Human Resources/Risk Management Specialist - Part Time City of El MonteHuman Resources/Risk Management Specialist - Part TimeEl Monte, CAParticipates in coordinating and planning recruitment and selection processes; develops recruitment plans; prepares job announcements; places advertisements; schedules, proctors, and scores employment tests; coordinates testing with hiring departments; prepares interview rating notebooks, schedules interviews, and compiles interview rating forms. Participates in the administration of employee and retiree benefit programs including group life, health, and disability insurance programs; coordinates claim processing, premium compilation, and invoice payments; counsels employees regarding benefit programs; administers employee leave programs.
Healthcare Claims Analyst Ultimate Staffing ServicesHealthcare Claims AnalystPasadena, California$56,000–$62,000This role handles claims processing, inbound customer inquiries, eligibility and benefits research, issue resolution, process improvement, and staff training while delivering exceptional customer service. Seeking an experienced customer service and claims professional to support participants, providers, and healthcare partners.
Claims Quality Auditor UCLA Health SystemClaims Quality AuditorLos Angeles, CA$31.51–$62.64 / hourb'nn n n n n n n n n n n n nn n n n n n n n n n n n n n n n n n Claims Quality Auditor - - 31703 - UCLA Healthn n nnnn nn n n n nn n n n n Skip to content nn n n n n n UCLA Health Home Page n n nn nnn n nn n Main menu. Press enter or space keys to expands and escape key to collapse nn n n n n n n Search jobs n n nn n n n Empl...
NewOperations Analyst - National Claims (Hybrid in CA) First American Financial CorpOperations Analyst - National Claims (Hybrid in CA)Santa Ana, CAFirst 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. This position supports title claims and claims-adjacent intake operations across multiple locations and serves as a key partner to senior leadership by providing operational support, audit coordination, advanced reporting, and systems optimization.
Risk Services Coordinator The Cheesecake Factory IncRisk Services CoordinatorCA$26.50–$30.50 / hourThe Risk Services Coordinator supports the day-to-day administration of workers' compensation claims and serves as a valuable resource for injured employees and external claims partners. Relationship Builder: You foster strong partnerships with employees, claims adjusters, medical providers, and internal business partners to support successful outcomes.
NewField - SIU Adjuster Allstate Insurance CompanyField - SIU AdjusterCA$62,100–$103,950 / yearThe individual performs a thorough investigation including; (1) conducting background searches, scene investigations, and clinic inspections; (2) taking recorded statements; (3) reviewing and analyzing medical notes, bills, and property damage; and (4) conducting witness interviews and social media searches. As a Field SIU Investigator, serving Los Angeles County and the Southern California region, you'll lead complex fraud investigations, conduct surveillance and witness interviews, analyze evidence, and determine fraud exposure.
Senior Commercial Auto Claims Adjuster Hankey Group ExternalSenior Commercial Auto Claims AdjusterLos 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. The ideal candidate has strong analytical skills, sound judgment, and the ability to manage claims with efficiency, accuracy, and professionalism.
RISK MANAGER City of Huntington Beach, CARISK MANAGERHuntington Beach, CA$10,471.07–$14,733.33 / yearManages all City-wide services and activities of the Risk Management Division, including comprehensive risk management, workplace safety and industrial hygiene, third-party loss prevention, self insured, self-administered liability claims, self-insured, self-administered workers compensation, risk financing, and safety officer industrial disability retirement programs. A new member is defined as a new hire who is brought into CalPERS membership for the first time on or after 1/1/13 and has no prior membership in a California public retirement system; is not eligible for reciprocity with another California public retirement system; or is rehired by a different CalPERS employer after a break in service of greater than six (6) months.
Dental Biller - Front Office A-Team Dental StaffingDental Biller - Front OfficeStudio City, CaliforniaThe Dental Insurance Biller / Patient Care Coordinator is responsible for managing insurance claims, accounts receivable, payment posting, insurance follow-up, and assisting patients with scheduling, answering incoming calls, and coordinating appointments. They are confident with insurance billing and accounts receivable, communicate professionally with patients and insurance companies, thrive in a fast-paced environment, and take pride in keeping both the schedule and collections running smoothly.
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.
