Law Staffing KPMG International CooperativeSenior Counsel, KPMG Law StaffingIrvine, CA$209,400–$359,000 / yearSupport legal managed services engagements which may include high volume contract review and / or contract data extraction; contract lifecycle management (all or some processes); claims support and management; provide legal guidance to internal and external stakeholders in relation to technology and managed services contracts; and contribution of knowledge to legal drafting and negotiation playbooks. Adept at integrating diverse viewpoints across teams and multiple stakeholders to drive collaborative, inclusive, and high-quality outcomes; demonstrate exceptional clarity and impact in communication-translating complex ideas into actionable insights that drive performance, foster collaboration, and reinforce KPMGs high-performance culture.
Associate Attorney, Workers'''' Compensation The Hartford Insurance Group IncAssociate Attorney, Workers'''' CompensationBrea, CARemote$84,800–$127,200 / yearAbout The Hartford: For more than 200 years, The Hartford has helped protect customers through changing times with a focus on integrity and service-and has been recognized by Ethisphere as one of the World's Most Ethical Companies (multiple years). As an Associate Attorney in The Hartford's Workers' Compensation group, you will support the defense of California workers' compensation matters while developing the skills needed to independently manage cases over time.