Independent Insurance Claims Adjuster in San Pedro, California MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in San Pedro, CaliforniaSan Pedro, 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.
Independent Insurance Claims Adjuster in Santa Clarita, California MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Santa Clarita, CaliforniaSanta Clarita, 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.
NewRegulatory Affairs Specialist Scale MediaRegulatory Affairs SpecialistBurbank, CARemoteFull timePrepare and present industry updates at recurring team meetings (e.g., a monthly regulatory round-up), keeping cross-functional partners aware of what's happening and why it matters. Comfort with quality or product documentation basics — reviewing specifications or Certificates of Analysis (COAs) and meeting the documentation timelines that gate product release.
Insurance Contracting Specialist (Hybrid) Discovery Behavioral HealthInsurance Contracting Specialist (Hybrid)Irvine, CAFull timeThis role is responsible for engaging with healthcare providers and multi-specialty groups within the behavioral healthcare continuum (including eating disorder, mental health and substance use disorder services) in accordance with corporate guidelines to secure Single Case Agreements (SCAs), insurance contracts, and provider credentialing. Research and analyze the behavioral healthcare market, including provider types, levels of care, and regional access gaps, to identify and engage providers for potential partnerships, beginning with SCAs and/or payer contracts.
Vice President, Litigation & Claims Foxstone RecruitingVice President, Litigation & ClaimsBeverly Hills, CAOur client, a vertically integrated private real estate investment and property management firm headquartered in Beverly Hills, California, is seeking a senior litigation attorney to lead their litigation and claims function as Vice President, Litigation & Claims in either their Los Angeles or Dallas office. They're seeking a person who will manage the full lifecycle of claims arising at our properties, selecting and directing outside counsel, partnering with insurance carriers on the handling and resolution of claims, and overseeing eviction matters across all nine states in which they operate.
Claims Examiner - Workers Compensation ObjectWin TechnologyClaims Examiner - Workers CompensationPasadena, CARemoteTo analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
Personal Injury Case Manager Assistant L.A. Injury AttorneysPersonal Injury Case Manager AssistantBurbank, CaliforniaInjury Attorneys is one of the top rated personal injury law firms in California and belongs to the Million Dollar Advocates Forum and the Multi- Million Dollar Advocates forum which is exclusive to those law firms that have excelled in their profession and secured multi-million dollar settlements and verdicts for their clients. The Case Manager Assistant is expected to work in the office during regular business hours to answer client calls, support the immediate needs of the Case Manager, and greet clients.
Litigation Case Manager L.A. Injury AttorneysLitigation Case ManagerBurbank, CaliforniaCommunicate with providers and creditors to confirm lien amounts and negotiate liens · Maintain accurate and detailed records of all negotiations, agreements, and communications pertaining to lien resolution · Draft reduction letters to resolve and negotiate medical liens · Negotiate all medical liens, Medpay reimbursement claims, waivers, and attorney liens in settled personal injury cases. Injury Attorneys is one of the top rated personal injury law firms in California and belongs to the Million Dollar Advocates Forum and the Multi- Million Dollar Advocates forum which is exclusive to those law firms that have excelled in their profession and secured multi-million dollar settlements and verdicts for their clients.
Sr. Medical Claims Processor Ultimate Staffing ServicesSr. Medical Claims ProcessorPasadena, California$24–$29 / hourEnsure accuracy of claim details, including patient information, coding (ICD-10, CPT, HCPCS), and billing data prior to submission. Investigate and resolve denied, rejected, or pending claims by working with providers, payers, and internal departments.
Independent Insurance Claims Adjuster in Agoura Hills, California MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Agoura Hills, CaliforniaAgoura Hills, 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.
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.
Independent Insurance Claims Adjuster in South Pasadena, California MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in South Pasadena, CaliforniaSouth Pasadena, 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.
