Major Case Specialist, Auto Liability The Travelers Companies IncMajor Case Specialist, Auto LiabilityDiamond Bar, CA$99,100–$163,400 / yearAs a Major Case Specialist, you are responsible for investigating, evaluating, reserving, negotiating, and resolving complex, serious and severe claims typically with full damage value for average claim $500,000 to over a multi-million dollar value. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Insurance Customer Service Represenrative (CSR) CROWN INSURANCE AGENCY INCInsurance Customer Service Represenrative (CSR)Los Angeles, CAFull timeOur clients choose us for our commitment to finding the right coverage at the right price, and our team keeps coming back because of our supportive, collaborative work environment. In this role, you'll be the friendly voice our clients rely on — helping them navigate their coverage, answer questions, and feel confident in their insurance decisions.
Specialty Investigator Military, Veterans and Diverse Job SeekersSpecialty InvestigatorLos Angeles, CaliforniaDelivers specialized consultation services and quality risk training to customers, claim staff and underwriting including the development of service plans that focus on management controls, loss frequency and/or loss severity issues. Applies the techniques of critical thinking to prioritizes and develop investigations that have complex allegations and/or significantly financial impact to multiple claims and/or organized ring activity spanning across multiple lines of business and potentially across several states.
Roofing Sales Trainee – Dallas Area Heritage Construction Co., LLCRoofing Sales Trainee – Dallas Areairvine, TXPeople Person: Confident approaching homeowners, starting conversations, and building trust face-to-face. If you're competitive, hardworking, and comfortable talking to people, Fort Worth could be the place to take your sales career to the next level.
NewSenior Analyst, Revenue Cycle Management Cardinal Health IncSenior Analyst, Revenue Cycle ManagementCA$57,000–$81,600 / yearThe Analyst Team Lead serves as the senior operational resource for the AR Analyst Payer Pod team, providing technical expertise, daily guidance, and workflow support while performing advanced accounts receivable functions. This role is a step above the AR Analyst role and is responsible for serving as the team's subject matter expert (SME) for billing, claims resolution, payer requirements, and departmental processes.
Business Solution Architect UCLA Health SystemBusiness Solution ArchitectLos Angeles, CA$98,200–$214,600 / yearThe Business Solutions Architect designs and delivers business intelligence and analytics solutions that support Managed Care related operational and strategic decision-making across UCLA Health's Faculty Practice Group. As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
Government Pharmacy Biller-Collector Per Diem Day Shift Pipeline HealthGovernment Pharmacy Biller-Collector Per Diem Day ShiftCerritos, CaliforniaWears nametag properly; follows dress code policy; answers phone correctly and promptly; is prepared for meetings; meets deadlines; does not participate in gossip; acts ethically and treats others with respect; respects customer’s and co-worker’s time; establishes and maintains effective relationships with customers and co-workers. Resolve DUR Medi-Cal inquiries with the Pharmacist for affected drugs/ patients prior to re-submission of relevant billings.
Government Biller-Collector Per Diem Day Shift Pipeline HealthGovernment Biller-Collector Per Diem Day ShiftCerritos, CaliforniaWears nametag properly; follows dress code policy; answers phone correctly and promptly; is prepared for meetings; meets deadlines; does not participate in gossip; acts ethically and treats others with respect; respects customer’s and co-worker’s time; establishes and maintains effective relationships with customers and co-workers. Resolve DUR Medi-Cal inquiries with the Pharmacist for affected drugs/ patients prior to re-submission of relevant billings.
Head of Risk Management Netflix IncHead of Risk ManagementLos Angeles, CA$442,000–$780,000 / yearOversee a high‑performing global team responsible for program design, placement, pricing, coverage terms, and claims resolution across a broad range of insurance lines, including Auto & General Liability, Aviation, Business Interruption, Errors & Omissions, Fiduciary, Property, Workers' Compensation, and others. You will lead a team that supports Netflix's corporate, production, and emerging businesses and oversees end‑to‑end risk and claims activities, while partnering closely with cross‑functional leaders around the world.