Analyst III, Epic Application Professional Billing and Claims Pacific Dental Services IncAnalyst III, Epic Application Professional Billing and ClaimsIrvine, CA$103,000–$133,000 / yearOwns highly complex projects, such as multi-module implementations or enterprise-wide systems upgrades; leads medium-scale projects, including scoping, design, implementation, testing and go-live support. This role ensures accurate and efficient billing workflows, claim generation, and revenue cycle operations by collaborating with finance, billing, and operational teams.
Compliance Specialist - Medical Billing Advantage Healthcare ServicesCompliance Specialist - Medical BillingHuntington Beach, CAThis role serves as a key operational partner to Compliance, Pharmacy Operations, Revenue Cycle, and Credentialing teams to support licensing activities, billing compliance, audit readiness, reimbursement requirements, and ongoing regulatory compliance. The ideal candidate combines strong administrative discipline with knowledge of pharmacy operations, licensing regulations, healthcare reimbursement, medical billing, pharmacy claims processing, and regulatory documentation.
VP, Internal Audit Alignment HealthcareVP, Internal AuditOrange, California$227,952–$341,928 / yearThis leader works in close partnership with the Audit Committee, CFO, CAO, executive leadership, legal, compliance, finance, and business unit leaders to strengthen the overall control environment and position internal audit as a trusted advisor—not merely a compliance function. This leader works in close partnership with the Audit Committee, CFO,CAO,executive leadership, legal, compliance, finance, and business unit leaders to strengthen the overall control environment and position internal audit as a trusted advisor—not merely a compliance function.
Workers Compensation Claim Representative Associate The Travelers CompaniesWorkers Compensation Claim Representative AssociateDiamond Bar, CA$52,600–$86,800 / yearAs an Associate Claim Rep, Workers Compensation, you will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals. 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.
Claims Specialist, Design Professional AXA SAClaims Specialist, Design ProfessionalLos Angeles, CA$88,500–$154,900 / yearEnsuring all documentation is present in the claim file and ensuring that Claims Handler Guidelines and protocols are followed Maintaining high-quality relationships with insureds and brokers through frequent contact and responsiveness to their needs, including promptly reviewing contracts for insurability when requested. Proactively managing Design Professional liability claims across multiple jurisdictions, including initial review, coverage evaluation, developing resolution strategies, and ensuring ongoing communication with stakeholders and claims management to achieve the best outcome for the insured and AXA XL.
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.
Complex Claims Consultant , Medical Malpractice And Dental CNA Financial Corp.Complex Claims Consultant , Medical Malpractice And DentalIrvine, CA$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial 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.
Workers Compensation Claims Specialist, Complex & Settlement Focus CNA Financial Corp.Workers Compensation Claims Specialist, Complex & Settlement FocusIrvine, CA$54,000–$103,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
Shelter Program Manager (On-Site) COALITION TO ABOLISH SLAVERY AND TRAFFICKINGShelter Program Manager (On-Site)Los Angeles, CAFull timeESSENTIAL DUTIES Program Coordination/Development: Assist in coordinating and overseeing the Transitional Shelter Program and ensure results are adequately captured• Ensure quality and performance of all shelter programming; • Coordinate and oversee day-to-day operations at shelter to ensure optimal results and compliance with strategy and deliverables; • Oversee intake and exiting of clients from the program, including assessing appropriateness for intake and readiness for transitional housing program, or other longer-term housing; • Oversee development of individualized service plans and responsibilities for each client and monitor/work with Shelter Case Manager and Assistant Case Manager to ensure that plans are followed and adjusted as needed; • Provide crisis intervention and conflict resolution to clients and as support to shelter staff; • Develop and manage specialized services and workshops, house meetings, or other life skills development activities; • Oversee daily hotline services at the shelter programs. • Assist Associate Director of Equitable Housing develop, implement and lead a vision for the housing program that is culturally sensitive, holistic and rooted in the principles of trauma informed care • Assist Associate Director of Equitable Housing Identify Opportunities for growth, which will include housing support, vocational training and supplemental support for survivors within all the Housing ProgramsREQUIREMENTS Individual must be organized, flexible, capable of multi-tasking, and able to identify and respond to shifting priorities.
NewMgr, 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.