Claims Team Leader Allstate Insurance CompanyClaims Team LeaderCA$80,000–$136,625 / yearThe Claims Team Leader is responsible for providing our Agents exceptional claims and inquiry service through chat while managing and motivating ten to fifteen adjuster staff or vendors to achieve inspired levels of performance and expert execution of required claim processes. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Medical Claims Examiner Ultimate Staffing ServicesMedical Claims ExaminerPasadena, California$26–$29 / hourWe are seeking an experienced Medical Claims Examiner to review, analyze, and adjudicate medical claims for accuracy, compliance, and medical necessity. Identify coding discrepancies, overpayments, and potential fraud or abuse.
Bilingual Case Manager TORKLAWBilingual Case ManagerIrvine, CA$60,000–$85,000 / yearThis role is ideal for someone who thrives on keeping cases moving forward, building meaningful client relationships, and working collaboratively with attorneys and support staff to deliver outstanding service and results. We foster a supportive, team-oriented environment where employees are encouraged to grow professionally, contribute meaningfully, and make a real impact every day.
Senior Underwriter, Commercial Insurance Specialty Chubb LtdSenior Underwriter, Commercial Insurance SpecialtyLos Angeles, CA$100,000–$165,000 / yearStrong sales and marketing skills are critical; must be able to demonstrate successful agency and broker management, including building, maintaining and managing producer and customer relationships. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
Risk Adjustment Coding Specialist II Astrana Health, Inc.Risk Adjustment Coding Specialist IICA, California$70,000–$85,000 / yearPerform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines. Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.
Account Manager II, Commercial Lines Hub International LtdAccount Manager II, Commercial LinesCulver City, CATHE OPPORTUNITY: HUB's Customer Service professionals provide critical support to our customers through account management, claims management, day-to-day client oversight, and underwriting services that make us a leading sales and service organization in the insurance industry. The expected salary range for this position is $100,000 - $115,000k depending on geographical location and will be impacted by factors such as the successful candidate's skills, experience and working location, as well as the specific position's business line, scope and level.
Claims Manager (West Coast) Ledgebrook IncClaims Manager (West Coast)CARemoteWe're looking for someone with: 10+ years handling Commercial General Liability (CGL) Bodily Injury, Property Damage, and Personal & Advertising Injury claims 5+ years managing litigated CGL claims, developing and executing defense strategies 3+ years handling non-admitted market Excess & Surplus Lines claims 2+ years overseeing claims handled by Third-Party Administrators (TPAs) 2+ years supervising claim professionals - coaching, mentoring, and driving performance Proven ability to analyze coverage and prepare reservation of rights or coverage decision letters Strong litigation management skills - selecting, directing, and evaluating defense counsel Experience participating in quality assurance claim file reviews and process improvements Analytical mindset: You dissect complex claims, evaluate exposure, and create actionable strategies Coverage expertise: You interpret and apply policy language with precision and clarity Collaborative communicator: You build alignment across underwriting, legal, product, and operations teams Technology & innovation: You're proficient with modern claims systems, data, and analytics tools - and eager to implement workflow improvements that drive speed, accuracy, and customer satisfaction Customer focus: You combine empathy and responsiveness with professionalism Entrepreneurial drive: You take ownership, challenge the status quo, and help build scalable, forward-thinking solutions Decisive leadership: You make informed, timely decisions with confidence and accountability Exposure to Allied Healthcare and/or Professional Liability claims (a plus) Important - note is only for candidates applying from the U.S. Please note: This position is open only to candidates who are authorized to work in the United States without the need for current or future employer-sponsored work authorization. You bring: A passion for delivering world-class service to both internal and external customers Intellectual curiosity and a desire for innovation, rather than following the status quo A hunger for continuous learning and personal growth Agile prioritization skills and a sense of urgency - you balance getting it right with getting it done A strong drive to win together as a high-performing team A moral compass to "do the right thing, period."
Product Director, Healthcare Claims Payments-Executive Director JPMorgan Chase & CoProduct Director, Healthcare Claims Payments-Executive DirectorIrvine, CAAs a leader on the team, you leverage your advanced capabilities to challenge traditional approaches, remove barriers to success, and foster a culture of continuous innovation that helps inspire cross-functional teams to create groundbreaking solutions that address customer needs. Morgan Payments, we connect consumers, providers, payers, and health tech companies across every healthcare payment transaction, creating a faster, simpler experience for all.