Attorney-Represented Bodily Injury Associate Manager Allstate Insurance CompanyAttorney-Represented Bodily Injury Associate ManagerLos Angeles, CAKey responsibilities include developing and executing strategies to drive strong employee performance and consistent, expert claims handling; monitoring staffing levels and workloads; providing coaching and mentoring; and participating in performance management and reviews. The Team Leader is responsible for delivering exceptional claims and inquiry experiences for our Agents through chat‑based services, while effectively leading, motivating, and developing a team of 10-15 adjusters or vendor partners.
Medical Biller ObjectWin Technology IncMedical BillerCASpecific Skills Needed: Medical Billing, cash application and collection (collection is not calling demanding payment; it''s researching why a claim didn''t get paid and taking steps necessary to correct the info). Utilize a practice EHR system and clearing house to review and submit claims to multiple medical insurance carriers Review open/unpaid claim balances and take required action.
Epic Denials Manager DeloitteEpic Denials ManagerInglewood, CARemote$140,000–$160,000 / yearAs an Epic Denials Manager, you will help deliver back-end revenue cycle management (RCM) services, including denials and claims submission, denials management, payment posting, and credits and refunds, A/R follow-up for health care provider client. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.
Revenue Cycle IDR Analyst RSource LLCRevenue Cycle IDR AnalystCARemoteThe IDR Analyst serves as a subject matter expert responsible for managing a specific clients Out of Network inventory, leveraging strong project management and revenue cycle skills to identify trends and patterns that support the strategic submission of IDR disputes aimed at maximizing reimbursement for Knowtion Health. Run reports to identify trends and patterns within claims inventory to drive workflow including any bulk account actions that can be applied to the inventory (Example: non-viable IDR submissions).
NewWorkers' Compensation Defense Attorney - Newly Barred CA Attorneys! JobotWorkers' Compensation Defense Attorney - Newly Barred CA Attorneys!Orange, CA$100,000–$105,000 / yearInformation 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.
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.
Claims Adjuster - Workers Compensation (HYBRID- Glendale, CA) Sedgwick Claims Management Services, Inc.Claims Adjuster - Workers Compensation (HYBRID- Glendale, CA)Glendale, CA$75,000–$80,000 / yearMental: 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. Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
Customer Service Representative Arlon GraphicsCustomer Service RepresentativePlacentia, CA$22–$26 / hourBasic duties include answering phone calls, emails, and chats from customers and participating in meetings with Customer Service or other internal teams (to discover new communication tactics and maintain expert knowledge about company products and services). Through more than 180 distribution partners across the globe, a growing number of strategically-positioned sales offices and warehouses, and customer-centric operations, Arlon is recognized as a global leader in graphic films.
Multi-Line Claims Adjuster - California / Los Angeles Area Provencher & Company, LLCMulti-Line Claims Adjuster - California / Los Angeles AreaLos Angeles, CAWe excel in providing professional, knowledgeable claims professionals to handle large losses, catastrophe claims, business interruption and daily property claims, as well as handle complete liability investigations, task assignments including scene investigations and property damage appraisals, construction defect claims as well as first party automobile claims for personal and commercial insurance policyholders. Experience in industry specific areas a plus, but not necessary: fire departments, agricultural, lumber mills, high value or historic buildings or Construction Defects, Automobile Liability, Subrogation Recovery investigations.
NewSENIOR WORKERS'' COMPENSATION CLAIMS ADJUSTER State Of CaliforniaSENIOR WORKERS'' COMPENSATION CLAIMS ADJUSTERLos Angeles, CA$6,646–$8,324If this posting requires an SOQ, Artificial intelligence (AI) tools such as ChatGPT, website searches, and third-party reviewers can be helpful in researching responses to the SOQ; however, by submitting your application for this position, you understand and acknowledge the SOQ you submit is your own work, in your own words, and accurately reflects your knowledge, skills, abilities, and experiences. Established in 1914 by the state legislature, we offer diverse and comprehensive products and services that provide a strong and stable option for employers and injured employees with fast, reliable claims service and medical and indemnity benefits.
Workers Compensation - Claims Adjuster | Brea, CA Sedgwick Claims Management Services, Inc.Workers Compensation - Claims Adjuster | Brea, CABrea, CARemote$85,000–$105,000 / yearMental: 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. PRIMARY PURPOSE OF THE ROLE: To analyze Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.